Jabbari B, Gunderson C H, Wippold F, Citrin C, Sherman J, Bartoszek D, Daigh J D, Mitchell M H
Arch Neurol. 1986 Sep;43(9):869-72. doi: 10.1001/archneur.1986.00520090009007.
The yield of magnetic resonance (MR) imaging was investigated in 30 patients with partial complex epilepsy, and the results were compared with those of computed tomography (CT). Magnetic resonance imaging and CT disclosed focal cerebral abnormalities in 13 (43%) and eight (26%) patients, respectively. Two additional focal temporal lesions were identified by double-dose CT scanning, increasing the yield of CT to 33%. Magnetic resonance images were abnormal in all patients with focally abnormal CT scans, and in four patients (50%) they defined the extent of the temporolimbic lesions better than did the CT scans. Two of these patients had gliomas. In addition, MR images were focally abnormal in 85% of the patients in whom scalp electroencephalograms showed focal ictal discharges. These data indicate that MR imaging is more informative than CT in partial complex epilepsy.
对30例部分性复杂性癫痫患者进行了磁共振成像（MR）检查，并将结果与计算机断层扫描（CT）结果进行比较。磁共振成像和CT分别在13例（43%）和8例（26%）患者中发现局灶性脑异常。通过双倍剂量CT扫描又发现了另外2个颞叶局灶性病变，使CT的检出率提高到33%。在CT扫描有局灶性异常的所有患者中，磁共振图像均异常，在4例（50%）患者中，磁共振图像比CT扫描更能清晰显示颞叶边缘病变的范围。其中2例患者患有胶质瘤。此外，在头皮脑电图显示局灶性发作期放电的患者中，85%的患者磁共振图像有局灶性异常。这些数据表明，在部分性复杂性癫痫中，磁共振成像比CT提供的信息更多。
