Regression of nodules on cranial computerized tomography (CCT) scans in focal epileptic patients
10.3348/jkrs.1983.19.1.23
- Author:
Yong Whee BAHK
;
Sei Chul YOON
;
Seog Hee PARK
;
Choon Woong HUH
- Publication Type:Original Article
- MeSH:
Brain;
Brain Edema;
Brain Injuries;
Child;
Craniocerebral Trauma;
Epilepsy;
Estrogens, Conjugated (USP);
Humans;
Incidence;
Meningitis;
Neurons;
Tomography, X-Ray Computed
- From:Journal of the Korean Radiological Society
1983;19(1):23-29
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Epilepsy can be defined as a paroxysmal, neuronal discharge within the brain originating from either corticalor sugcortical regions. The incidence of epilepsy is increasing possibly due to the survival of persons who shouldhave died of brain injuries or other cerebral abnormalities acquired in earlylife. the use of abtibiotics andimprovement in the medical care have saved many children who might have died of meningitis, brain abscess,encephalitis, severe head injuries, etc. CCT scan is new radiologic procedure for defining cranial andintracranial structures and also an useful procedure for evaluation and follow-up(FU) of patient with focalseizure disorder. Recently we experienced nodules which were isodense or hypodense on initial noncontrasted CT(NECT) and scans became hyperdense of the enhancement in 4 cases of focal epileptic seizures. Nearly completedisappearance or regression of the epileptic foci occurred on the FU CT scans in 2 cases. Operation was performedin 2 cases. The tissue specimen obtianed from the CT nodule revealed cerebral edema in one case and localizedgliosis and congestion in the other. All the patients showed marked clinical improvement when the CT noduleimporved. Review of literature failed to disclose any previous report on such observation.
