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83例颈内动脉系统脑动脉硬化性大片脑梗死患者分为癫痫组(A组27例)和非癫痫组(B组56例)。癫痫发生率高达32.5%。临床观察表明:运动性癫痫是此类癫痫的主要发作形式(88.9%)。早发癫痫绝大部分(84.2%)演变成迟发癫病.两者的发作形式也基本相同。与非癫痫组相比,癫痫组并发的肺部感染、急性心肌缺血和精神心理障碍明显增多(P<0.05或0.01),独立步行和日常生活自理能力亦明显下降(P<0.05或0.005)。提示大片脑梗死继发的癫痫无论是早发还是迟发,在其首次发作后即应根据其发作类型开始正规抗癫痫治疗.以有利于预防癫痫再发和神经功能的恢复。
83 cases of internal carotid artery cerebral arteriosclerotic cerebral infarction were divided into epilepsy group (A group of 27 cases) and non-epileptic group (B group 56 cases). Seizure rate as high as 32.5%. Clinical observations show that motor epilepsy is the major form of seizure (88.9%). The vast majority of premature epilepsy (84.2%) evolved into delayed onset epilepsy. Both forms of attack are basically the same. Compared with non-epilepsy group, pulmonary infection, acute myocardial ischemia and mental disorders were significantly increased in epilepsy group (P <0.05 or 0.01), independent walking and self-care ability of daily living also decreased significantly (P < 0.05 or 0.005). Prompt large cerebral infarction secondary epilepsy whether it is early or late, after its first attack should be based on the type of seizure onset of regular anti-epileptic treatment. In order to help prevent recurrence of epilepsy and recovery of nerve function.