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Journal of Korean Neurosurgical Society 1983;12(3): 363-368.
The Brain C.T. Analysis of the Patients with Convulsive Seizure.
Yong Seok Park, Young Bae Lee, Kang Won Seo, Duck Young Choi, Kwang Seh Rhim
Department of Neurosurgery, College of Medicine, Chung-Ang University, Seoul, Korea.
The pathological manifestation of the patient with convulsive seizures has not been clearly proved mostly until the clinical use of brain computerized tomography. The brain C.T. findings, anamnesis, clinical diagnosis in the 133 consecutive patients who admitted to this hospital because of convulsive seizures from Oct. 1981 to Feb. 1983 were analyzed and literature review was made. 1) The C.T. scan revealed structural abnormalities in 46% of patients with seizure disorders, and cortical atrophy non-specific granuloma etc. 2) The older patients had a high rate of abnormal findings in the brain C.T. than younger patients. 3) The patients having short duration of disease history had higher rate of abnormal C.T. findings. 4) The patients with focal seizure had higher abnormal findings than generalized seizure. 5) The patients with seizure only showed C.T. abnormalities in 22% of cases inspite of patients with positive neurological findings showing C.T. abnormalities in 80% of cases. 6) The patients with temporal lobe lesion showed focal seizures usually in higher rate in compare with the patients with lesion in other part of brain.
Key Words: Seizure; CT scan; Intracranial pathology
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