Gulati P, Jena A N, Tripathi R P, Puri V, Sanchetee P C
NMR Centre, INMAS, Delhi.
J Indian Med Assoc. 1994 Apr;92(4):110-2.
In 361 patients with strong clinical suspicion of secondary epilepsy magnetic resonance imaging (MRI) was performed. Three hundred and forty-five patients revealed a positive study. Maximum number of patients (28.3%) were in the age group of 2 to 12 years without any significant sex predilection. More than 70% patients presented with generalised seizures. MRI revealed definite evidence of tuberculoma in 98, neurocysticercosis in 86, tumour in 60 and cerebrovascular accident in 23 patients. There were 78 patients in miscellaneous group which included patients with magnetic resonance (MR) diagnosis of generalised or focal atrophy, demyelinating disease, hydrocephalus with or without basal exudates, calcification and disappearing lesion. In 16 patients MR was found to be within normal limits.
对361例临床高度怀疑继发性癫痫的患者进行了磁共振成像(MRI)检查。345例患者检查结果呈阳性。患者数量最多的年龄组为2至12岁,占28.3%,无明显性别倾向。超过70%的患者出现全身性癫痫发作。MRI显示98例有结核瘤的确切证据,86例有神经囊尾蚴病,60例有肿瘤,23例有脑血管意外。有78例患者属于其他类别,包括磁共振(MR)诊断为全身性或局灶性萎缩、脱髓鞘疾病、伴有或不伴有基底渗出物的脑积水、钙化及病变消失的患者。16例患者的MR检查结果正常。