Roger J, Gastaut J L, Dravet C, Tassinari C A, Gastaut H
Rev Neurol (Paris). 1977 Jan;133(1):41-53.
Eleven of the first 500 epileptics examined by axial tomography presented pseudo-porencephalic dilation (cavitary atrophy) of an occipital horn, associated or not with more extensive ventricular dilation. This lesion was found in 2.2% of all the epileptics and in 5% of the epileptics under the age of 20 in this group, a high incidence when compared with that of lesions of the same type located elsewhere. Clinical investigation and E.E.G. carried out on these 11 children showed that they were suffering from either hemiphegia or hemiparesis (8 out of 11 cases) and hemianopsia (7 out of 11 cases), and had serious epilepsy with partial fits (6 cases), usual temporal lobe epilepsy (5 cases), generalized secondary epilepsy (3 cases) or epilepsy defying classification (2 cases). These cases are compared with those recently published by Remillard, Ethier and Anderman. These authors consider that these cerebral lesions are the result of peri-natal thrombosis of the posterior cerebral artery. But in our group of cases, angiographic results do not appear to justify this claim.
在最初接受轴向断层扫描检查的500名癫痫患者中，有11名出现枕角假性孔洞性扩张（空洞性萎缩），伴或不伴有更广泛的脑室扩张。在该组所有癫痫患者中，这一病变的发生率为2.2%，在20岁以下的癫痫患者中为5%，与其他部位相同类型病变的发生率相比，这一发生率较高。对这11名儿童进行的临床检查和脑电图检查显示，他们患有偏瘫或轻偏瘫（11例中有8例）和偏盲（11例中有7例），并患有严重的癫痫，伴有部分发作（6例）、常见的颞叶癫痫（5例）、全身性继发性癫痫（3例）或难以分类的癫痫（2例）。将这些病例与Remillard、Ethier和Anderman最近发表的病例进行了比较。这些作者认为，这些脑部病变是大脑后动脉围产期血栓形成的结果。但在我们的病例组中，血管造影结果似乎无法证明这一说法的合理性。
