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目的 探讨老年人脑出血继发癫痫的发病率、发作机制、发作类型、出血部位与发作的关系及预后。方法 对 4 7例老年人脑出血继发癫痫病人的临床资料进行分析。结果 老年人脑出血后癫痫发病率 9 6 %。早期发作与脑水肿有关 ,以部分性发作为主 ;晚期发作与中风囊、神经元变性及胶质增生或粘连等病理刺激有关 ,以全身强直阵挛性发作为主 ,且多见于出血后 2周至半年内。脑叶出血后癫痫发作 ,需系统规则的用药 ,预后良好。结论 老年人脑出血继发癫痫并非少见。脑叶出血易致癫痫发作。晚期发作需系统规则的用药
Objective To investigate the incidence of epilepsy secondary to cerebral hemorrhage in the elderly, the mechanism of attack, the type of seizure, the relationship between the site of the bleeding and the onset of seizures and its prognosis. Methods Clinical data of 47 cases of cerebral hemorrhage secondary to epilepsy were analyzed. Results The incidence of epilepsy after cerebral hemorrhage in elders was 96%. Early seizures and brain edema related to partial seizures; late seizures and stroke, neuronal degeneration and glial proliferation or adhesion and other pathological stimuli related to the generalized tonic clonic seizures, and more common in hemorrhage 2 Weeks to six months. Seizures after lobar hemorrhage, the need for systematic rules of medication, the prognosis is good. Conclusion Epilepsy secondary to cerebral hemorrhage in the elderly is not uncommon. Loose lobar epilepsy prone to cause. Late seizures need the rules of the system medication