《详解症状性癫痫综合征的诊断方法》由会员分享，可在线阅读，更多相关《详解症状性癫痫综合征的诊断方法（3页珍藏版）》请在金锄头文库上搜索。
1、 Detailed explanation of symptomatic epilepsy syndrome diagnosis method （详解症状性癫痫综合征的诊断方法）Symptoms of the syndrome, also called secondary epilepsy, acquired epilepsy, cryptogenic epilepsy, refers to a specific cause of epilepsy. Embryonic form later, for various reasons leading to brain structural ch
2、anges or metabolic abnormalities in forming foci. Clinically this type of epilepsy secondary epilepsy or acquired epilepsy. Epilepsy diagnosed mainly according to the episode of witnesses to the attack, providing a reliable description, supplemented by EEG epileptiform discharge evidence can be conf
3、irmed.症状性综合征，也叫继发性癫痫，获得性癫痫，隐源性癫痫，是指有明确病因的癫痫。胚 胎形成以后，因种种原因导致脑结构性变化或代谢性异常形成灶。临床上称这类癫痫为继 发性癫痫或获得性癫痫。癫痫诊断主要根据发作史，目击者对发作过程提供可靠的详细描 述，辅以脑电图痫性放电证据即可确诊。One, laboratory examination:一、实验室检查：1 blood, urine, stool routine examination and blood glucose, electrolytes ( calcium, phosphorus determination ).1.血、尿、大便
4、常规检查及血糖、电解质（钙、磷）测定。2 examination of cerebrospinal fluid: central nervous system infections such as viral encephalitis of increased pressure, white blood cell count, protein, bacterial infection and glucose and chloride reduction. Cerebral parasitic diseases can have eosinophilia. Central nervous sys
5、tem syphilis, Treponema pallidum antibodies. Intracranial tumors can be increased intracranial pressure, protein.2.脑脊液检查：中枢神经系统感染如病毒性脑炎时压力增高、白细胞增高、蛋白增高， 细菌性感染时还有糖及氯化物降低。脑寄生虫病可有嗜酸性粒细胞增多。中枢神经系统梅 毒时，梅毒螺旋体抗体检测阳性。颅内肿瘤可以有颅内压增高、蛋白增高。3 serum or cerebrospinal fluid amino acid analysis: can detect possible ab
6、normal amino acid metabolism.3.血清或脑脊液氨基酸分析：可以发现可能的氨基酸代谢异常。Two, other auxiliary examination:二、其他辅助检查：1 nerve electrophysiological examination: use of closed-circuit television or video and EEG recorded simultaneously for long range surveillance, can often recorded many habitual seizures, epilepsy and
7、 to determine differences between pseudo seizures began and the relationship to clinical symptoms. New development of MEG, the deep brain of epileptic discharge power supply can provide more accurate positioning.1.神经电生理检查：利用闭路电视或电视影像与脑电图同时记录作长程监视，往往能记 录到多次习惯性癫痫发作，区别假性癫痫和确定癫痫发作开始和临床症状的关系。新发展 的脑磁图，对脑深
8、部的癫痫放电电源能提供更准确的定位。2 neuroimaging examinations: CT and MRI can greatly improve the structural abnormalities in the diagnosis of epileptic foci, 50% 70% of symptomatic epilepsy can be in the CT or MRI seen on histopathological changes of structure.2.神经影像学检查：CT 和 MRI 大大提高了癫痫病灶结构异常的诊断，50%70%的症 状性癫痫可以在 C
9、T 或 MRI 上看到病理结构变化。3 neural biochemical screening : current has been applied to the ion specific electrode and microdialysis probes, can be placed in the brain regions between epilepsy, epileptic seizures, measuring the attack and after the onset of some biochemical change.3.神经生化的检查：目前已经应用的离子特异电极和微透析
10、探针，可以放置在脑内癫痫 区域，测量癫痫发作间、发作时和发作后的某些生化改变。Pathologic examination of 4: operation resection of seizure foci on the pathological examination, can be determined by brain tumors, epilepsy is the scar, vascular malformations, atherosclerosis, inflammation, dysplasia or other abnormalities induced by.4.病理检查：
11、是手术切除癫痫病灶的病理检查，可以确定癫痫病因是由脑瘤、瘢痕、血 管畸形、硬化、炎症、发育异常或其他异常引起。5 neuropsychological examination: this examination can assess the cognitive function obstacle, can determine the epileptic foci or area in which side of the brain.5.神经心理检查：此项检查可以评估认知功能的障碍，可以判断癫痫病灶或区域在大脑 的哪一侧。Symptomatic epilepsy in the history a
12、nd physical examination two can find clues. History, such as perinatal abnormalities, head trauma, encephalitis history. Or and other neurological symptoms such as headache, hemiparesis or paralysis and mental retardation. Can also have systemic symptoms, such as episodes of hypoglycemia, Adams-Stok
13、es syndrome, parasites such as schistosomes. For age of onset in middle-aged and older patients, even if the physical examination and EEG abnormalities were found, is still not completely exclude symptomatic epilepsy, still need to be followed up, when necessary, other auxiliary examination.症状性癫痫在病史及体检两方面均可找到线索。病史方面，如围生期异常、头颅外伤、脑 炎病史等。或同时有其他神经系统症状如剧烈头痛、偏瘫或单瘫以及智力低下等。也可以 有全身症状，如低血糖发作、阿-斯综合征、寄生虫如血吸虫等。对于发病年龄在中年以上 的患者，即使体检和 EEG 均未发现异常，也还不能完全排除症状性癫痫，尚需随访复查， 必要时做其他辅助检查。文章来源：http:/ 转载请注明
