卒中后早期癫痫52例临床研究

目的 探讨脑卒中后早期癫痫的临床特点及发病机理。方法 对920例脑卒中患者中52例继发癫痫的临床资料进行回顾性分析。结果 卒中后早期癫痫的发生率为5．7％，卒中后癫痫的发生率与病灶部位(皮质／皮质下)有明显相关性，而缺血性卒中和出血性卒中继发癫痫的发生率无显著性差异。结论 卒中是老年性癫痫的常见原因，病灶累及皮层者容易发生。少数病例以癫痫为首发，应引起注意。

Clinical study on post apoplectic epilepsy (52 cases)

Objective To explore the clinical features of early seizures after acute stroke. Methods The clinical data of 52 patients of secondary epilepsy taken from 920 patients with acute stroke were studied retrospectively.Results The incidence of the postapoplectic epilepsy in early stage was 5.7%, there were significant relationships between the incidence of the postapoplectic epilepsy and the location of focus (cortex/subcortex). There were no differences between cerebral infarction and cerebral haemorrhage. Conclusions Stroke is a common cause of epileptic seizures in old age. The patients with cortical focus are likely to develop seizure. What calls for special attention is that seizures are the first clinical features in some patients.