小儿脑性瘫痪合并癫痫25例临床分析

目的探讨小儿脑性瘫痪合并癫痫的临床特点。方法对93例脑性瘫痪患儿中合并癫痫的25例从临床发作特点及抗癫痫药物的治疗效果进行分析。结果93例脑性瘫痪患儿合并癫痫的发生率是26．8％，癫痫在1岁之前发病17例（68％），癫痫发作类型全身强直一阵挛发作11例（44％），肌阵挛发作6例（24％），部分性发作5例（20％），合并用药治疗20例（80％），13例（52％）癫痫发作控制，痉挛型脑瘫19例（76％）。结论癫痫是脑性瘫痪常见的合并症，发病年龄低，主要发作类型为全身强直一阵挛发作，癫痫发作不易控制，治疗大多需要多药联用。痉挛型脑性瘫痪较易合并癫痫。

Clinical analysis of 25 cerebral paralysis infants complicated with epilepsy

Objective To analyse the clinical characteristics of epilepsy in children with cerebral palsy. Methods The clinical characteristics and the effect of antiepilepsy drugs on 25 epileptic children complicated with cerebral palsy were analyzed. Results Incidence of epilepsy in 93 cases patients with cerebral palsy: was 26.8%. 17(68%) cases occurred under 1 year old. Clinical types of seizures observed were: Generalized tonic-clonic in 11 cases(44%), myoclonic 6 cases (24%), partial 5 cases (20%). polytherapy was required in 20(80%) children,and seizures were controlled in 13 (52%) children. 19(76%) patients had spastic cerebral palsy. Conclusion Cerebral palsy is associated with a higher incidence of epilepsy, seizure in cerebral palsy usually begins in young children. Generalized tonic-clonic seizure is the commonest seizure type in this study. Epilepsy in patients with cerebral palsy is difficult to control. 80% patients need two or more antiepilepsy drugs for control of seizures. The incidence of seizures was highest in spastic type.