伴精神发育迟缓癫痫患者的CT及脑电图特征

Characteristics of CT and EEG in epilepsy patients with mental retardation

目的探讨伴精神发育迟缓癫痫患者的CT及脑电图表现特征,为伴精神发育迟缓癫痫患者的诊断提供参考。方法选取佛山市第三人民医院2016年1月-2018年1月收治的符合《国际疾病分类(第10版)》(ICD-10)诊断标准的伴精神发育迟缓癫痫患者44例,对其行颅脑CT扫描和脑电图检查,收集并分析CT扫描和脑电图资料。结果 CT扫描表现异常24例,异常率为54. 55%;脑电图检查表现异常39例,异常率为88. 64%。不同性别、年龄及智力水平患者的CT扫描结果差异均有统计学意义(P均<0. 05),但脑电图结果差异均无统计学意义(P均> 0. 05)。结论 CT扫描对伴精神发育迟缓癫痫的诊断敏感性不高,脑电图检查对伴精神发育迟缓癫痫的诊断具有较高敏感性,不同性别、年龄和智力水平患者的CT扫描结果存在差异,脑电图检查结果无差异。

Objective To explore the features of CT and EEG in epilepsy patients with mental retardation,so as to provide reference for the diagnosis of epilepsy patients with mental retardation. Methods During January 2016 to January 2018,total 44 epilepsy patients with mental retardation from The Third People’s Hospital of Foshan who met the diagnostic criteria of International Classification of Disease,tenth edition( ICD-10) were included in the study. All patients accepted craniocerebral CT scan and EEG examination and the data of CT and EEG were collected and analyzed. Results 24 cases showed abnormalities in CT scan results,the abnormality rate was 54. 55%. 39 cases showed abnormalities in EEG examination results,the abnormality rate was 88. 64%. There was statistically significant difference in CT scan results between patients with different gender,age and intelligence level( all P < 0. 05).However,there was no statistically significant difference in EEG examination results between patients with different gender,age and intelligence level( all P > 0. 05). Conclusion For the diagnosis of epilepsy with mental retardation,CT scan is not sensitive while EEG examination is relatively highly sensitive. The CT scan results are different between patients with different gender,age and intelligence level,while there is no such difference in EEG examination.