癫痫患儿的局灶性脑电图异常及计算机断层扫描结果
Focal electroencephalographic abnormalities and computerised tomography findings in children with seizures.
作者信息
Gibbs J, Appleton R E, Carty H, Beirne M, Acomb B A
机构信息
Department of Paediatric Neurology, Royal Liverpool Children's Hospital.
出版信息
J Neurol Neurosurg Psychiatry. 1993 Apr;56(4):369-71. doi: 10.1136/jnnp.56.4.369.
Abstract
A persistent focal abnormality was observed in 157 (16%) electroencephalograms undertaken in 964 consecutive children with epileptic and non-epileptic seizures seen over one year. CT head scans were performed in 121 (77%) of the 157 children with a focus on the EEG; 26 (21%) showed an abnormality, and 21 (81%) of the abnormalities were localised. There was no difference in the proportion of abnormal scans associated with a delta or slow wave focus compared with a spike or sharp wave focus. An abnormal scan was uncommon after a single seizure. In only two patients (1.7% of all scans) did the findings on CT alter or greatly influence subsequent management.
摘要
在连续一年中诊治的964例患有癫痫性和非癫痫性发作的儿童进行的157份脑电图检查（16%）中观察到持续性局灶性异常。对157例脑电图有病灶的儿童中的121例（77%）进行了头部CT扫描；26例（21%）显示异常，其中21例（81%）异常病灶得以定位。与尖波或锐波灶相比，与δ波或慢波灶相关的异常扫描比例没有差异。单次发作后出现异常扫描的情况并不常见。仅在两名患者中（占所有扫描的1.7%），CT检查结果改变或极大地影响了后续治疗。
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本文引用的文献
1
Electroencephalography and computerized transaxial tomography in patients with temporal lobe epilepsy.
Eur Neurol. 1980;19(1):33-8. doi: 10.1159/000115125.
2
Late onset epilepsy. A prospective study.迟发性癫痫。一项前瞻性研究。
Acta Neurol Scand. 1982 Aug;66(2):216-26. doi: 10.1111/j.1600-0404.1982.tb04519.x.
3
Computer tomography in children with epilepsy.
Eur Neurol. 1980;19(3):180-4. doi: 10.1159/000115144.
4
Computerized axial tomography in chronic partial epilepsies.
Epilepsia. 1980 Jun;21(3):227-33. doi: 10.1111/j.1528-1157.1980.tb04067.x.
5
Evidence of vascular disease from CT scanning in late onset epilepsy.迟发性癫痫患者CT扫描显示血管疾病的证据。
J Neurol Neurosurg Psychiatry. 1984 Mar;47(3):225-30. doi: 10.1136/jnnp.47.3.225.
6
The diagnostic assessment of single seizures. Is cranial computed tomography necessary?
Arch Neurol. 1983 Nov;40(12):744-6. doi: 10.1001/archneur.1983.04050110062010.
7
Value of computed tomographic scan in the evaluation of adult patients after their first seizure.计算机断层扫描在首次发作后成年患者评估中的价值。
Ann Neurol. 1984 Jun;15(6):536-43. doi: 10.1002/ana.410150605.
8
Late onset epileptic seizures. A retrospective study of 250 patients.
Acta Neurol Scand. 1985 Oct;72(4):380-4. doi: 10.1111/j.1600-0404.1985.tb00887.x.
9
Late-onset epilepsy: etiologies, types of seizure, and value of clinical investigation, EEG, and computerized tomography scan.
Epilepsia. 1985 May-Jun;26(3):227-31. doi: 10.1111/j.1528-1157.1985.tb05410.x.
10
CT brain scan and EEG in the diagnosis of adult onset seizures.
Epilepsy Res. 1987 May;1(3):178-84. doi: 10.1016/0920-1211(87)90039-8.
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