脑灰质异位症致难治性癫痫1例

A report of 1 case of refractory epilepsy caused by brain gray matter heterotopia

目的:脑灰质异位症所导致的癫痫是难治性癫痫的常见原因,MRI检查是诊断大脑灰质异位症最敏感的方法。对无临床症状的脑灰质异位症,一般不需要治疗。癫痫患者应使用抗癫痫药物控制其发作。脑灰质异位症临床少见,结合其发病特点,对儿童和青少年期起病的癫痫尤其是难治性癫痫患者以及出生后体格、精神发育迟滞的患者均宜行脑部影像学检查,尤其是MRI检查,以防误诊误治。本文介绍分析了1例脑灰质异位症患者的临床资料。

Brain gray matter heterotopia caused by epilepsy is a common cause of refractory epilepsy.MRI is the most sensitive method for diagnosis of brain gray matter heterotopia.For asymptomatic brain gray matter heterotopia,treatment is generally not need.Epilepsy antiepileptic drugs should be used to control its attack. Brain gray matter heterotopia is clinical rare.Combining with the characteristics of the onset,Children and adolescent onset of epilepsy,especially in patients with refractory epilepsy,physical,mental retardation patients after birth are suitable for brain imaging,especially MRI examination,in order to prevent misdiagnosis. In this paper, the clinical data of 1 case of brain gray matter heterotopia is analyzed.