AEEG结合SWI对癫痫首发脑多发性海绵状血管瘤诊断价值和临床特征分析

Diagnostic value and clinical characteristics of AEEG combined with SWI in patients having brain multiple spongiform cavernous hemangioma with epilepsy predisposed

目的探讨动态脑电图(AEEG)联合核磁共振磁(MRI)敏感加权成像(SWI)在以癫痫为首发的脑多发性海绵状血管瘤诊断中的应用价值和临床特征。方法选择该院2017年6月至2018年6月确诊的以癫痫为首发的脑多发性海绵状血管瘤患者40例为研究对象,对其行MRI、SWI、脑电图(EEG)、AEEG检查,收集影像学资料进行分析。结果SWI检测到的病变数量及病灶平均面积均优于MRI(P<0.05),AEEG检出的总异常率明显高于EEG(P<0.05)。在颞叶放电患者中,相应的SWI-AEEG诊断率明显高于SWI-EEG、T 2WI-AEEG、T 2WI-EEG、T 1WI-AEEG和T 1WI-EEG(P<0.05)。结论对于以癫痫为首发的脑多发海绵状血管瘤患者,联合SWI与AEEG检查可提高其诊断率。

Objective To investigate the diagnostic value and clinical characteristics of ambulatory electroencephalogram(AEEG)combined with magnetic resonance imaging(MRI)and susceptibility weighted imaging(SWI)in patients having multiple spongiform cavernous hemangioma with epilepsy predisposed.Methods A total of 40 subjects having multiple spongiform cavernous hemangioma with epilepsy predisposed were selected and examined by MRI,SWI,electroencephalogram(EEG)and AEEG,and imaging data was collected for analysis.Results The number and the average area of lesions detected by SWI were better than that in MRI(P<0.05).The total abnormal rate detected by AEEG was significantly higher than that in EEG(P<0.05).In patients with temporal lobe discharge,the corresponding diagnostic rate of SWI-AEEG was significantly higher than that in SWI-EEG,T 2WI-AEEG,T 2WI-EEG,T 1WI-AEEG and T 1WI-EEG(P<0.05).Conclusion For patients with brain multiple cavernous hemangioma who are predisposed to epilepsy,a combination of SWI and AEEG can improve their diagnostic rate.