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January 1988

Computed Tomographic Scans in Posttraumatic Epilepsy

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

Arch Neurol. 1988;45(1):42-43. doi:10.1001/archneur.1988.00520250048019

• 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.

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