脑卒中后继发癫痫临床分析

目的探讨脑卒中后继发癫痫临床症状特点及与卒中类型关系。方法对897例脑卒中患者的卒中类型、卒中后癫痫发病率、发作时间及治疗效果进行回顾性研究。结果脑卒中癫痫发病率为8．7％（78／897），其中以蛛网膜下腔出血发生率最高，其次为脑出血，脑梗死后癫痫发生率最低。早发性癫痫54例（69．2％），治疗效果好；迟发性癫痫24例（30．8％），治疗效果相对较差。结论癫痫是老年人卒中常见的并发症，发病率与卒中性质相关，经正规抗癫痫治疗后总体预后较好。

A clinical analysis of epilepsy secondary to cerebral stroke

Objective To explore the symptomatic features of epilepsy secondary to cerebral stroke and the relationship between this epilepsy and types of stroke. Methods The data on types of cerebral stroke, incidence of epilepsy secondary to cerebral stroke, onset duration, and efficacy of treatment were retrospectively analyzed in 897 patients with cerebral stroke. Results 8.7% of the patients ( 78/897 ) developed epilepsy. The incidence of epilepsy was highest in patients withsubarachnoid hemorrhage, followed by those with intracerebral hemorrhage, and then by those with cerebral infarction.54 patient with secondary epilepsy were early-onset seizures with a good efficacy, and the remaining 24 were late-onset with a worse efficacy. Conclusions Epilepsy is common in the elderly patients with cerebral stroke. The incidenc is related with types of stoke and the prognosis is better after regular treatment.