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至少有20～25%的癫痫患者在25岁后发病。而迟发性癫痫的常见病因之一是脑肿瘤。在脑肿瘤病人中有1/3以癫痫发作为首发表现,CT问世以前癫痫病人中1～40%诊断为脑瘤,此后为6～16%不等。本文研究的目的是将病史、临床检查和EEG的诊断价值与CT扫描进行比较,来看用前三个参数能在多大程度上将脑肿瘤病人从其他病因中剔除。作者报告221例,其中男114例,女107例,平均年龄49岁,首发癫痫年龄均在25岁以上。依其病因分为六类:(1)酗酒51例:有长期过度饮酒史且伴酒精中毒体征及反复癫痫发作,病程1～10年,25例为继发性全身发作;(2)脑肿瘤36例:均经CT扫描证实,21例为具有简单症状的部分性发作。有脑
At least 20 ~ 25% of epilepsy patients after the age of 25 onset. One of the common causes of delayed seizures is brain tumors. In patients with brain tumors, one third of patients with seizures as the first performance, before the advent of CT 1 to 40% of patients with epilepsy diagnosis of brain tumors, thereafter 6 to 16%. The purpose of this study was to compare the medical history, clinical examination, and diagnostic value of EEG with CT scans to see to what extent the first three parameters can be used to exclude patients with brain tumors from other causes. The authors report 221 cases, including 114 males and 107 females, with an average age of 49 years, the first epilepsy age are 25 years of age or older. According to its causes are divided into six categories: (1) 51 cases of alcoholism: a long history of alcohol abuse and alcohol poisoning signs and recurrent seizures, duration of 1 to 10 years, 25 cases of secondary systemic attacks; (2) brain tumors Thirty-six patients were confirmed by CT scan and 21 were partial seizures with simple symptoms. Have brain