继发性癫痫患者54例临床特点分析

目的探讨脑卒中患者继发性癫痫的临床特点。方法回顾性分析826例脑卒中患者中54例继发性癫痫患者的临床资料,探讨癫痫发作的部位、类型及其与脑卒中的病变部位和类型的关系。结果继发性癫痫好发部位为颞叶,类型以强直-阵挛发作最常见,脑出血患者继发性癫痫的发病率较脑梗死高（P〈0.05）,病变位于脑叶的发病率高于其他部位（P〈0.05）。结论脑卒中患者中继发性癫痫多见于脑出血、病变位于脑叶者,继发性癫痫病变以位于颞叶者为主,发作类型以强直-阵挛发作为主。

Analysis of clinical features on 54 patients with secondary epilepsy

Objective To discuss the clinical features of stroke patients with secondary epilepsy.Methods The clinical data of 54 patients with secondary epilepsy among 826 stroke patients was analyzed retrospectively.The relationship of the positions and types of epileptic seizure and the lesion site and types of stroke was discussed.Results The primary site of secondary epilepsy was temporal lobe,the most common type of which was tonic-clonic attack.The incidence of secondary epilepsy of cerebral hemorrhage patients was higher than that of cerebral infarction patients(P < 0.05).The incidence of cerebral lobe was higher than the other positions(P < 0.05).Conclusion The secondary epilepsy of stroke patients is mainly seen in patients with cerebral hemorrhage and the position that is in cerebral lobe.The primary lesion position of secondary epilepsy is temporal lobe and the primary type is tonic-clonic attack.