Gerstle de Pasquet E, Floriani M
Acta Neurol Latinoam. 1980;26(3):155-64.
A retrospective study of 20 patients with somatosensory seizures is undertaken. The cases were obtained from the series of 1000 patient histories from the Division Epilepsy of the Neurological Institute of Montevideo. Several clinical variables are analyzed and especially the etiological factors are studied. A high incidence of surgical treatable causes was found (50%), especially tumor (35%). Similar results are reported by other authors. A comparative study concerning the tumor etiology in somatosensory and in other types of partial seizures is performed. It was found that tumors have the highest incidence of somatosensory seizures. The authors conclude that radiological studies must be undertaken in all cases of somatosensory seizures in seizures in which the underlying etiology is unclear, in order to rule out a surgical process. Computerized Tomography is at present the most important study, excepting those cases in which an arterio-venous malformation is suspected, which should be studied primarily by angiography.
对20例体感癫痫患者进行了回顾性研究。这些病例取自蒙得维的亚神经研究所癫痫科的1000份患者病历系列。分析了几个临床变量,尤其对病因进行了研究。发现可手术治疗病因的发生率很高(50%),尤其是肿瘤(35%)。其他作者也报告了类似结果。对体感癫痫和其他类型部分性癫痫的肿瘤病因进行了一项对比研究。发现肿瘤在体感癫痫中的发生率最高。作者得出结论,对于所有病因不明的体感癫痫病例,必须进行放射学检查,以排除手术病变。目前,计算机断层扫描是最重要的检查,除非怀疑有动静脉畸形的病例,这类病例应首先通过血管造影进行检查。