140例癫痫之CT规范化脑电图比较分析  

作　　者：李洪亮[1] 赵卫兵[1] 顾冲[1] 徐建洋[1] 范守荣[1] 杜俊秋[1] 

机构地区：[1]江苏省淮安市第三人民医院,223001

出　　处：《脑与神经疾病杂志》2007年第6期435-436,442,共3页Journal of Brain and Nervous Diseases

摘　　要：目的:探讨CT和规范化脑电图对癫痫的诊断意义,探讨脑部结构异常与痫性放电之间的关系。方法:对140例癫痫患者的病史、脑CT和规范化脑电图资料进行回顾性分析。结果:癫痫患者脑CT和规范化脑电图异常率分别为38.57%、82.86%。隐原性癫痫92例,CT异常27.17%,规范化脑电图异常79.35%%。症状性癫痫48例,CT异常60.42%,规范化脑电图异常89.58%。CT异常组中规范化脑电图异常77.78%,CT正常组中规范化脑电图异常86.05%。结论:脑CT和规范化脑电图对于诊断癫痫皆具重要价值,脑CT在癫痫病因寻找中起重要作用,规范化脑电图对癫痫分型具有重要意义,脑部结构异常与痫性放电的阳性率关系不明显。Objective： To seek the Significance of the Standard electroencephalogram （Standard EEG） and CT in the diagnosis of epilepsy, and discuss the relationship between morphological abnormalities and epileptic discharges . Methods： To analyse the disease history, CT of brains and Standard EEG of 149 epilepsy cases. Resnlts.. The unusual rates of epilepsy patients＇ head CT and Standard EEG are 38.57%, 82.86%. The number of cryptogenic epilepsy patients is 92. The proportion of abnormal CT finding is 27.17% ,and Standard EEG finding is 79.35%. While there are 48 patients who belong to symptomatic epilepsy. The proportion of abnormal CT finding is 60.42% ,and Standard EEG -mding is 89.58%. The unusual Standard EEG result＇s rate is 77.78% In the abnormal CT group and 86.05% in the normal CT group. Conclusion： Head CT and Standard EEG are very important for the diagnosis of epilepsy. Head CT is very useful to the reasons of epilepsy and Standard EEG is significant in classification： There is not correlation between epileptic discharge and structural abnormality.

关 键 词：癫痫 CT 规范化脑电图 

分 类 号：R741.044[医药卫生—神经病学与精神病学]