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癫痫的病因复杂,可分为原发性癫痫和继发性癫痫。随着医学影像学的不断发展,许多癫痫患者找到相关病因,为癫痫的治疗提供了可靠的依据。本文自1995年10月—1998年12月,随机对187例经临床确诊为“癫痫”的住院病例,进行了颅脑CT检查,其结果报道如下。 1 资料与方法 1.1 资料 本组187例,男121例,女66例,男:女1.83:1。年龄13 d～81岁,平均25.8岁。187例患者,按国际抗癫痫联盟1981年痫性发作分类方案分类,其中部分发作59例(单纯部分发作23例,复杂部分发作29例,部分发作扩展为全面性发作7例),全面发作122例(全身性强直一阵挛性发作108例,失神发作8例,肌阵挛性发作1例,阵挛性发作3例,失张力性发作2例),不能分类6例。平扫阳性99例,平扫阴性而增强阳性3例,共102例阳性病例,占受检病人的54.5％。102例阳性病例中0～2岁14例,3～12岁31例,13～25岁18例,26～40岁16例,41～55岁13例,55岁以上10例。
The etiology of epilepsy can be divided into primary epilepsy and secondary epilepsy. With the continuous development of medical imaging, many epilepsy patients find the relevant etiology, which provides a reliable basis for the treatment of epilepsy. This article from October 1995 to December 1998, randomized 187 cases of clinically diagnosed as “epilepsy” inpatients, conducted brain CT examination, the results reported below. 1 Materials and Methods 1.1 Information 187 cases of this group, 121 males and 66 females, males and females 1.83: 1. Age 13 d ~ 81 years, mean 25.8 years old. 187 patients, according to the International Epilepsy Alliance Epilepsy 1981 classification scheme classification, of which 59 cases of partial seizures (simple partial seizure in 23 cases, 29 cases of complex partial seizures, partial seizures extended to comprehensive seizures in 7 cases), a total of 122 Cases (general tonic had a clonic seizure of 108 cases, absence of seizure in 8 cases, myoclonic seizures in 1 case, clonic seizures in 3 cases, loss of seizure in 2 cases), can not be classified in 6 cases. 99 cases of flat positive, flat negative and positive in 3 cases, a total of 102 cases of positive cases, accounting for 54.5% of the patients under examination. 102 cases of positive cases in 0 to 2 years in 14 cases, 3 to 12 years in 31 cases, 13 to 25 years in 18 cases, 26 to 40 years in 16 cases, 41 to 55 years in 13 cases, 55 years of age in 10 cases.