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目的探讨脑外伤后增加患儿癫易感性的危险因素。方法总结本院2004年1月-2008年4月320例脑外伤患儿临床资料,并进行随访,分析外伤后损伤类型、脑电图改变、患儿年龄及早期发生抽搐与外伤性癫的关系。结果320例患儿中继发性癫37例。脑电图中、重度异常138例中发生癫28例(发生率20.3%),其中11例有性波改变者5例发生癫(发生率为45.6%);开放性损伤所致癫者14例,发生率25.5%;闭合性损伤者23例,发生率8.8%;<6岁26例,发生率16.5%,7～14岁者11例,发生率6.8%;3例有癫家族史者均发生癫。发作形式为局限性发作26例(70.3%)。结论脑外伤后脑电图明显异常(慢波明显增多、有癫波改变)、开放性颅脑损伤、顶叶损伤、学龄前儿童及有癫家族史是外伤性癫的重要危险因素。
Objective To explore the risk factors for increasing epilepsy susceptibility in children with traumatic brain injury. Methods The clinical data of 320 children with traumatic brain injury from January 2004 to April 2008 in our hospital were summarized and followed up. The types of traumatic injury, changes of electroencephalogram, age of children and convulsion and traumatic epilepsy in early stage were analyzed. relationship. Results Of 320 children with secondary epilepsy in 37 cases. EEG, severe abnormalities in 138 cases of epilepsy occurred in 28 cases (incidence 20.3%), of which 11 cases of wave changes in 5 cases of epilepsy (45.6% incidence); open injury-induced epilepsy The incidence of closed injury in 23 cases, the incidence of 8.8%; <6 years old in 26 cases, the incidence of 16.5%, 7 to 14 years in 11 cases, the incidence rate of 6.8%; 3 cases of epilepsy family history of epilepsy occurred. Attack in the form of localized attack in 26 cases (70.3%). Conclusions EEG is obviously abnormal after traumatic brain injury (obvious increase of slow wave, change of epilepsy wave), open craniocerebral injury, parietal lobe injury, preschool children and family history of epilepsy are important risk factors of traumatic epilepsy.