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作者报道二例部分性癫痫持续状态(SE)患者,在部分性SE发生后,MRI示脑部短期局灶性改变,其中1例病理证实为星形细胞瘤。 例1,男,41岁,糖尿病患者,复杂部分性癫痫发作(CPS)4个月。出现全面性强直—痉挛发作(GTC),予苯妥英钠1g静脉推注。GTC控制后,患者仍混乱不清,重度运动性失语,轻度感觉性失语,当天头颅CT平扫正常。第二天30分钟脑电图(EEG)提示:左颞部高幅电活动,4次部分性痫性放电。GTC2天后复查CT平扫仍正常。7天后MRI示:左颞叶灰白质T_1像低信号,质子密度像和T_2像高信号,无占位效应。9天后患者感觉性失语和混乱不清完全恢复。10周后MRI正常。
The authors report two patients with partial status epilepticus (SE) who underwent MRI in the short term with focal changes after partial SE, of which 1 had pathologically confirmed astrocytoma. Example 1, male, 41 years old, diabetic, complicated partial seizures (CPS) for 4 months. A comprehensive tonic - spasm onset (GTC), 1g phenytoin sodium intravenous injection. GTC control, the patient is still confused, severe exercise aphasia, mild sensory aphasia, skull CT scan the same day normal. The next 30 days EEG Tip: high amplitude left temporal activity, 4 partial epileptic discharge. CT scan after 2 days GTC still normal. After 7 days, the MRI showed that the left temporal lobe gray matter T_1 showed low signal, proton density image and T_2 image high signal with no mass effect. After 9 days, the patient felt aphasia and confusion completely recovered. MRI normal after 10 weeks.