法医学杂志 ›› 2016, Vol. 32 ›› Issue (3): 200-203.DOI: 10.3969/j.issn.1004-5619.2016.03.010

• 综述 • 上一篇    下一篇

外伤性癫痫及其法医学评定进展

张运阁,李春晓,管国富,吕  铭,程荷英,陈  焕   

  1. (常州市德安医院司法鉴定所,江苏 常州 213003)
  • 发布日期:2016-06-25 出版日期:2016-06-28
  • 通讯作者: 李春晓,男,副主任法医师,主要从事法医临床学、司法精神病学研究;E-mail:czdasfjd@126.com
  • 作者简介:张运阁(1981—),男,主检法医师,主要从事法医临床学、司法精神病学研究;E-mail:zhangyunge_2006@163.com
  • 基金资助:

    常州市科技局应用基础研究项目(CJ20159057)

Progress on Post Traumatic Epilepsy and Its Forensic Evaluation

ZHANG YUN-GE, LI CHUN-XIAO, GUAN GUO-FU, L?譈 MING, CHENG HE-YING, CHEN HUAN   

  1. (Institute of Forensic Expertise, Dean Hospital of Changzhou, Changzhou 213003, China)
  • Online:2016-06-25 Published:2016-06-28

摘要: 外伤性癫痫(post traumatic epilepsy,PTE)是指颅脑损伤后的癫痫性发作,影像学检查可见器质性病变,脑电图检查可见异常脑电波与颅脑损伤部位一致。外伤后癫痫发生率低,案例报道较少,患者易夸大病情,给法医学鉴定增加难度。本文就外伤性癫痫流行病学、发病机制、临床治疗、法医学鉴定等方面的现状进行综述。

关键词: 法医学, 癫痫, 创伤后, 综述[文献类型], 颅脑损伤

Abstract: Post traumatic epilepsy (PTE) refers to the epileptic seizures after traumatic brain injury. Organic damage can be found by imaging examination, and abnormal electroencephalogram can be detected via electroencephalogram examination which has the similar location of the brain injury. PTE has the characteristics of low incidence, absence of case reports, and easy to exaggerate the state of illness, which add difficulties to the forensic identification. This paper reviews the status of epidemiology, pathogenesis, clinical treatment and forensic identification for PTE.

Key words: forensic medicine, epilepsy, post-traumatic, review [publication type], craniocerebral trauma

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