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CT和脑电图在创伤后癫痫病例中的价值。

The value of CT and EEG in cases of posttraumatic epilepsy.

作者信息

Reisner T, Zeiler K, Wessely P

出版信息

J Neurol. 1979 Aug;221(2):93-100. doi: 10.1007/BF00313106.

Abstract

The results of the clinical neurological investigation were compared with those of electroencephalography (EEG) and computed tomography (CT) in 64 patients suffering from verified posttraumatic epilepsy. Only 18 patients (28%) showed central neurological features with corresponding focal disorders on CT (15 cases) and EEG (11 cases). The combined application of both methods led to positive results in 94% on the part of at least one accessory examination. The clinical neurological investigation as well as the EEG and CT were normal in only 3 cases, although the traumatic etiology of epilepsy was beyond doubt. In addition to the clinical neurological investigation, EEG and CT are most important accessory examinations for the diagnosis and followup studies in cases of posttraumatic epilepsy.

摘要

对64例确诊为创伤后癫痫的患者的临床神经学检查结果与脑电图(EEG)和计算机断层扫描(CT)结果进行了比较。只有18例患者(28%)表现出中枢神经特征,CT(15例)和EEG(11例)显示相应的局灶性病变。两种方法联合应用时,至少一项辅助检查的阳性率为94%。尽管癫痫的创伤性病因毋庸置疑,但只有3例患者的临床神经学检查、EEG和CT均正常。除临床神经学检查外,EEG和CT是创伤后癫痫病例诊断和随访研究最重要的辅助检查。

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