飞行人员发作性疾病临床观察与CT、EEG和AEEG的比较

A Comparative Study of Seizures in Pilots by CT, EEG and AEEG with Clinical Observations

对15例发作性疾病的飞行人员进行了CT、EEG和AEEG检查和临床观察,对诊断价值进行了评价。15例病人最后诊断为癫痫13例、晕厥1例、神经症1例。在13例癫痫病人中,有8例不能单凭临床症状确诊,CT扫描只发现一例左额叶有低密度区,表明CT对诊断原发性癫痫意义不大;EEG因检查时间短,只查出一例阳性,而AEEG可监测24小时,对7例做出正确诊断。作者认为在诊断癫病发作上,AEEG比常用EEG优越性大的多。

CT, EEG and AEEG (ambulatory EEG) were carried out together with clinical observations in 15 pilots with seizures recently. The diagnostic values of them were evaulated The final diagnoses of these 15 patients were epilepsy 13, syncope 1, and neurosis 1. As to the diagnosis of epilepsy of 13 patients, 8 cases could not be confirmed simply by clinical symptoms. CT scan displied lower density area of left lobe in 1 case only, indicating little signficance in the diagnosis of primary epilepsy by CT scan. Regular EEG, which usually took during rather a short time, also gave positive diagnosis of epilepsy in one case only. However, AEEG, as monitoring during 24 hours, revealed correct diagnosis of epilepsy in 7 patients. AEEG was much better than regular EEG for the diagnosis of seizure attacks.