·19CHINESEJOURNALOFCTANDMRI,FEB.2023,Vol.21,No.02TotalNo.160【第一作者】李胜开，男，主治医师，主要研究方向：颅脑及腹部疾病影像诊断。E-mail：22989401@qq.com【通讯作者】李胜开论著TheValueofMultimodalMRIinClinicalEvaluationofPatientswithEpilepsy*LISheng-kai1,*,YUANXiao-dan2,DAIHai-yang1,LIlin-wei1,YEWei1.1.Departmentofradiology,HuizhouCentralPeople'sHospital,Huizhou516001,GuangdongProvince,China2.DepartmentofUltrasonography,HuizhouCentralPeople'sHospital,Huizhou516001,GuangdongProvince,ChinaABSTRACTObjectivesTosummarizetheimagingfindingsofepilepsyandexploretheapplicationvalueofMRIinthediagnosisofepilepsypatients.Methods78casesofepilepsyconfirmedbyclinicalEEGinourhospitalwerecollected,theresultsofMRIexaminationwereretrospectivelyanalyzed,andtheMRIdiagnosisexperienceofepilepsyweresummarized.ResultsAmongthe78patientswithepilepsy,49casesshowedpositiveimagingsignsindifferentMRItechniques.ThepositiverateofMRIwasabout62.8%.Hippocampalsclerosisandprimarybraintumorwerethemostcommon,followedbyectopicgraymatter,cavernoushemangioma,tuberoussclerosis,encephalomalaciaandbrainmetastasis.afewarteriovenousmalformationsandbraintuberculosiscouldalsocauseepilepsy.ConclusionsTherearedifferencesamongdifferentMRItechniquesinthedetectionresultsofvariousepilepticdiseases,andthecomprehensivemulti-modalMRIexaminationtechniquecanplayabetterrole.Keywords:Epilepsy;NuclearMagneticResonance;Diagnosis癫痫俗称的“羊癫风”，是大脑神经元突发异常放电，导致短暂性大脑功能障碍的一种常见神经系统疾病。癫痫反复发作不仅对患者身体健康造成严重危害，同时给患者社交和就业等社会活动带来心理阴影。据不完全统计，全球大约有6500万癫痫患者，其中约1/3患者的癫痫发作无法被药物控制，这部分患者目前唯一有效的治疗手段就是接受致痫灶切除手术[1]。对致痫灶的精准定位，并实现脑功能区最大程度保留情况下对致痫灶有效的切除是癫痫手术治疗的核心宗旨。虽然脑功能检测和医学影像等技术快速发展，但至今仍有相当一部分的患者经历频繁癫痫发作而找不到明确的病灶，临床急需一种稳定、可靠的检查手段来填补这一空缺[2]。磁共振作为脑部疾病一种重要的无创性检查...
