Michel B, Gastaut J L, Bianchi L
Electroencephalogr Clin Neurophysiol. 1979 Mar;46(3):256-73. doi: 10.1016/0013-4694(79)90201-3.
The authors studied 19 cases of brain abscess. The investigation included one or more EEG records from 13 patients and one or more cranial computerized tomograms in all cases. In this work the two techniques were associated to establish the diagnosis of cerebral abscess. The EEG is almost always abnormal and pronounced EEG disturbances are, in most cases, sufficient for indicating a diagnosis of a space-occupying process. On the other hand, EEG patterns suggestive of brain abscess were detected in only 38% of the patients. In brain abscess, CCT is of considerable value since the existence of 'suppurative' images was demonstrated in all cases and of these, 70% were characteristic. The association of these two techniques is thus extremely useful in the diagnosis of cerebral abscess, to follow its evolution and to detect postoperative relapse or to evaluate the efficiency of medical management alone.
作者研究了19例脑脓肿患者。调查包括13例患者的一份或多份脑电图记录,所有病例均进行了一份或多份头颅计算机断层扫描。在这项研究中,两种技术联合使用以确立脑脓肿的诊断。脑电图几乎总是异常的,而且在大多数情况下,明显的脑电图紊乱足以提示占位性病变的诊断。另一方面,仅在38%的患者中检测到提示脑脓肿的脑电图模式。在脑脓肿中,计算机断层扫描具有重要价值,因为在所有病例中均显示出“化脓性”图像,其中70%具有特征性。因此,这两种技术联合使用在脑脓肿的诊断、监测其病情演变、检测术后复发或评估单纯药物治疗的效果方面极为有用。