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1985~1989年在专科门诊诊治了小儿癫痫954例,下面就诊断与治疗中常遇到的问题作一探讨。一、脑电图和脑CT对癫痫的诊断价值:脑电图用来发现脑电活动方面的异常,脑CT着重是发现脑结构方面的改变,两者起到相辅相成的作用。一般脑CT检查有限局性异常者,其脑电图的符合率较高;而脑电图表现为限局性异常者,其脑CT符合率较低,而且年龄愈小愈明显,这是由于限局性脑电异常不一定都要伴有脑大体结构的改变(有些微小结构异常脑CT是不能发现的),它和神经系统发育成熟的程度有关。在癫痫病例中还有一些是脑
From 1985 to 1989, 954 cases of pediatric epilepsy were diagnosed and treated in specialist outpatient clinics. The following problems encountered in diagnosis and treatment are discussed below. First, the EEG and brain CT diagnosis of epilepsy: EEG to find abnormalities in brain electrical activity, brain CT focuses on the discovery of structural changes in the brain, the two play a complementary role. The general brain CT examination of the limited bureaucratic abnormalities, the higher coincidence rate of its electroencephalogram; and EEG showed limited bureaucratic abnormalities, the brain CT coincidence rate is low, and the younger the more obvious, which is due to the limited bureau EEG abnormalities are not necessarily accompanied by changes in the general structure of the brain (some small structural abnormalities CT can not be found), and it is related to the degree of maturity of the nervous system. In epilepsy cases there are still some brain