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目的:探讨脑卒中与继发癫痫的临床特征、发病机制及医治分析。方法:对352例脑卒中病人临床资料进行回顾性剖析。结果:脑卒中后癫痫出现率8.47%,其间早发癫痫67.50%,迟发癫痫32.50%。60岁以上的老年人为多。皮层病灶继发癫痫高于皮质下。结论:脑卒中继发癫痫的要素与卒中类型和病程有关,早发癫痫以全身呈现为主,迟发癫痫以部分呈现为主。早发癫痫多采用短程医治,迟发癫痫需长时间的规范医治,脑电图异常对指导临床用药、预防性医治癫痫有利。
Objective: To investigate the clinical features, pathogenesis and treatment of stroke and secondary epilepsy. Methods: The clinical data of 352 stroke patients were retrospectively analyzed. Results: The incidence of epilepsy after stroke was 8.47%, with 67.50% of epilepsy in early stage and 32.50% of late epilepsy. More than 60 years of age of the elderly. Epilepsy secondary to cortical lesions higher than the cortex. Conclusion: The factors of epilepsy secondary to stroke are related to the type and duration of stroke. Premature epilepsy is characterized by systemic manifestations, and late epilepsy is partially presented. Premature epilepsy and more use of short-range treatment, delayed epilepsy requires a long period of standard medical treatment, abnormal EEG to guide clinical medication, prophylactic treatment of epilepsy.