论文部分内容阅读
目的分析25例患者脑卒中后癫发作的临床特点。方法选择2009-03—2012-03我院25例脑卒中后癫发作患者的临床资料,对癫的发作时间、类型、病灶部位、治疗及预后进行回顾性分析。结果脑卒中后癫发作中早发癫17例,占68%,迟发癫8例,占32%;早发癫多以全身强直-阵挛类型为主,迟发癫以部分发作为主;其中病灶部位在皮层19例(76%),皮层下6例(24%)。结论脑卒中后癫发作以早发多见,与脑卒中发作时间、类型、病灶部位有关,其依据患病发作时间进行正规抗癫治疗。
Objective To analyze the clinical features of epileptic seizures in 25 patients after stroke. Methods The clinical data of 25 patients with post-stroke epilepsy in our hospital from March 2009 to March 2012 were retrospectively analyzed. The time, type, location, treatment and prognosis of epilepsy were retrospectively analyzed. Results Epileptic seizures in stroke early epilepsy in 17 cases, accounting for 68%, delayed epilepsy in 8 cases, accounting for 32%; early onset epilepsy and more systemic tonic - clonus type, delayed epilepsy Some of the main attack; of which lesions in the cortex in 19 cases (76%), 6 cases (24%) under the cortex. Conclusions Post-stroke epileptic seizures are more common in early onset, and are related to the time, type and location of the stroke, and they are treated with formal antiepileptic treatment based on the onset time.