儿童癫痫发作:加纳Korle Bu教学医院脑磁共振成像结果谱

IF 0.1 Q4 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING
K. Dzefi-Tettey, E. Edzie, E. Brakohiapa, K. Kekessie, A. Piersson, F. Acheampong, P. Gorleku, Harold Nixon, A. Asemah, Henry Kusodzi
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引用次数: 0

摘要

背景:目前在评估癫痫发作患者时选择的成像方式是磁共振成像(MRI)。具有特定癫痫发作方案的MRI对患者的管理有很大的积极影响。这项研究确定了癫痫发作儿童的脑部表现。材料和方法:研究对象为191名1-16岁的儿童,他们在2017年1月至2021年8月期间出现癫痫发作。对社会人口统计学和MRI检查进行了回顾性研究。由经验丰富的放射科医生分析患者的脑MRI图像及其各自的报告。收集这些报告的数据,并将其编码到社会科学统计软件包(SPSS)2.0版中进行分析。结果:191名儿童被纳入研究,其中男性99名(51.8%),女性92名(48.2%)。在89名(46.6%)研究人群中发现了异常脑图像。最常见的异常是脑萎缩41例(21.5%),白质T2液体减弱反转恢复高信号22例(11.5%),颞叶萎缩9例(4.7%)。26例(29.2%)儿童出现多发性病变,这些在5岁以下的儿童中更常见。结论:MRI在早期发现和诊断像我们这样社会经济水平低的儿童癫痫发作的原因方面非常有用。大多数患有脑损伤的儿童年龄在五岁以下,在我们这样的环境中,应该尽一切努力对他们进行成像,因为由于手术成本相对较高,他们有时会被拒绝接受核磁共振成像。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Seizures in children: Spectrum of findings on brain magnetic resonance imaging at the Korle Bu Teaching Hospital, Ghana
Background: The current imaging modality of choice in the evaluation of patients with seizures is magnetic resonance imaging (MRI). MRI with a specific seizure protocol considerably has a positive impact on patients' management. This study determined the spectrum of brain findings in children with seizures. Materials and Methods: The study subjects were 191 children aged 1–16 years who presented with seizures within January 2017–August 2021. Socio-demographics and MRI examinations were retrospectively studied. Brain MRI images of patients with their respective reports were analyzed by experienced radiologists. Data from these reports were collected and coded into Statistical Package for Social Sciences (SPSS) version-20.0 for analysis. Results: One hundred and ninety-one children were included in the study comprising 99 (51.8%) males and 92 (48.2%) females. Abnormal brain images were noted in 89 (46.6%) of the study population. The most common abnormalities were cerebral atrophy 41 (21.5%), white matter T2 Fluid-attenuated inversion recovery hyperintensities 22 (11.5%), and temporal lobe atrophy 9 (4.7%). Twenty-six (29.2%) of the children presented with multiple lesions and these were more common in children <5 years of age. Conclusion: MRI is extremely useful in the early detection and diagnosis of the causes of seizures in children in low socio-economic setting like ours. The majority of the children with brain lesions were under five years, and in a setting like ours, all efforts should be made to image them since they are sometimes denied MRI due to the relatively high cost of the procedure.
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来源期刊
West African Journal of Radiology
West African Journal of Radiology RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING-
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