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卒中后癫癎发作或癫癎是老年癫癎患者最常见的病因,且以累及皮层区域的卒中更易产生卒中后癫癎发作或癫癎。该文报道1例79岁高龄脑梗死病例,影像学显示既往存在陈旧性脑梗死病灶。从患者入院时的临床症状看:“回家后出现持续性右侧肢体轻度活动不灵,反应迟钝,并有反复发作性双目无神、不能言语、右侧肢体屈曲僵硬,不能活动,每次持续7～8min后自行缓解,发作后无不适,无胸闷、心悸,共发作10余次,频率呈增加趋势”;当时颅脑磁共振成像(magnetic resonance imaging,MR1)检查结果为“左侧额、颞叶、顶叶多发急性脑梗死,两侧半卵圆区、基底节区多发陈旧性腔隙性梗死”。将患者发病时的临床症状与当时的影象学结合起来分析:若患者为右利手,左侧优势半球的症状可完全解释此次患者在急性期出现的语言和肢体性症状。若患者当时意识清楚仅表现有运动性语言障碍则
Post-stroke epileptic seizures or epilepsy are the most common causes of epilepsy in the elderly and are more likely to develop post-stroke epileptic seizures or epilepsy with strokes involving the cortical area. This article reports a case of 79-year-old cerebral infarction cases, imaging studies show that there are past lesions of old cerebral infarction. From the clinical symptoms of patients admitted to the hospital to see: “Persistent after returning home mild physical activity of the right limb, unresponsive, and repeated episodes of binocular, speechless, right limb flexion stiffness, can not move , Each self-sustained 7 ~ 8min after relief, no discomfort after the attack, no chest tightness, palpitations, a total of more than 10 times the frequency showed an increasing trend ”; at that time brain magnetic resonance imaging (magnetic resonance imaging, MR1) test results “Frontal frontal, temporal lobe, parietal lobe multiple acute cerebral infarction, both sides of the semi-oval zone, basal ganglia multiple old lacunar infarction ”. The patient’s clinical symptoms at the time of imaging combined with the then analysis: If the patient is right hand, the left hemisphere symptoms can be fully explained the symptoms of the patient in the acute phase of language and physical symptoms. If the patient was aware of only the performance of sports language disorder