脑囊虫病所致癫的影像学脑电图检查

AN EXAMINATION ON ElECTROENEPHALOGRAM AND IMAGING IN PATIENTS WITH EPILEPSY DUE TO CEREBRAL CYSTICERCOSIS

目的:了解影像学及脑电图检查对脑囊虫病所致癫的诊断价值。方法:对160例脑囊虫患者进行影像学及脑电图检查。结果:脑电图检查:正常57例(35.63%),异常103例(64.37%)。CT检查:正常25例(15.62%)异常135例(84.37%)。MRI检查:正常5例(3.16%)异常155例(96.84%)。结论:以癫为主要症状的脑囊虫病,脑电图检查虽然适用,但对于较小病灶,发作间歇期不易出现阳性改变。CT对确定其位置大小数目方面敏感可靠,MRI具有较高的组织分辨力,在确定病灶周围水肿方面比CT更敏感。

Objective：To explore the diagnostic value of electroencephalogram and imaging in patients with epilepsy due to cerebral cysticercosis.Methods：Imaging and EEG were exanrsined in 160 patients with epilepsy due to cerebral cysticercosis.Results：EEG examination：The normal rate of EEG was 35.63% in patients with cerebral cysticercosis.The abnormal rate of EEG was 64.37%.CT examination：The normal rate of CT was 15.62%.The abnormal rate of CT was 84.38%.MRI examination：The normal rate of MRI was 3.16%;the abnormal rate of MRI was 96.84%.Conclusion：EEG examination is suitable to patients with epilepsy due to cerebral cysticercosis,but it is not liable to show its positive change during the paroxysmal interval to some smaller focus.CT is sensitive and credible to fix its position,size and amount.MRI has higher tissue distingushing power,it is more sensitive to fix the edema around the focus.