摘要
对８６例继发性癫痫的分型、脑电图（ＥＥＧ）、头颅ＣＴ、病因进行了回顾性分析。结果：①正常ＥＥＧ既不能排除癫痫，也不能除外引起癫痫的脑部病变；②弥漫性慢活动波不仅是强直阵挛性发作间竭期ＥＥＧ的一般性变化，而且可能是脑部病变的一个征象；③癫痫波只能表明脑神经元异常放电的形式和分布，不能说明病变的部位和范围，更不能提示病变的性质；④本组继发性癫痫最常见的病因是头颅外伤，以后依次为脑萎缩、颅内炎症、窒息、产伤。提示：小儿继发性癫痫的诊断不能单靠ＥＥＧ，还需结合临床表现具体分析。
The etiological factors,typing,EEG and CT of 86 cases of secondary epilepsy in children are analysed.Results:①Normal EEG can neither exclude epilepsy nor exclude brain lesions which cause epilepsy;②Diffuse slow waves are not only the general changes of EEG during the intermittent stage of grand mal,but may be also a characteristic of the brain lesions;③The epileptic waves can only indicate the form and distribution of the abnormal discharges of the brain neurons,but cannot indicate the location and extent of the pathological lesions,still less suggestiing their nature;④Of these 86 cases,head injury is the most common cause of secondary epilepsy,which is followed sucessively by brain atrophy,intracranial infection,asphyxia and birth injury.The results show that the diagnosis of seconary epilepsy in children cannot depend only on EEG,but must also consider together with the clinical manisfestions.
出处
《广西医科大学学报》
CAS
1997年第4期107-109,共3页
Journal of Guangxi Medical University
