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題名 | 兒童癲癇腦部電腦斷層攝影之研究 |
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作者姓名(中文) | 王德煌; | 書刊名 | 中華民國小兒科醫學會雜誌 |
卷期 | 26:4 民74.07-08 |
頁次 | 頁323-327 |
分類號 | 417.5845 |
關鍵詞 | 兒童; 腦部; 電腦斷層; 攝影; 癲癇; |
語文 | 中文(Chinese) |
中文摘要 | 本篇研究由民國70年始,作者們在小兒癲癎門診中的509位病童,經過選擇性挑選共有107位病童或患嬰做腦部電腦斷層攝影檢查,結果發現癲癇患者其腦部斷層攝影之異常率平均為45%,其中最常見的癲癎發作型態為持續性局部癲癇發作(100%), Lennox-Gastaut症候羣家(75%),嬰兒點頭痙攣(74%),較少見的癲癎型態為泛發性陣攣癲癎發作(33%),及良性側裂性癲癎發作(0%),若癲癇病童合併神經學檢查異常或精神運動遲緩者,其電腦斷層攝影異常率今別為97%及73%,其P值小於0.005,在107位患童中,有104位在腦部電腦斷層攝影術時接受靜脈內注射對比劑攝影檢查,但只有兩位得到進一步信息,一位腦血管畸形,另一位為複雜隨癲癎患者,其額葉顯示局部腦組織對比劑增強,因此靜脈注射對比劑的檢查並非絕對必要,依臨床癲癎型態而定,並且可減少花費。 |
英文摘要 | From a recorded series of 509 subjects with childhood epilepsy, observed from 981 to 1984, 107 cases with sufficient data for follow-up and evaluation were selected. Brain CT was performed on the 107 subjects. The picture was normal in 59 (55%), but marked enlargement of the subarachnoid space and ventricles showed in 48 (45%). Hyperdense intracerebral nodules were noted in four cases of tuberous sclerosis. Abnormalities of brain CT scan were common in epilepsi partialis continua (100%), Lennox-Gastaut syndrome (75%) and infantile spasm (74%). Seizure disorders associated with abnormal neurologic examination and psychomotor retardation had the highest percentage of intracranial CT abnormalities, about 97% and 73% respectively. Although 104 subjects had both pre-and post-contrast-enhanced scans, the contrast-enhanced study furnished no additional information if the pre-enhancd CT had been normal. |
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