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本文报告36例中风后癫痫发作的临床和CT资料。通过回顾性病历复习和随访发现,中风后癫痫的发生率占同期住院中风患者的5.26%,以蛛网膜下腔出血和脑栓塞发生癫痫比率最高,分别为15%和12.5%。癫痫发作与CT所见病灶分布密切相关,皮质病灶较皮质下病灶更易发生病病。癫痫发作可发生于中风后任何时期,但早期癫痫以出血性中风多见,而迟发性癫痫则更多见于脑梗塞患者。
This article reports 36 cases of post-stroke epileptic seizures clinical and CT data. Retrospective review of medical records and follow-up found that the incidence of post-stroke epilepsy accounted for 5.26% of stroke patients hospitalized in the same period, with subarachnoid hemorrhage and cerebral embolism occurred the highest epilepsy rates were 15% and 12.5%. Epileptic seizures are closely related to the distribution of lesions seen in CT, and cortical lesions are more prone to disease than cortical lesions. Epileptic seizures can occur at any time after stroke, but early epilepsy with hemorrhagic stroke more common, and delayed seizures are more common in patients with cerebral infarction.