论文部分内容阅读
目的 探讨卒中后癫痫的临床特点及发病机理。方法 对 2 10 0例脑卒中病例中 192例继发癫痫患者的临床资料进行回顾性分析。结果 卒中后癫痫的发生率为 9.1%。早期癫痫发作 6 .0 4% ,晚期癫痫发作 3.0 9% ,以全身强直 -阵挛发作最多 (4 8.44 % ) ,每月 1～ 2次多见 (5 8.33% )。卒中后癫痫的发生率与病灶部位 (皮质 /皮质下 )有显著性差异 (P <0 .0 1) ,与卒中类型无明显差异 (P >0 .0 5 )。结论 脑水肿是早期癫痫发作的重要致痫因素 ,晚期发作癫痫是因胶质疤痕等因素形成癫痫灶所致。建议对晚期发作癫痫应进行严格系统的有效治疗。
Objective To investigate the clinical features and pathogenesis of epilepsy after stroke. Methods The clinical data of 192 cases of epilepsy in 210 stroke cases were analyzed retrospectively. Results The incidence of post-stroke epilepsy was 9.1%. Early epileptic seizures accounted for 6.04% and advanced seizures 3.09%. The incidence of tonic-clonic seizures was the highest (4 8.44%) and 1-2 (5 8.33%) monthly. The incidence of post-stroke epilepsy was significantly different from that of the lesion (cortical / subcortical) (P <0.01), with no significant difference in stroke type (P> 0.05). Conclusion Cerebral edema is an important cause of epileptic seizures in early epilepsy. Late seizures are caused by factors such as glial scarring and epilepsy. Proposed epilepsy for advanced seizures should be strictly systematic and effective treatment.