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Computed Tomographic Scans in Posttraumatic Epilepsy
Roberto D'Alessandro, MD;
Renata Ferrara, MD;
Giulia Benassi, MD;
Pier Luigi Lenzi, PhD;
Luciano Sabattini, MD
Arch Neurol. 1988;45(1):42-43.
Abstract
The occurrence of posttraumatic epilepsy was studied in 219 patients who had had a computed tomographic (CT) scan within three days after a civilian head trauma. Posttraumatic epilepsy was observed in 13 patients. All of them had focal brain damage shown by CT scan. The predicting power of both clinical risk factors and CT scans was analyzed by multiple logistic regression. Only an intracerebral hemorrhage and intracerebral hemorrhage plus satellite extracerebral hematoma proved significantly associated with posttraumatic epilepsy. This result has important implications in the design of posttraumatic prophylaxis trials.
Author Affiliations
From the Institute of Clinical Neurology (Drs D'Alessandro, Ferrara, and Benassi), the Institute of Human Physiology, University of Bologna (Dr Lenzi), and the Department of Neuroradiology, Ospedale Bellaria (Dr Sabattini), Bologna, Italy
Footnotes
Accepted for publication July 8, 1987.
Reprint requests to Institute of Clinical Neurology, Via Ugo Foscolo 7, 40123 Bologna, Italy (Dr D'Alessandro).
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