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MRI和1H-MRSI在颞叶癫痫中的对比研究

戴辉 赖力 周翰 兰琦 李忠 付凯

四川医学2012,Vol.33Issue(2):348-350,3.
四川医学2012,Vol.33Issue(2):348-350,3.

MRI和1H-MRSI在颞叶癫痫中的对比研究

Comparative studies on temporal lobe epilepsy by MRI and 1H-MRSI

戴辉 1赖力 2周翰 2兰琦 2李忠 2付凯2

作者信息

  • 1. 遵义医学院附属医院放射科,贵州遵义563003
  • 2. 四川省人民医院放射科,四川成都610072
  • 折叠

摘要

Abstract

Objective To evaluate the value of MRI and 1H-MRSI in the lacalization diagnosis ( LD)of temporal lobe epilepsy (TLE). Methods 15 selected patients with TLE verified by clinical manifestations and diagnosis of EEG and 15 healthy volunteers were studied. One-time conventional MRI and bilateral hippocampus 1H-MRSI inspection. Results 5 of these patients showed unilateral hippocampus sclerosis. ' H-MRSI of hippocampal was positive in 8 cases, 3 cases showing bilateral abnormalities , combination of the two methods can accurate positioning of locases. Conclusion 1H-MRS was more sensitive than MRI in lateralizing seizure origin, and bilateral lesions can be foung but MRI was more specific than 1H-MRS. Combination of MRS with MRI can improve the accuracy ratio of the localization diagnosis.

关键词

颞叶癫痫/定位诊断/磁共振成像/磁共振波谱成像

Key words

temporal lobe epilepsy/localization diagnosis/magnetic resonance spectroscopy/magnetic resonance ima-ging

分类

医药卫生

引用本文复制引用

戴辉,赖力,周翰,兰琦,李忠,付凯..MRI和1H-MRSI在颞叶癫痫中的对比研究[J].四川医学,2012,33(2):348-350,3.

四川医学

OACSTPCD

1004-0501

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