中风后继发性癫痫48例临床分析

目的　探讨中风后癫痫发作的临床特点及治疗原则。方法　回归分析 4 8例中风后癫痫发作的临床特点、发作类型及治疗方法等临床资料。结果　本组病例中风后癫痫的发生率 5 9% ,早期癫痫发作4 % ,晚发癫痫 1 9% ,中风后癫痫与脑中风类型及病灶位置有显著相关性 ,出血性脑中风及病灶位于皮质内者癫痫发病率高于缺血性脑中风及病灶位于皮质下者。脑水肿是早期癫痫发作的重要致病因素。结论　脱水、抗惊厥及抗癫痫综合治疗是控制中风后继发性癫痫的有效方法

Clinical analysis of 48 cases of secondary epilepsy after apoplexia

Objective To study the clinical characteristics and treatment of secondary epilepsy after apoplexia.Methods Clinical characteristics and attack types and treatment in 48 cases of secondary epilepsy after apoplexia were analyzed.Results Secondary epilepsy after apoplexia attacked occurred in 5.9% of patients.Early attack rate was 4% and delayed attack rate was 1.9%.There was a significant relationship between epilepsy and type and location of apoplexia.Brain edema was also an important factor causing early epilepsy.Conclusion General treatment and control the brain edema and antiepilepsy drug are effective to the secondary epilepsy after apoplexia.