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众所周知,癫痫是蛛网膜下腔出血的并发症之一,但有关这方面的研究却很少。作者对381例住院患者因颅内动脉瘤破裂致蛛网膜下腔出血之后72小时内发生癫痫发作进行了追踪研究,以探讨癫痫发作的前驱因素。低血钠时,或初次出血及再出血后12小时内,或动脉瘤手术时的发作与这些急性事件相关联故不将其作为后来的癫痫发作。35例(9％)在初次出血后12小时到1761天(中位数18天)有1次或多次癫痫发作。这一分析包括的变量为:性别,年
As we all know, epilepsy is one of the complications of subarachnoid hemorrhage, but there are few studies in this area. The authors followed 381 hospitalized patients for seizures within 72 hours of subarachnoid hemorrhage due to ruptured intracranial aneurysms to investigate the predisposing factors for seizures. Hyponatremia, or within 12 hours after the initial bleed and rebleeding, or during aneurysm surgery, correlates with these acute events and therefore does not serve as a subsequent seizure. Thirty-five (9%) had one or more seizures between 12 hours and 1761 days after the initial bleed (median 18 days). The variables included in this analysis are: gender, year