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作者报告3例胶质瘤,皆以晚发性癫痫发作起病,首次CT扫描阴性,10周至8月后复诊方发现肿瘤.作者结合文献中11例类似病例进行了分析.14例的年龄为33-68岁.除1例以一过性失语起病外,余13例首发症状均为晚发性癫痫全身性发作.临床检查正常.脑电图9例正常5例有局灶异常.首次CT扫描均阴性,平均3月后变为阳性.在两次CT间,7例出现运动或语言障碍,6例脑电图有变化.所有病例病理组织学检查证实为恶性胶质瘤.作者在讨论中指出,CT对胶质瘤的诊断可达
The authors report 3 cases of glioma, all with late onset seizures onset, the first negative CT scan, 10 weeks to 8 months after the re-diagnosis found tumors. The authors combined the literature in 11 cases of similar cases were analyzed. 14 cases of age 33-68 years old. Except for 1 case of transient aphasia onset, the first 13 cases were all systemic seizures of late epilepsy. Clinical examination was normal. 9 cases of EEG were normal and 5 cases had focal abnormality for the first time. CT scans were negative, with an average of 3 months becoming positive. Between the two CT scans, motor or speech impairment occurred in 7 cases and EEG in 6 cases. All histopathological examinations confirmed malignant gliomas. The discussion pointed out that CT can diagnose gliomas up to