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首页> 外文期刊>Open access Emergency Medicine >Brain CT Findings in Patients with First-Onset Seizure Visiting the Emergency Department in Mashhad, Iran
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Brain CT Findings in Patients with First-Onset Seizure Visiting the Emergency Department in Mashhad, Iran

机译：在伊朗Mashhad急救症患者患者中脑CT调查结果

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摘要

Introduction: Regarding the complications and costs of CT imaging for patients, this study aimed at investigating the necessity of CT scans in patients visiting the emergency unit with first-onset seizure. Methods: One hundred patients who had experienced their first seizure were enrolled. Their CT scan was studied, and based on the radiology report, the type of probable pathologies and their percentage were determined. Results: The patient’s mean age was 39.78± 17.43 yrs. CT scan abnormalities were reported in 27 cases as follows: nonspecific senile changes in 11 (40.7%), encephalomalacia in 3 (11.1%), acute infarct in 5 (18.5%), lacunar infarct in 3 (11.1%), mass-like lesion in 4 (14.8%) and cerebral venous thrombosis (CVT) evidence in 1 (3.7%). Acute infarct and mass-like lesions were seen together in the CT scan of one patient. In only 9 of the 27 abnormal CT scans, the findings were in accordance with seizure consisting of an acute infarct, mass-like lesion, and CVT evidence. Discussion: It seems that performing a CT scan in all patients referring to the emergency department with a first-onset seizure is not necessary.
机译：介绍：关于患者CT成像的并发症和成本，本研究旨在调查患者患者患者的CT扫描，首次发作癫痫发作。方法：注册了一百人经历过缉获的患者。研究了他们的CT扫描，并基于放射学报告，确定可能的病理类型及其百分比。结果：患者的平均年龄为39.78±17.43岁。 27例中报告了CT扫描异常：非特异性老年变化11（40.7％），脑癌，3（11.1％），急性梗塞5（18.5％），3型梗塞3（11.1％），含量病变在4（14.8％）和脑静脉血栓形成（CVT）证据1（3.7％）。在一名患者的CT扫描中，在一名患者的CT扫描中看到急性梗塞和含重病变。在27个异常CT扫描中只有9个，结果符合由急性梗塞，含重病变和CVT证据组成的癫痫发作。讨论：在所有患者中表演CT扫描似乎都没有必要具有第一次发病癫痫发作的急诊部门。

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