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目的探讨脑卒中后癫痫的临床特点及发病机制。方法对1262例脑卒中病例中109例继发性癫痫患者,就其癫痫的发生率、发生时间、发作类型以及发生机制等问题进行了探讨。结果脑卒中后癫痫的发生率为8.6%;急性期癫痫发作81例,占74.3%,恢复期癫痫发作28例,占25.7%;发作类型以强直-阵挛发作(包括强直-阵挛持续状态)最多见,其次为部分继发全面性发作。结论脑卒中后癫痫发作与病程和病变部位有关:出血性脑卒中在急性期易继发癫痫,病灶在脑叶者癫痫发生率高;发作类型以强直-阵挛发作最多见。
Objective To investigate the clinical features and pathogenesis of post-stroke epilepsy. Methods A total of 109 cases of epilepsy secondary to epilepsy were enrolled in this study. The incidence, occurrence time, type of seizure and the mechanism of epilepsy were investigated in 1262 cases of stroke. Results The incidence of epilepsy after stroke was 8.6%. There were 81 cases of acute epileptic seizures (74.3%) and 28 cases of recovery epileptic seizures (25.7%). The types of seizures were tonic-clonic seizures ) The most common, followed by partial secondary full-blown episodes. Conclusions Post-stroke epileptic seizures are related to the course of the disease and the lesion site. Hemorrhagic stroke is easily followed by epilepsy in the acute stage and focal epilepsy in the brain lobe. The type of seizure is the most common type of tonic-clonic seizure.