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140例小儿癫痫的CT 检查显示了不同病因致癫的脑形态结构改变,本组病例CT 阳性率49.2%,其中限局性运动性发作CT 异常率72.2%,婴儿痉挛症CT 异常率100%,其他次之。原发性癫痫CT 异常率9.8%,继发性癫痫CT 异常率79.7%。围生期窒息缺氧致癫占继发性癫痫的53.9%。有头部外伤史14例CT 均有异常。高热惊厥转变为癫痫的4例、脑电图正常的11例CT 检查无异常。脑电图异常的129例中,CT 阳性率为53.4%。神经系统异常伴有中、重度智能障碍的38例,CT 全部异常。本文资料提示对脑电图、神经系统检查异常,有头部外伤史以及明显智能障碍的癫痫患儿作CT 检查是有价值的,对癫痫的病因诊断、指导治疗、外科手术和计划生育可提供充分的依据。
140 cases of pediatric epilepsy CT examination showed different causes of epileptic brain morphological changes in this group of patients with CT positive rate of 49.2%, of which the rate of CT abnormalities was 72.2%, infantile spasms CT abnormal rate of 100%, the other Second. The abnormal rate of primary epilepsy CT was 9.8%, and the rate of abnormal CT of secondary epilepsy was 79.7%. Perinatal asphyxia accounted for 53.9% of epilepsy secondary to epilepsy. There are 14 cases of head trauma history CT abnormalities. Fever convulsions into epilepsy in 4 cases, 11 cases of EEG normal CT examination without exception. 129 cases of abnormal EEG, CT positive rate was 53.4%. Thirty-eight cases of neurological abnormalities accompanied by moderate and severe mental retardation were all abnormal CT. The data suggest that CT examination of EEG, abnormalities of the nervous system, history of head trauma and epilepsy with obvious mental retardation may be of value in the diagnosis of epilepsy, as well as in guiding the treatment, surgery and family planning Full basis.