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目的探讨脑卒中与继发癫癎的临床特点、发病机制及治疗。方法对447例脑卒中病人临床资料进行回顾性分析。结果脑卒中后癫痫发生率8.05%(36/447),其中早发癫癎63.9%(23/36),迟发癫癎36.1%(13/36)。60岁以上的老年人为多。皮层病灶继发癫癎高于皮质下。结论脑卒中继发癫癎的原因与卒中类型和病程相关,早发癫癎以全身发作为主,迟发癫癎以部分发作为主。早发癫癎多取短程治疗,迟发癫癎需规范长期治疗,脑电图异常对指导临床用药、预防性治疗癫癎有益。
Objective To investigate the clinical features, pathogenesis and treatment of stroke and secondary epilepsy. Methods The clinical data of 447 stroke patients were retrospectively analyzed. Results The incidence of post-stroke epilepsy was 8.05% (36/447), of which 63.9% (23/36) were early-onset epilepsy and 36.1% (13/36) were late-onset epilepsy. More than 60 years of age of the elderly. Epilepsy secondary to cortical lesions higher than the cortex. Conclusions The causes of secondary epilepsy in stroke are related to the type and course of stroke. Early onset epilepsy is characterized by generalized episodes of seizures and partial seizures of delayed epilepsy. Early onset of epilepsy and more to take short-range treatment, delayed epilepsy need to regulate long-term treatment, abnormal EEG to guide clinical medication, prophylactic treatment of epilepsy beneficial.