癫痫病因与发病年龄的关系探讨(附400例临床CT分析)

Study on the Correlation in Etiology and Attack Age of Epilepsyanalysis of Clinic, CT and EEG in 400 Cases

报告400例癫痫患者的临床,CT,以探讨病因与发病年龄的关系。病因已查明68.75％。发病年龄<20岁67％,>20岁33％。原发性19.75％,继发性79.25％。CT异常61.75％。四大危因(围产期异常、颅内感染、热惊厥、脑外伤)占42.5％,多发病于30岁前。新生物、血管病。囊虫病发病率随年龄增长而上升。提示癫痫(EP)病因与发病年龄相关,发病多在20岁前。防治的重点应是继发性EP的病因,特别是儿童与青少年。

The clinic, CT and EEG in 400 cases with epilepsy were reported in this paper. The correlation in etiology and attack age will be studed. The cause were clear in 68.75% and the attack age were less than 20 years old in 67% of the caues, Primary and secondary epilepsy were found in 19.75% and 72.95% of the patients respectively. Abnomal findings on CT scan were in 61.75%, and abnomal EEG accounts for 87.33%. There were four risk pathogenesis: perinatal factors, intracrnial infection, febrile convulsion and head injures and the total of them occurs in 42.5%. Most of them had onset of seizures before 30 year old. The attack of epilepsy which caused by neoplasm, vascular disease ane cysticercosis rises following the age going up. Based on above investigation, We emphasize that the treatment and prevention should be put on secondary epilepsy, especially for the children and javanile.