急性脑叶出血后癫 发作

目的研究急性脑叶出血与癫的关系。方法选择首次发病、既往无脑卒中及癫病史的单纯脑叶出血428例，均在发病至住院阶段观察，并进行回顾性分析。结果(1)急性脑叶出血后癫发生率为12.15％。(2)额叶出血癫发生率明显高于颞叶，其它各脑叶间比较无显著性差异。(3)癫以即刻发作为主要表现，以大发作多见，且大发作多发生于发病2周内。(4)患者意识障碍程度及死亡率与伴发癫不成正比，预后与年龄、既往史、出血部位、出血量、并发症等多因素有关。结论了解急性脑叶出血后癫发作特点，对临床工作有指导意义。

Cerebral Seizure after Acute Hemorrhage of Cerebral Lobes

Objective:To study the relationship between acute hemorrhage of cerebral lobes and epilepsy. Methods: The retrospec- tive analysis of acute hemorrhage of cerebral lobes was performed in 428 patients without prior stroke and epilepsy history. Results:(l) The incidence of epilepsy after acute hemorrhage of cerebral lobes was 12.15% . (2) Epileptic incidence with frontal lobe hemorrhage was significantly higher compared with temporal lobe's, and there was no significant difference between other cerebral lobes. (3) Instant seizure was the major phenotype, grand mal epilepsy was frequent, and grand mal often occurred within two weeks after onset. (4) There was no positive correlation between the degree of conscious disorder and mortality, the prognosis was correlative to age, prior history, location of hemorrhage, volume of hemorrhage, and complications. Conclusion: It is useful to realize the characteristics of cerebral seizure in clinical work.