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目的:研究分析脑卒中后癫痫发作的特点和临床治疗。方法:选取400例脑卒中患者,过程中共有69例继发了癫痫,对这69例脑卒中后癫痫患者进行不同的分组治疗,再观察治疗效果。结果:400例中有69例继发癫痫即发病率17.25%,在这69例卒中后癫痫患者中,由脑血栓所形成继发性癫痫的共有178例;由脑栓塞引起的有9例;由蛛网膜下腔出血而继发癫痫的病患有10例;脑出血继发性癫痫的病患有32例。结论:卒中类型不影响脑卒中是否会发生癫痫,但发生在大脑皮质区域的卒中继发癫痫率最高。患有脑卒中的患者要随时关注是否有癫痫发作的预兆,提前做好预防比临床治疗更有效,也更能保证患者治疗的最佳时机。
Objective: To study the characteristics and clinical treatment of seizures after stroke. Methods: A total of 400 patients with stroke were enrolled in this study. A total of 69 patients with secondary epilepsy were enrolled in this study. The 69 patients with epilepsy after stroke were divided into different groups, and the effect of treatment was observed. Results: Of the 400 cases, 69 cases had secondary epilepsy with a rate of 17.25%. Among the 69 cases with epilepsy, there were 178 cases of secondary epilepsy caused by cerebral thrombus, 9 cases caused by cerebral embolism, 10 cases of epilepsy secondary to subarachnoid hemorrhage; 32 cases of secondary epilepsy after cerebral hemorrhage. CONCLUSIONS: Stroke types do not affect epilepsy in stroke, but the highest rate of seizures is secondary to stroke in areas of the cerebral cortex. Patients with stroke should always pay attention to whether there is a sign of seizures. Prevention in advance is more effective than clinical treatment, and more to ensure that the best time for treatment of patients.