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目的探讨脑卒中继发癫痫的临床特点。方法回顾性分析2005年2月至2010年12月间龙胜县人民医院收治的49例脑卒中后首次发作癫痫患者的临床资料。结果脑卒中后继发癫痫的发病率为8.42%(49/582),继发癫痫多发生在脑卒中急性期(2周内),癫痫发作与脑卒中病灶部位密切相关;治疗上以抗癫痫药物为主,效果较好。结论脑卒中是癫痫发作的重要原因之一,继发癫痫的发病率与脑卒中病灶部位有关,以早发性癫痫为主,应在积极控制癫痫发作的同时处理原发病。
Objective To investigate the clinical features of secondary epilepsy after stroke. Methods The clinical data of 49 patients with first-episode epilepsy after stroke were analyzed retrospectively from February 2005 to December 2010 in Longsheng County People’s Hospital. Results The incidence of secondary epilepsy after stroke was 8.42% (49/582). Secondary epilepsy occurred mostly in the acute stage of stroke (within 2 weeks), and the seizure was closely related to the site of stroke. The antiepileptic drugs The main effect is better. Conclusions Stroke is one of the most important causes of epileptic seizures. The incidence of secondary epilepsy is related to the location of the lesion in the stroke. Premature epilepsy is the main cause of seizures. The primary disease should be treated while actively controlling the seizures.