58例小儿癫痫脑CT检查分析

目的分析CT扫描在小儿癫痫诊断中的应用价值。方法58例小儿癫痫患者进行CT检查,并对其CT表现进行分析研究。结果该组58例±癫痫患者中CT表现异常者34例,阳性率为58．62％。其中脑萎缩13例,颅内炎症11例,脑肿瘤5例,脑积水3例,颅内钙化1例,脑内缺血性病变1例。小儿癫痫患儿均使用托吡酯联合丙戊酸钠进行治疗,初步控制病情的发展。结论CT检查在小儿癫痫病因查找及病变定位中有较高的应用价值,可提高±癫痫的诊断准确率及定位率,为临床治疗提供信息;托吡酯联合丙戊酸钠进行治疗效果较好,且有效减少药物不良反应。

Brain CT-scan Analysis of 58 Cases of Infantile Epilepsy

Objective To analyze the application value of CT-scan in the diagnosis of infantile epilepsy. Methods 58 cases of infantile epilepsy were given CT-scan. And the CT manifestations were analyzed and studied. Results Of the 58 cases of infantile epilepsy, 34 cases were found with CT abnormal manifestations, the positive rate was 58.62%, including 13 cases of brain atrophy; 11 cases of intracranial infection, 5 cases of brain tumor, 3 cases of hydrocephalus, 1 case of intracranial calcification, 1 case of ischemic brain lesions. All the children with epilepsy were treated with topiramate combined with sodium valproate for controlling the development of the disease preliminarily. Conclusion CT-scan has a high application value in finding the cause of infantile epilepsy and the lesion location, which can improve the diagnosis accuracy and lesion location rate, and provide information for clinical treatment. And topiramate combined with sodium valproate has good effect on the disease and can reduce the adverse reactions effectively.