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脑瘤与癫痫的临床分析

A Clinical Analysis of Brain Tumor and Epilepsy

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【作者】 贺侠潘以正郑汝林

【Author】 He Xia; Pan Yi Zheng;zheng Ruling(Qingtian County People’s Hospital, Zhejiang 323900)(The Second Affiliatal Hospital of Zhejiang Medical University, Hangzhou 310009)(Wengling Country People’s Hospital, Zhejiang317500)

【机构】 浙江省青田县人民医院!青田323900浙江省医科大学附属第二医院!杭州310009浙江省温岭市人民医院!温岭317500

【摘要】 本文回顾分析住院脑肿瘤病人468例.其中有癫痫发作者111例.在脑肿瘤中癫痫发病率为23.72%.从患者的性别、年龄、肿瘤部位、肿瘤病理性质及癫痫发作类型及脑肿瘤引起癫痫发作的时间等作统计分析,并与文献资料作比较.基本上与文献报导类似,但必须指出,额颞叶肿瘤均可发生复杂部分性发作,特别是颞叶肿瘤.癫痫可作为首发症状或与肿瘤症状同时出现或见于其后,但是以前者为多.癫痫出现于脑瘤症状前5年以上者呈全面性大发作.故在20岁以后开始发作癫痫者尽管表现为全面性大发作,病程很长,仍应警惕脑肿瘤的可能.

【Abstract】 Four hundred and sixty eight in patients with brain tumor were reviewed. Of them. lll cases accompanied with epilepsy accounting for 23. 72 %. The patients’ sex, age, tumor location. pathological characterasties. seizure types and seizure time were analysed. It was found that the results from this study were similar to that from cocerned referemces. This study showes that tumor is frontal lobe and temperal lobe (especially in tbe temproral lobe) could result in complex partial seizure. Epileply way appear as the first symtom or present together with brain tumor sytntoms, or after thetn. Usually. the former was more common. Patients with epilepsy appeared more than 5 years prior to brain tumor symptom presented grand seizure. Therefore,the Possibility of brain tumor should be considered in epibosy being seized after 20 years old in spite of presenting grand seizure and having a long course.

【关键词】 脑肿瘤癫痫
【Key words】 Brain tumorEnilensytimnoral
  • 【文献出处】 浙江肿瘤 ,Zhejiang Cancer Journal , 编辑部邮箱 ,1995年04期
  • 【分类号】R739.4
  • 【下载频次】38
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