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[目的]探讨脑梗继发癫痫的易患因素,分析总结脑电图动态监测活动。[方法]将2005年1月~2009年12月某院儿科住院的脑梗死继发癫痫患者86例,根据癫痫首发时间分为早发性癫痫组;迟发性癫痫组,对癫痫发作的类型、癫痫发作的时间、脑梗死的部位面积、脑电图检查结果及治疗情况进行分析。对患者随访10个月~4年,平均24个月。[结果]癫痫发生时间与脑梗死类型的关系:脑出血、蛛网膜下腔出血多发于早发性癫痫患者,而脑血栓形成患者数明显少于迟发性癫痫患者;癫痫发作与脑梗死部位和面积的关系:脑梗死面积占一侧半球的1/4~1/2和﹥1/2患者明显多于﹤一侧半球的1/4;脑出血20~40ml和﹥40ml的患者明显多于﹤20ml的患者。[结论]早发性癫痫以脑出血、蛛网膜下腔出血和脑栓塞为主,迟发性癫痫以脑血栓形成为主;脑梗死面积超过一侧半球面积的1/4,脑出血﹥40ml者发生癫痫的危险性明显增高。
[Objective] To explore the predisposing factors of cerebral infarction secondary epilepsy and analyze the dynamic monitoring of EEG. [Methods] 86 patients with epilepsy secondary to cerebral infarction hospitalized from January 2005 to December 2009 were divided into premature epilepsy group and epileptic seizure group , The time of seizure, the area of cerebral infarction, the results of EEG examination and the treatment. Patients were followed up for 10 months to 4 years, an average of 24 months. [Results] The relationship between the epileptic seizure time and the type of cerebral infarction: cerebral hemorrhage and subarachnoid hemorrhage occurred in patients with early-onset epilepsy, while the number of patients with cerebral thrombosis was significantly less than that in patients with delayed epilepsy. The incidence of seizures and cerebral infarction And area: the area of cerebral infarction accounted for 1/4 ~ 1/2 and> 1/2 of the hemispheres on one side were significantly more than <1/4 hemisphere; cerebral hemorrhage 20 ~ 40ml and> 40ml patients were significantly more In <20ml patients. [Conclusion] Cerebral hemorrhage, subarachnoid hemorrhage and cerebral embolism are the main causes of early-onset epilepsy. Cerebral thrombosis is the main cause of delayed-type epilepsy. The area of cerebral infarction is more than 1/4 of the hemisphere area on one side and the cerebral hemorrhage> 40ml The risk of epilepsy was significantly higher.