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目的 探讨症状性癫痫的临床特点。方法 回顾性分析 15 8例症状性癫痫的发病年龄、发作类型病因、脑脊液、脑电图、治疗及转归。结果 2 0～ 39岁发病者 113例 (占 71.5 7% ) ,单纯部分性发作 72例 (占 45 .5 7% ) ,感染者 70例 (占 44 .30 % ) ,脑血管疾病 48例 (占 30 .38% ) ,15例弥漫性慢波患者 12例确诊病因为病毒性脑炎 (占 80 % ) ,本组 15 8例中 ,2 5例后遗症期 ,长期抗癫药物维持 ,11例死亡。结论 (1)症状性癫痫患者的发病年龄仍以中青年为主 ;(2 )发作类型以单纯部分性发作为主 ;(3)主要病因为感染和脑血管疾病 ;(4 )脑寄生虫病的诊断 :脑脊液检查特异性高 ;(5 )病毒性脑炎导致全脑弥漫性损害较多见 ,脑电图显示弥漫性慢波 ;(6 )积极治疗原发病 ,同时给予抗癫痫药物治疗 ,多数预后良好 ,原发病控制不佳者 ,预后较差 ,病死率较高。
Objective To investigate the clinical features of symptomatic epilepsy. Methods A retrospective analysis of 15 8 cases of symptomatic epilepsy age of onset, type of etiology, cerebrospinal fluid, electroencephalogram, treatment and outcome. Results A total of 113 patients (71.5%) were found to be 70 to 70 years old, 72 cases (45.57%) had partial seizure, 70 cases (44.3%) were infected, 48 cases of cerebrovascular disease Accounting for 30.38%). Of the 15 patients with diffuse slow wave, 12 were diagnosed as viral encephalitis (80%). Of the 15 8 patients, 25 were sequelae, long-term antiepileptic drugs were maintained, and 11 death. Conclusions (1) The onset age of patients with symptomatic epilepsy is still predominantly young and middle-aged; (2) the types of attacks are mainly partial seizures; (3) the main causes are infection and cerebrovascular diseases; (4) (5) viral encephalitis causes diffuse damage to the brain is more common, EEG shows diffuse slow wave; (6) active treatment of the primary disease, given antiepileptic drugs , Most of the prognosis is good, poor control of the original disease, poor prognosis, higher mortality.