大理地区继发性癫痫200例CT诊断及病因分析

Analysis of Causes of Secondary Epilepsyand its Diagnosis by CT in Dali Area

目的：经过２００例继发性癫痫的ＣＴ检查，探讨ＣＴ对继发性癫痫的诊断价值，并对大理地区继发性癫痫的病因进行分析，从而为大理地区脑囊虫的防治提供科学依据。方法：病例２００，男１０６例，女９４例，年龄２～７０岁之间，以７～２０岁为多，所有病例均有癫痫病史，均经ＣＴ扫描及实验室检查明确诊断，部分经手术及化疗后ＣＴ复查证实。结果：脑囊虫１３４例，颅内肿瘤４７例，其中脑膜瘤２１例，胶质瘤１９例，蛛网膜囊肿３例，畸脑瘤１例，皮样囊肿１例。结论：ＣＴ对继发性癫痫的诊断很有价值。脑囊虫是大理地区继发性癫痫的主要病因。

Objective:Having diagnosed 200 cases of secondary epilepsy by the computed tomography(CT),we analyses the value of CT diagnosis and causes of the disease to provide scientific proof for preventing cerebral cysticercosis in Dali area.Methods:Among the 200 cases,there are 106 cases of male ,96 cases of female.Their ages vary from 2 to 70, but most of them are in 7 to 20.All of them have epilepsy history, and have been diagnosed by CT as well as other tests.Part of them were treated with operation and chemotherapy and then proved by CT.Results:Of the cases,cerebral cysticercosis 134 cases;intracranial tumor 47 cases, of these,21 cases of durosarcoma, 19 cases of spongiocytoma,3 cases of intra-arachnoid hydatoncus, 1 case of dysembryoma and 1 case of dermatocyst. Conclusion: CT is a very valuable method for secondary epilepsy diagnosis. Cerebral cysticercosis is the main cause of secondary epilepsy in Dali area.