AEEG结合SWI对癫痫首发脑多发性海绵状血管瘤诊断价值和临床特征分析  

Diagnostic value and clinical characteristics of AEEG combined with SWI in patients having brain multiple spongiform cavernous hemangioma with epilepsy predisposed

作　　者：辛家厚 王春琳 偶继君 俞明明 汪青松 XIN Jiahou;WANG Chunlin;OU Jijun;YU Mingming;WANG Qingsong(Department of Neurology,No.901 Hospital of People′s Liberation Army Joint Service Support Unit,Hefei,Anhui 230000,China)

机构地区：[1]中国人民解放军联勤保障部队第九〇一医院神经内科

出　　处：《重庆医学》2019年第17期2931-2934,2940,共5页Chongqing medicine

基　　金：南京军区医学科技创新重点项目(ZD15)

摘　　要：目的探讨动态脑电图(AEEG)联合核磁共振磁(MRI)敏感加权成像(SWI)在以癫痫为首发的脑多发性海绵状血管瘤诊断中的应用价值和临床特征。方法选择该院2017年6月至2018年6月确诊的以癫痫为首发的脑多发性海绵状血管瘤患者40例为研究对象,对其行MRI、SWI、脑电图(EEG)、AEEG检查,收集影像学资料进行分析。结果SWI检测到的病变数量及病灶平均面积均优于MRI(P<0.05),AEEG检出的总异常率明显高于EEG(P<0.05)。在颞叶放电患者中,相应的SWI-AEEG诊断率明显高于SWI-EEG、T 2WI-AEEG、T 2WI-EEG、T 1WI-AEEG和T 1WI-EEG(P<0.05)。结论对于以癫痫为首发的脑多发海绵状血管瘤患者,联合SWI与AEEG检查可提高其诊断率。Objective To investigate the diagnostic value and clinical characteristics of ambulatory electroencephalogram(AEEG)combined with magnetic resonance imaging(MRI)and susceptibility weighted imaging(SWI)in patients having multiple spongiform cavernous hemangioma with epilepsy predisposed.Methods A total of 40 subjects having multiple spongiform cavernous hemangioma with epilepsy predisposed were selected and examined by MRI,SWI,electroencephalogram(EEG)and AEEG,and imaging data was collected for analysis.Results The number and the average area of lesions detected by SWI were better than that in MRI(P<0.05).The total abnormal rate detected by AEEG was significantly higher than that in EEG(P<0.05).In patients with temporal lobe discharge,the corresponding diagnostic rate of SWI-AEEG was significantly higher than that in SWI-EEG,T 2WI-AEEG,T 2WI-EEG,T 1WI-AEEG and T 1WI-EEG(P<0.05).Conclusion For patients with brain multiple cavernous hemangioma who are predisposed to epilepsy,a combination of SWI and AEEG can improve their diagnostic rate.

关 键 词：血管瘤 海绵状 中枢神经系统 癫痫 磁敏感加权成像 磁共振成像 脑电图 

分 类 号：R743[医药卫生—神经病学与精神病学]