脑卒中与继发性癫癎

目的:探讨首发脑卒中患者继发性癫癎的发病率、发病时间与脑卒中病变部位的关系。方法:回顾性分析经我院近3年来治疗的659例首发脑卒中住院患者的临床资料。结果:首发脑卒中患者继发癫癎发生率为8.19%(54/659)。癫癎发作与卒中病变部位有关,累及皮层或邻近皮层者易继发癫癎(53.33%,24/45)。54例继发癫癎中68.52%为早发性癫癎(起病后2周内),余31.48%为晚发性癫癎(起病2周以后)。以脑出血继发早发性癫癎为主(81.25%,13/16);脑梗死则易发生晚发性癫癎(60.00%,12/20)。结论:分析首发卒中后癫癎的发病特点有助于指导临床治疗。

Stroke and secondary epilepsy

Objective:To investigate the relationship between the morbidity, the occurrence time of secondary epilepsy after stroke and pathological focus of stroke,and corresponding therapy.Methods:The data of 659 patients with initial stroke in our hospital for the recent 3 years were analysed retrospectively.Results:The morbidity rate of post-stroke epilepsy was 8.19%(54/659). The incidence of epilepsy is related with pathological focus of stroke. It is preferential to develop secondary epilepsy among the patients whose stroke effects cortex or the vicinity of cortex (53.33%,24/45). Among those 54 patients,the early onset epilepsy (occurring within 2 weeks following the stroke) occupied 68.52%, and the rest ((31.48%)) was late onset epilepsy (2 weeks later). The early onset epilepsy is the major part arising from cerebral hemorrhage (81.25%, 3/16), while cerebral infarction tend to develop late onset epilepsy((60.00%,)12/20).Conclusions:It is advantageous for clinical therapy to properly analyse the characters of secondary epilepsy after initial stroke.