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目的对脑血管病继发癫痫的发病机制、临床特点及其治疗预后的探讨。方法收集我院2010年至2011年脑卒中后继发癫痫96例,就其发作类型,卒中类型与卒中后癫痫发作时间、范围、部位的关系以及治疗、预后进行分析。结果男56例,女40例,年龄40～82岁的缺血性脑血管病继发癫痫患者中,发作类型以全身强直阵挛发作为主,发生部位以皮质范围的较皮质下的发生率高治疗结果良好。结论本组病例的梗死部位以大脑中动脉供血区多见,抗癫痫治疗有效同时应处理好并发症。
Objective To investigate the pathogenesis, clinical characteristics and prognosis of patients with epilepsy secondary to cerebrovascular disease. Methods A total of 96 cases of epilepsy after stroke were collected from 2010 to 2011 in our hospital. The types of the seizures, the type of stroke and the time, range and location of the seizure after stroke were analyzed. Results 56 cases of male and 40 females, 40 to 82 years of age in patients with ischemic cerebrovascular disease secondary to epilepsy, the type of seizure to tonic-clonic seizures as the main body, the occurrence of the site of the cortical range than the incidence of subcortical High treatment results are good. Conclusion This group of patients with infarction sites to the middle cerebral artery blood supply more common, effective anti-epileptic treatment should be handled at the same time complications.