Computed Tomography in Temporal Lobe Epilepsy
Computed Tomography in Temporal Lobe Epilepsy
复制标题
颞叶癫痫的计算机断层扫描
DOI：
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发表时间：
1984
影响因子：
1.3
通讯作者：
J. Kaufmann
中科院分区：
文献类型：
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作者：
R. Blom;F. Viñuela;A. Fox;W. Blume;J. Girvin;J. Kaufmann
对40例难治性颞叶癫痫患者进行了手术治疗，并进行了计算机断层扫描（CT）研究。19例患者中有15例肿瘤的CT与病理表现具有良好的相关性。另一组患者在CT上有肉眼可见的改变，并在手术中得到证实。16例患者的显微病理诊断包括细胞结构异常、Chaslin胶质瘤和异位神经元。其中6例同侧颞角增大，5例对侧脑电图病理异常。在颞叶癫痫的研究中，我们认为CT，特别是新一代的扫描仪，可以记录肿瘤和其他更大的宏观变化，但如果只有微观变化，颞角的大小在预测异常侧是不可靠的。检索术语：癫痫-脑，异常-计算机断层扫描。
Forty patients who had intractable temporal lobe epilepsy had surgery for treatment of their seizures following study by computed tomography (CT). Fifteen of 19 patients with tumors had good correlation between CT and pathological findings. Another group of patients had macroscopic changes that were demonstrated on CT and verified at surgery. Sixteen patients had microscopic pathological diagnoses including cytoarchitectural abnormalities, Chaslin gliosis, and ectopic neurons. Six of these had enlarged temporal horns on the ipsilateral and five on the contralateral side to the electroencephalographic-pathological abnormality. In the investigation of temporal lobe epilepsy we believe that CT, especially with the newer generation scanners, records tumors and other larger macroscopic changes but that temporal horn size is unreliable in predicting the abnormal side if only microscopic changes are present. Index Terms: Epilepsy—Brain, abnormalities—Computed tomography.