卒中后癫痫临床分析

目的：探讨脑卒中后癫痫的临床特点及发病机制。方法：对2100例脑卒中病例中192例继发癫痫的临床资料进行回顾性分析。结果：卒中后癫痫的姓率为9．1％。早期癫痫发作6．04％，晚期癫痫发作3．09％，卒中后癫痫的发生率与病灶部位（皮质／皮质下）差异有显著性（P＜0．01），与卒中类型差异不明显（P＞0．05）。结论脑水肿是早期癫痫发作的重要致痫,我期发作癫痫是因胶质疤痕等因素形成癫痫灶所致，建立议对晚期发作癫痫进行严格系统的有效治疗。

A Clinical Analysis of Postapolectic Epilepsy

Objective To probe the clinical features and the onset mechanismof postapolectic epilepsy.Methods The clinical data of 192 secondary epilepsy taken from 2100 cerebral apoplexies were studied retrospectively.Results The incidence of the postapolectic epilepsy was 0.14%, the epileptic attack in early stage was 6.61% and that in late stage was 3.39%. The incidence of the postapolectic epilepsy was quite different according to the location of focus (cortex/subcortex).Conclusions The cerebral edema is an important factor of the epileptic attack in early stage while the late epilepsy may be caused by the epileptic focus resulted from the neuroglial scar. It is sugested that the strict、systematic and effective therapy should be taken in the late stage of epilepsy.