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1985～1990年收治以癫痫为临床表现的脑梗塞14例,现就其发病机理、临床特点及治疗体会报告如下:1 临床资料本组男9例,女5例。41～50岁1例,51～60岁1例,61～70岁5例,71～80岁7例。有头部外伤史及少年癫痫史者5例,风湿性心脏瓣膜病者3例;下壁心肌梗塞1例。癫痫发作中伴短时间昏迷者6例;昏迷达24小时者1例。意识朦胧者1例;精神呆痴者1例。经眼底及脑血流图检查伴不同程度脑动脉硬化者13例。头颅CT扫描:一侧额、顶、颞叶大片状梗塞灶2例;多发性脑梗塞伴脑萎缩3例.颞叶梗塞3例;颞叶深部片状梗塞伴小胸萎缩1例;胼胝体、丘脑梗塞各1例;额、顶叶梗塞灶2
From 1985 to 1990 admitted to epilepsy clinical manifestations of cerebral infarction in 14 cases, now its pathogenesis, clinical features and treatment of the report are as follows: 1 Clinical data The group of 9 males and 5 females. 1 case of 41 to 50 years old, 1 case of 51 to 60 years old, 5 cases of 61 to 70 years old, 7 cases of 71 to 80 years old. 5 cases of history of head trauma and juvenile epilepsy, 3 cases of rheumatic valvular heart disease, and 1 case of inferior myocardial infarction. Seizures with a short coma in 6 cases; coma up to 24 hours in 1 case. 1 case of hazy mind; 1 mentally retarded. The fundus and cerebral blood flow chart with varying degrees of cerebral arteriosclerosis in 13 cases. CT scans of the skull: 2 cases of frontal, top and temporal lobe large infarcts, 3 cases of multiple cerebral infarction with cerebral atrophy, 3 cases of temporal lobe infarction, 1 case of deep temporal lobe flaps with small chest atrophy, 1 case of corpus callosum , 1 case of thalamus infarction; amount, parietal infarction 2