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目的；研究老年人脑梗死继发癫痫的发生率及发作时间、发作类型、癫痫发作与病变部位关系、治疗与转归，并对其发病机理作一探讨。方法：总结分析 ８２例老年人脑梗死继发癫痫的临床、 ＣＴ资料。结果：癫痫的发生率 １１． ３％；分为早期癫痫与迟发性癫痫，而以迟发性癫痫为主计 ５９例（７２． ０％）；发作类型以局限运动性发作为主计 ５２例（６３． ４％）；癫痫发作与病变部位有关，病灶多位于大脑半球各叶（７５．６％）。结论：老年人脑梗死继发癫痫发生率高，经抗癫痫治疗绝大多数能控制。发病机理早期与局部脑组织缺血、缺氧引起脑水肿、脑代谢异常有关，晚期与缺血灶内胶质组织增生有关。
Objective To study the incidence of cerebral infarction secondary epilepsy and the onset of the elderly, the type of seizure, the relationship between the epileptic seizure and the lesion, treatment and prognosis, and to explore its pathogenesis. Methods: The clinical and CT data of 82 elderly patients with cerebral infarction secondary to epilepsy were analyzed. Results: The incidence of epilepsy 11. 3); divided into early epilepsy and delayed epilepsy, and delayed epilepsy accounted for 59 (72.0%); seizure type to localized motor attacks accounted for 52 (63.4%); Epileptic seizures associated with the lesion, lesions and more in the cerebral hemispheres of each leaf (75.6%). Conclusion: Elderly patients with cerebral infarction secondary to high incidence of epilepsy, the vast majority of anti-epileptic treatment can be controlled. Early pathogenesis of ischemic brain tissue and local ischemia, hypoxia caused by cerebral edema, abnormal brain metabolism related to advanced and ischemic lesions of glial tissue.