急性脑卒中后的早期癫痫发作与迟发性癫痫发作间的关系尚有争论。作者选择31例住院的急性脑卒中(19例皮层梗寒,8例为脑叶出血或广泛性出血,4例蛛网膜下腔出血)病例,在住院的2周内均有癫痫发作(称早期发作):16例为单纯部分性发作,4例为单纯部分性伴继发性全身性发作,11例为强直阵挛性发作。在平均26个月的随访中,10例(32%)出现了迟发性发作,其中9例的发作类型与早期发作类型相同。这31例具有早期癫痫发作的病例中,21例接受了抗痈药物治疗,但仍有7例(7/21)出现迟发性发作,未接受抗痫药物治疗的10例中,3例 The relationship between early seizures and delayed seizures after acute stroke remains controversial. The authors selected 31 hospitalized patients with acute stroke (19 cases of cortical haemorrhages, 8 cases of lobar hemorrhage or extensive hemorrhage, 4 cases of subarachnoid hemorrhage) and had seizures within 2 weeks of hospitalization Episodes): 16 cases of simple partial seizures, 4 cases of simple partial companion secondary generalized seizures, 11 cases of tonic clonic seizures. In an average of 26 months of follow-up, 10 (32%) had a late onset, of which 9 had the same type of attack as the earlier attack. Of the 31 patients with early seizures, 21 received anti-tuberculosis drug therapy, but 7 (7/21) had a delayed onset. Of the 10 patients who did not receive anti-epileptic drug therapy, 3