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1991年1月～1996年12月,我们共收治脑血管病患者824例,其中,脑出血84例,蛛网膜下腔出血42例,脑梗死698例,并追踪观察1～3年,结果62例出现继发性癫癎发作。现将这62例患者进行综合临床分析。 1 临床资料 1.1 一般资料:全部病例均为住院患者,脑出血、蛛网膜下腔出血及脑梗死诊断均符合第二次全国脑血管病学术会议诊断标准。824例均经头颅CT或腰穿确诊。本组病例是脑出血、蛛网膜下腔出血及脑梗死发病当时或以后至少一次癫癎发作的病例,已除外发病前有癫癎病史、脑干病变出现的去大脑强直以及脑出血手术及其它原因可引起癫癎的病例。脑出血84例中继发癫癎10例(11.9％),蛛网膜下腔出血42例中继发癫癎11例(26.2％),
January 1991 ~ December 1996, we received a total of 824 patients with cerebrovascular disease, including 84 cases of intracerebral hemorrhage, 42 cases of subarachnoid hemorrhage, 698 cases of cerebral infarction and follow-up observation of 1 to 3 years, the results of 62 Cases of secondary epileptic seizures. Now these 62 patients for a comprehensive clinical analysis. 1 Clinical data 1.1 General information: All cases were hospitalized patients, cerebral hemorrhage, subarachnoid hemorrhage and cerebral infarction diagnosis are in line with the Second National Cerebrovascular Disease Academic Conference diagnostic criteria. 824 cases were confirmed by skull CT or lumbar puncture. This group of patients is cerebral hemorrhage, subarachnoid hemorrhage and cerebral infarction at or after the onset of at least one case of epileptic seizures have been excluded before the onset of epilepsy, brainstem lesions appear to brain rigidity and cerebral hemorrhage surgery and other Causes can cause epilepsy cases. 84 cases of intracerebral hemorrhage secondary epilepsy in 10 cases (11.9%), subarachnoid hemorrhage in 42 cases of secondary epilepsy in 11 cases (26.2%),