100例脑囊尾蚴所致癫痫患者临床症状及脑电图分析  

Analysis on the clinical symptoms and electroencephalograms of 100 epilepsy cases caused by cerebral cysticercus

作　　者：杨军[1] 

机构地区：[1]大理州第二人民医院

出　　处：《国际医学寄生虫病杂志》2015年第1期30-32,39,共4页International JOurnal of Medical Parasitic Diseases

摘　　要：目的探讨脑囊尾蚴所致癫痫患者临床及脑电图特征。 方法对大理州第二人民医院收治100例脑囊尾蚴所致癫痫患者的脑电图资料与临床资料进行回顾性分析。探讨癫痫发作形式、发作频率与其囊尾蚴在脑内的寄生部位、临床类型之间关系。 结果 100例患者中，6例（6％）正常，94例（94％）脑电图异常，其中48例轻度异常，29例中度异常，17例重度异常。脑囊尾蚴病患者的脑电图改变主要以基本波在各导联中的中幅慢波背景中出现阵发性高幅8活动、d波基本缺如。脑电图改变的过程与症状的严重性并不完全一致，但与其病程的发展过程基本一致。 结论 脑电图检查对脑囊尾蚴所致癫痫的诊断和评价疗效具有重要的价值。Objective To study the characteristics of clinical systems and electroencephalograms in pa-tients with epilepsy caused by cerebral cysticercus. Methods The clinical and electroencephalogram datafrom 100 epilepsy cases caused by cerebral cysticercus treated at Dali prefecture second people＇s hospital wereretrospectively analyzed. The relationship between the form, frequency of epilepsy seizures and the parasitizedlocation of cysticercus in brain as well as clinical types was then discussed. Results In a total of 100 cases,the electroencephalogram was normal in 6 cases（6%）, abnormal in 94 cases （94%）, among them mild abnor-malities in 48 cases, moderately abnormal in 29 cases, and severe abnormalities in 17 cases. The main changein brain electroencephalogram of neurocystieercosis was the basic waves appearing paroxysmal high amplitudedelta activities in a background of slow waves with moderate amplitude with deficiency of alpha waves. Theelectroencephalogram change process was not completely consistent with the severity of symptoms, but with thedevelopment course of the disease. Conclusion Electroencephalogram examination is of important value in the diagnosis and evaluation of curative effects of epilepsy caused by cerebral cysticercus. [

关 键 词：脑囊尾蚴病 癫痫 脑电图 临床 

分 类 号：R532.33[医药卫生—内科学]