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目的探讨脑卒中与其继发癫痫的关系。方法回顾性分析365例脑卒中患者并发癫痫的发病率、发病时间及预后。结果脑出血后癫痫占5.66%;脑梗死后癫痫占6.42%;蛛网膜下腔出血后的癫痫发生率最高占21.05%(4/19)。卒中后2周内发作占多数,为68%。发病后4周内死亡率为12%,明显高于非癫痫组的3.52%,P<0.01。另外,继发癫痫与病变部位有关。结论脑卒中是老年人癫痫的重要原因,且卒中并发癫痫较非癫痫组预后差。
Objective To explore the relationship between stroke and secondary epilepsy. Methods Retrospective analysis of 365 cases of stroke patients complicated by epilepsy incidence, onset time and prognosis. Results Epilepsy accounted for 5.66% after cerebral hemorrhage; epilepsy accounted for 6.42% after cerebral infarction; Epileptic epilepticus after epidural hemorrhage accounted for 21.05% (4/19). Episodes within 2 weeks after stroke accounted for the majority, 68%. Within 4 weeks after onset, the mortality rate was 12%, significantly higher than 3.52% in non-epileptic group, P <0.01. In addition, secondary epilepsy and lesion related. Conclusion Stroke is an important cause of epilepsy in the elderly, and stroke with epilepsy worse than non-epilepsy group.