论文部分内容阅读
目的探讨脑卒中继发癫痫的临床特征、发作类型及治疗方法。方法对我院2009年6月至2015年6月收治的经CT证实的38例脑卒中继发癫痫患者的临床资料进行回顾性分析,总结该组患者的临床特征、发作类型及治疗方法。结果该组患者的脑卒中继发癫痫的发生率为4.2%(38/900),癫痫的发病率与脑卒中的发作类型、发病部位、病灶部位有关,其中脑出血,蛛网膜下腔出血以全身发作为主,脑梗死以部分性发作为主,病灶在皮层者较病灶在皮层下者发生癫痫较多。结论脑卒中继发癫痫的原因主要与脑水肿有关,病灶主要位于脑叶,发病类型以单纯性部分发作为多,累及大脑皮质者发生癫痫的危险性更高。
Objective To investigate the clinical features, the type and treatment of secondary epilepsy after stroke. Methods The clinical data of 38 patients with secondary epilepsy after stroke confirmed by CT in our hospital from June 2009 to June 2015 were retrospectively analyzed. The clinical features, types of attacks and treatment methods were summarized. Results The incidence of secondary epilepsy in stroke group was 4.2% (38/900). The incidence of epilepsy was related to the type of seizure, the location of the disease and the location of the lesion. Among them, cerebral hemorrhage, subarachnoid hemorrhage The main body attack, partial cerebral infarction-based, lesion in the cortex in the cortex more epilepsy. Conclusions The main causes of epilepsy secondary to cerebral apoplexy are cerebral edema. The lesions are mainly located in the lobar lobe. The incidence of epilepsy is mainly in the simple partial epilepsy and the risk of epilepsy is higher in the cerebral cortex.