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KMID : 0378019820250020100
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New Medical Journal
1982 Volume.25 No. 2 p.100 ~ p.108
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Computerized Tomography in Seizure Disorders of Childhood
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Abstract
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Since CT was developed in 1972, it is more widely used to analyse the case of seizure. The authors studied cranial CT of seizure patients at the Department of Pediatrics, Keimyung University Hospital during the period of May, 1980 to August, 1981. The results are summarized as follows:
1) A structural abnormality was found in the CT finding of the 50.9% of seizure patients.
2) It showed a tendency of structural abnormality among the younger patients.
3) Of the abnormal findings, in order of frequency was atrophic change of brain, low density in cortex, high density in cortex
and hydrocephalus etc.
4) The ratio of abnormal finding was higher in focal seizure patients than generalized seizure patients. It also showed high ratio in the
neonatal seizure patients.
5) Patients who had asymmetry, focal slow wave and focal spike on EEG proved to have high ratio of abnormal findings on CT.
6) The patients with mental change and focal neurologic sign in their symptom and sign in addition to seizure has the highest abnormal findings, following the order of headache, limb paresis and vomiting.
7) Final diagnosis of the seizure patients who has abnormal finding was in order of epilepsy, hydrocephalus, brain tumor, cerebral hemorrhage, perinatal brain damage and toxic encephal￢opathy etc. CT findings helped to make diagnosis of toxoplasmosis, Sturge-Weber Syndrome and tuberculoma.
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