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6例以癫痫为首发症状,发作前无脑梗塞症征;48例先出现脑梗塞征象后出现癫痫,相隔1～7年27例,1年以上者13例。其中昏迷3例,嗜睡8例,偏瘫30例,偏身感觉障碍10例,运动性失语3例。癫痫全身大发作32例,局限性并大发作6例,失神并大发作3例,局限性发作12例,精神运动性发作1例。扫描示梗塞灶位于脑叶占92.6%,其中额顶叶有梗塞灶者占81.5%,说明脑梗塞继发癫痫与梗塞部位密切相关。脑电图异常者达94.4%。治疗对癫痫大发作持续状态者,以静滴阿米妥钠效果最好。
6 cases of epilepsy as the first symptom, no symptoms of cerebral infarction before the onset; 48 cases of signs of cerebral infarction after the first occurrence of epilepsy, separated by 1 to 7 years in 27 cases, 13 cases more than 1 year. Among them, 3 were coma, 8 were drowsiness, 30 were hemiplegia, 10 were partial sensory disturbances and 3 were aphasia. Epilepsy 32 cases of major general attack, limitations and major episodes in 6 cases, absence and major episode in 3 cases, 12 cases of localized attacks, psychomotor attacks in 1 case. Scanning showed infarction in brain lobe accounted for 92.6%, of which frontal lobe infarction accounted for 81.5%, indicating that cerebral infarction secondary to epilepsy and infarction are closely related. EEG abnormalities reached 94.4%. Treatment of epileptic seizures continued state, to intravenous infusion of sodium amylate best.