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目的探讨脑卒中后癫痫的临床表现、特点及发病机制。方法对(940例)例脑卒中病例中继发性癫痫患者的临床资料进行回顾性分析研究。结果卒中后癫痫发生率10%,早期癫痫发生7.66%,晚期癫痫发生2.43%。卒中后癫痫的发生率与病灶部位(皮质下/皮质)差异有统计学意义(P<0.05)。结论脑卒中是癫痫发作的重要原因,皮质病变易导致癫痫发作,卒中急性期继发癫痫者预后较差,积极控制发作可改善预后,应给予正规抗癫痫治疗。
Objective To investigate the clinical manifestations, characteristics and pathogenesis of post-stroke epilepsy. Methods The clinical data of 940 cases of secondary epilepsy in stroke patients were analyzed retrospectively. Results The incidence of epilepsy after stroke was 10%, early epilepsy was 7.66% and late epilepsy was 2.43%. The incidence of post-stroke epilepsy was significantly different from that of lesion (subcortical / subcortical) (P <0.05). Conclusions Stroke is an important cause of epileptic seizures. Cortical lesions can lead to epileptic seizures. The prognosis of epilepsy secondary to acute stroke is poor. Positive control of seizures can improve the prognosis. Regular antiepileptic treatment should be given.