脑卒中后癫痫84例临床分析

目的:探讨脑卒中后癫痫(EP)的临床特点。方法:选择我院2002年1月~2006年12月所收治脑卒中后首次发作癫痫病例84例,分别对其卒中性质、卒中部位、发作类型、发作时间及其相互之间的关系进行分析。结果:84例卒中后癫痫中男性55例(65%),女性29例(35%);全面发作53例(63.1%),部分发作31例(36.9%);早发癫痫36例(42.9%),迟发癫痫48例(57.1%);皮层病灶继发癫痫51例(60.7%),皮层下病灶继发癫痫33例(39.3%),脑卒中癫痫与脑卒中部位及性质比较差异具有统计学意义(P均<0.05)。脑卒中后癫痫发作时间与发作类型及卒中性质比较差异具有统计学意义(P均<0.01)。结论:脑卒中后癫痫以皮层病灶多见。出血性脑卒中后癫痫以早发多见,且以全面发作为主,缺血性卒中后癫痫以迟发多见,且以部分发作为主,而且与病灶部位有明显相关性。

Clinical study on epilepsy after stroke

Objective: To investigate the clinical features of epilepsy after stroke.Methods: Eighty four patients of secondary epilepsy following stroke treated in First Affiliated Hospital of Xinjiang Medical University from Jan,2002 to Dec,2006 were statistically analyzed in their nature of stroke,station of stroke,seizure type,outbreak time retrospectively.Result: Among 84 cases with epilepsy following stroke,there were 55 male cases(65%) and 29 female cases(35%),53cases presented with generalized seizure and 3 cases with partial seizure,36 patients developed seizures in early stage(42.9%);other in late stage(57.1%).Among 84cases with epilepsy,51 cases suffered seizures located in brain cortex(60.7%),others were located in sub-cortex(39.3%).The location and type of strok between generalized seizure and partial seizure had difference statistically,the seizure type of EP and the type of stroke in the case with early EP after strok are statistically different from the case of late EP.Conclusion: Cases with focus located in brain cortex and hemorrhagic stroke in generalized seizure of EP after strok are more than partial seizure.The cases of generalized seizure and hemorrhagic stroke in early EP after strok are more than in the late EP after stroke.Incidence of epilepsy after stroke is associated with locations of focus cortex/ subcortex,not with sex.