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一般认为,癫痫是缺血性脑血管病的一个少见症状。自 Moniz 首次观察后,已有不少关于颈内动脉闭塞时发生局灶性和全身性癫痫的报告,发病率为10～30%。有报告癫痫发作可以是闭塞性脑血管病的首发症状,约占10%。本文研究一组经脑血管造影确诊的脑动脉闭塞或狭窄,目的在于重新评价颈内动脉和大脑中动脉闭塞性疾病时癫痫的发生率,以证实癫痫是否真正为闭塞性脑血管病的一个显著特点。患者为1971～1980年住院的104例颈内动脉和37例大脑中动脉闭塞性脑血管病。研究发现,在颈内动脉闭塞性病变组,有18人发生癫痫(17.3%)。其中77.8%属单纯性部分性运动性,
It is generally believed that epilepsy is a rare symptom of ischemic cerebrovascular disease. Since Moniz’s first observation, there have been a number of reports of focal and generalized epilepsy with occlusion of the internal carotid artery, at a rate of 10-30%. There are reports of seizures can be the first symptom of occlusive cerebrovascular disease, accounting for about 10%. This article studies a group of cerebral artery occlusions or stenoses confirmed by cerebrovascular angiography in order to reevaluate the incidence of epilepsy in the internal carotid and middle cerebral artery occlusive diseases to confirm whether epilepsy is truly a marker of occlusive cerebrovascular disease Features. The patients were 104 cases of internal carotid artery and 37 cases of middle cerebral artery occlusive cerebrovascular disease hospitalized from 1971 to 1980. The study found that in the ICA group, 18 people had epilepsy (17.3%). 77.8% of them are purely partial sexual activity,