脑卒中是癫痫发作的常见原因,而癫痫或痫性发作也是脑卒中的常见临床表现之一,有时甚至是脑卒中的唯一临床表现。脑卒中所致癫痫发生于下列情形:脑梗塞、脑出血及蛛网膜下腔出血。卒中后癫痫可分为早期癫痫发作(脑卒中发病后2周内)及晚期癫痫发作(脑卒中发病后2周以上)。1 发病率卒中后癫痫的发病率国内外报道不一,国外报道为2％～17％,国内报道为5.16％～13.5％,一般为2.7％～8％;有报道为4.4％～42.8％。发病率的差异原 Stroke is a common cause of seizures, and epilepsy or seizures are also one of the common clinical manifestations of stroke, sometimes the only clinical manifestation of stroke. Stroke-induced epilepsy occurs in the following situations: cerebral infarction, cerebral hemorrhage and subarachnoid hemorrhage. Post-stroke epilepsy can be divided into early seizures (within 2 weeks after the onset of stroke) and late seizures (more than 2 weeks after the onset of stroke). 1 incidence of epilepsy incidence of stroke at home and abroad reported the incidence of foreign coverage of 2% to 17%, the domestic coverage of 5.16% to 13.5%, generally 2.7% to 8%; reported 4.4% to 42.8%. The difference between the original incidence