详解症状性癫痫综合征的诊断方法.doc

　　Detailed explanation of symptomatic epilepsy syndrome diagnosis method （详解症状性癫痫综合征的诊断方法） Symptoms of the syndrome, also called secondary epilepsy, acquired epilepsy, cryptogenic epilepsy, refers to a specific cause of epilepsy. Embryonic form later, for various reasons leading to brain structural changes or metabolic abnormalities in forming foci. Clinically this type of epilepsy secondary epilepsy or acquired epilepsy. Epilepsy diagnosed mainly according to the episode of witnesses to the attack, providing a reliable description, supplemented by EEG epileptiform discharge evidence can be confirmed. 症状性综合征，也叫继发性癫痫，获得性癫痫，隐源性癫痫，是指有明确病因的癫痫。胚胎形成以后，因种种原因导致脑结构性变化或代谢性异常形成灶。临床上称这类癫痫为继发性癫痫或获得性癫痫。癫痫诊断主要根据发作史，目击者对发作过程提供可靠的详细描述，辅以脑电图痫性放电证据即可确诊。 　 　One, laboratory examination: 　 　一、实验室检查： 　 　1 blood, urine, stool routine examination and blood glucose, electrolytes ( calcium, phosphorus determination ). 　 　1.血、尿、大便常规检查及血糖、电解质（钙、磷）测定。 　 　2 examination of cerebrospinal fluid: central nervous system infections such as viral encephalitis of increased pressure, white blood cell count, protein, bacterial infection and glucose and chloride reduction. Cerebral parasitic diseases can have eosinophilia. Central nervous system syphilis, Treponema pallidum antibodies. Intracranial tumors can be increased intracranial pressure, protein. 　 　2.脑脊液检查：中枢神经系统感染如病毒性脑炎时压力增高、白细胞增高、蛋白增高，细菌性感染时还有糖及氯化物降低。脑寄生虫病可有嗜酸性粒细胞增多。中枢神经系统梅毒时，梅毒螺旋体抗体检测阳性。颅内肿瘤可以有颅内压增高、蛋白增高。 　 　3 serum or cerebrospinal fluid amino acid analysis: can detect possible abnormal amino acid metabolism. 　 　3.血清或脑脊液氨基酸分析：可以发现可能的氨基酸代谢异常。 　 　Two, other auxiliary examination: 　 　二、其他辅助检查： 　　1 nerve electrophysiological examination: use of closed-circuit television or video and EEG recorded simultaneously for long range surveillance, can often recorded many habitual seizures, epilepsy and to determine differences between pseudo seizures began and the relationship to clinical symptoms. New development of MEG, the deep brain of epileptic discharg