脑出血后继发癫痫的临床特点与病机分析

目的探讨脑出血后继发性癫痫的临床特点及发病机制。方法对531例住院确诊为脑出血患者的临床表现特点及病机进行分析。结果在531例脑出血患者中,发生脑出血后继发癫痫42例,发生率为7.9%;其中早期发作的癫痫29例,发生率为5.5%,晚期发作的癫痫13例,发生率为2.4%。脑出血不同病灶部位之间的癫痫发生率有显著差异。癫痫类型以部分发作最多。结论脑出血急性期癫痫发生率高。出血在脑叶者易继发癫痫。早期发作的癫痫急性期过后多不需抗癫痫治疗,晚期发作的癫痫需长期抗癫痫治疗。

Epilepsy after brain hemorrhage

Objective To study clinical features and pathogenesis of epilepsy after cerebral hemorrhage.Methods 531 cases of hospitalized patients diagnosed as cerebral hemorrhage were analyzed and follow-up.Results There were 7.9% of epilepsy after cerebral hemorrhage.The early onset of epilepsy was 5.5% and late onset of epilepsy was 2.4%.The incidence of epilepsy of cerebral hemorrhage at different lesion sites was significantly different.Conclusion There is high incidence of epilepsy after acute cerebral hemorrhage.