颞叶癫痫的磁共振成像：儿童早期起病与晚发
MR in temporal lobe epilepsy: early childhood onset versus later onset.
作者信息
Kodama K, Murakami A, Yamanouchi N, Koseki K, Iwasa H, Okada S, Sakamoto T, Noda S, Komatsu N, Sato T
机构信息
Department of Neuropsychiatry, School of Medicine, Chiba University, Japan.
出版信息
AJNR Am J Neuroradiol. 1995 Mar;16(3):523-9.
PURPOSE
To study the relationship between the MR findings and the clinical features in temporal lobe epilepsy in childhood (less than 10 years of age).
METHODS
MR studies were performed with a 1.5-T imager on 38 temporal lobe epilepsy patients receiving drug therapy at the psychiatric department. These patients were divided into two groups according to their age at onset (10 years or less, 11 years or more). The two groups were compared in terms of the MR findings and clinical features.
RESULTS
The 11 younger-onset patients included 5 with a high-signal area attributed to mesial temporal sclerosis. Clinically, all of these 5 patients had a history of "complex" febrile convulsions, which sharply distinguished them from the older-onset group.
CONCLUSION
The analysis suggests that complex febrile convulsions in infancy can be associated with high-signal areas on MR attributed to mesial temporal sclerosis.
目的
研究儿童期（10岁以下）颞叶癫痫的磁共振成像（MR）表现与临床特征之间的关系。
方法
对精神科接受药物治疗的38例颞叶癫痫患者使用1.5-T成像仪进行MR检查。这些患者根据发病年龄分为两组（10岁及以下，11岁及以上）。比较两组的MR表现和临床特征。
结果
11例发病较早的患者中有5例存在归因于内侧颞叶硬化的高信号区。临床上，这5例患者均有“复杂性”热性惊厥病史，这使他们与发病较晚的组明显区分开来。
结论
分析表明，婴儿期的复杂性热性惊厥可能与MR上归因于内侧颞叶硬化的高信号区有关。
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