脑血管病继发癫痫41例临床分析

目的 :探讨脑血管病继发癫痫的临床特点。方法 :回顾性分析 797例脑血管病中 4 1例继发癫痫的资料。结果 :脑血栓 2 0例 ,脑出血 14例 ,蛛网膜下腔出血 4例 ,脑栓塞 3例 ,TIA0例。脑叶病变 30例 ,非脑叶病变 11例。 14d以内发病 2 5例 ,14d以后发病 16例。需长期服药治疗者 10例 ,其中 7例是于 14d后发病的。缺血性脑血管病以单纯部分性发作为主 ,出血性脑血管病以全身强直 -阵挛发作为主。结论 :脑血管病继发癫痫与脑血管病类型、位置以及癫痫发作时段相关。癫痫发作形式与病变类型相关。

Clinical Analysis of 41 Epileptic Seizures Following Cerebrovascular Disease

Objective:To investigate the clinical characteristics of epileptic seizures following cerebrovascular disease. Methods: Retrospectively analyze the data of 41 epileptics in 797 patients with cerebrovascular disease. Results: There were 20 cases following cerebra infarct , 14 cases following intracerebral hemorrhage , 4 cases following subarachnoid hemorrhage , 3 following cerebral embolism and there was no case in TIA . There were 30 cases in cerebral lobes disease and un-cerebral lobes disease is 11. There were 25 patients seizured within 14 days, and 16 seizured after 14 days. There were 10 cases need long- period anti-epilepsy treatment, including 7 seizured after 14 days. The main seizure type of ischemic stroke is partial seizures, and hemorrhagic stroke is generalized tonic-clonic seizures. Conclusion: The secondary epilepsy is related with the type and focus of the cerebrovascular disease and seizure period. And the seizure type of epilepsy is associated with the category of CVD.