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对169例癫痫为首发症状的颅内病变进行了临床分析。结果:①36岁以上的中、老年患者首发症状为癫痫,提示存在严重颅内病变;②癫痫的主要发作类型为部分性发作和部分性发展成全身性发作;③引起癫痫发作的颅内病变主要是脑肿瘤、脑血管畸形和感染性疾病;④对于小于1cm的微小病变应行MRI和DSA检查,以免漏诊、误诊。
169 cases of epilepsy as the first symptom of intracranial lesions were analyzed. Results: ① The first symptom of middle-aged and elderly patients over 36 years of age was epilepsy, suggesting severe intracranial disease; ② The main seizure types of epilepsy were partial and partial development of generalized seizures; ③ The main intracranial lesions causing seizures were Is a brain tumor, cerebrovascular malformations and infectious diseases; ④ for less than 1cm of micro-lesions MRI and DSA should be performed to avoid misdiagnosis.