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98例有癫痫发作的脑型血吸虫病患者，经血清、脑脊液免疫学、脑电图、头部CT或MRI检查，结合疫水接触史及临床表现而确诊。经分析结果发现：癫痫发作形式与病变部位密切相关，额叶、顶叶和额顶交界部位病变以全面性（强直-阵挛性）发作或单纯部分性发作为主，颞叶病变以复杂部分发作多见。头部CT或MRI对脑型血吸虫病是必要的检查手段，对病变定位价值很大，但对定性有一定困难。血吸虫肉芽肿以大脑皮质多见，但对于病灶大，水肿严重有脑室受压或中线结构移位的患者，不易与颅内占位性病变区别，易造成误诊。提示：对脑型血吸虫病的诊断，应结合疫水接触史、临床表现、血和脑脊液免疫学检查、头部CT或MRI检查更为可靠。
98 patients with seizures of brain schistosomiasis were diagnosed by serum, cerebrospinal fluid immunology, EEG, head CT or MRI combined with history of exposure to water and clinical manifestations. The analysis found that: the form of seizures are closely related to the lesion, the frontal lobe, parietal lobe and frontal junction lesions with comprehensive (tonic - clonic) episodes or simple partial seizures, the temporal lobe lesions in complex parts More common seizures. Head CT or MRI of brain schistosomiasis is a necessary means of inspection, the value of the localization of the lesion, but there are some qualitative difficulties. Schistosoma granulosum is more common in the cerebral cortex, but for large lesions, severe edema, or left ventricular compression in patients with structural shift, intracranial space-occupying lesions and easy to distinguish, easily lead to misdiagnosis. Tip: The diagnosis of cerebral schistosomiasis should be combined with the history of exposure to water, clinical manifestations, blood and cerebrospinal fluid immunological tests, head CT or MRI more reliable.