以癫痫为首发症状的小型脑炎症性病灶  

Small-sized Inflammatory Focus of the Cerebrum with Epileptic Seizure as Its First Symptom

作　　者：方树友[1] 许予明[1] 方伟[1] 

机构地区：[1]河南医科大学第一附属医院神经内科,河南省建筑职工医院

出　　处：《中国神经免疫学和神经病学杂志》1994年第2期110-112,共3页Chinese Journal of Neuroimmunology and Neurology

摘　　要：本文报道２３例以癫痫为首发症状的小型脑炎症性病灶的临床资料．本病多发于２０岁以下的儿童和青少年，其临床表现主要为不同类型的癫痫发作；脑ＣＴ改变为大脑某叶局限性不规则低密度区，在此区中心或近皮质处有小的圆形或不规则等密度病灶，增强扫描后病灶呈环形或结节状强化，直径多为１．５ｃｍ左右．经氨苄青霉素和磺胺治疗后，原病灶消失，癫痫发作停止，提示氨苄青霉素及磺胺是治疗本病的最好方法．cases of small-sized inflammatory focus of the cerebrum are reported in this article.Most of the cases were children and juveniles aged below 20 years old.The first symptom and the clinical manifestation of the disease are mainly various kinds of epileptic seizures.Brain CT showed an irregular low density area localized in some lobes of cerebrum.There are some small circular or irregular homogeneous areas near the cortex or in the center of this area which showed circular or nodal enhancement in diameter of about 1.5 cm by contrast enhancement scan.After treatment with ampicillini and SMZco,the focus disappeared and the epileptic seizure stopped.It is the best method to treat this disease with ampicillini and SMZco.

关 键 词：病灶 炎症性 癫痫 首发症状 性病 脑炎 氨苄青霉素 结节 皮质 消失 

分 类 号：R742.1[医药卫生—神经病学与精神病学] R743[医药卫生—临床医学]