Medici V
Schweiz Med Wochenschr. 1984 Sep 22;114(38):1288-93.
Careful recording of family and personal history is all-important in the diagnosis of epilepsy. If possible, a description of seizures should be obtained from an observer. Occasional seizures are to be distinguished from real epilepsy. The indications for cranial computerized tomography (CCT) are discussed: the indication is imperative in fresh partial epilepsies with elementary symptoms (some 30% brain tumors) and less so in fresh partial epilepsies with complex symptoms (some 5-10% brain tumors). In late epilepsy (onset after age 20-30, negative family and personal history), CCT is always worth considering.
仔细记录家族史和个人史对癫痫的诊断至关重要。如有可能,应从观察者处获取发作情况的描述。偶尔发作需与真正的癫痫相区分。文中讨论了头颅计算机断层扫描(CCT)的适应证:对于有基本症状的新发部分性癫痫(约30%为脑肿瘤),进行CCT检查势在必行;而对于有复杂症状的新发部分性癫痫(约5 - 10%为脑肿瘤),必要性稍低。对于晚发性癫痫(20 - 30岁以后发病,家族史和个人史阴性),CCT始终值得考虑。