脑梗死是老年人的常见病、多发病 ,其发病率、致残率均很高 ,梗死后很多患者发生癫 ,谓之“卒中后癫”,多有报道。但临床中有些脑梗死患者以癫为首发症状 ,有其特殊性。本文对首发癫的脑梗死 6 8例就其发作类型及原发病因进行分析如下。1　临床资料1.1　一般资料　男 2 Cerebral infarction is a common disease in the elderly, frequently-occurring disease, its morbidity, morbidity are high, many patients with epilepsy after infarction, called “post-stroke epilepsy,” many reports. However, some patients with cerebral infarction in clinical epilepsy as the first symptom, has its own particularity. This article on the first episode of epileptic cerebral infarction in 68 cases of its type and primary etiology were analyzed as follows. 1 clinical data 1.1 general information male 2