脑卒中后细发性癫痫21例临床分析

目的 探讨癫痫与脑卒中的关系、继发性癫痫的特点及其治疗.方法 对223例脑卒中患者进行观察,对卒中后继发性癫癇21例患者的临床资料进行分析.结果 脑卒中后继发性癫癇患者多见于脑皮质卒中患者,其中脑皮质卒中组癫癇发生率为16.7%,明显高于皮质下脑卒中组癫痫发生率（5.%）,两组差异有统计学意义（P＜0.01）.＞4 cm的脑卒中病灶组癫痫发生率为17.3%,明显高于＜4 cm脑卒中病灶组癫痫发生率（5.4%）（P＜0.01）.出血性卒中组和缺血性卒中组癫痫发生率差异无统计学意义（P＞0.05）.结论 脑卒中后继发性癫痫的发生率与脑卒中类型无关,与脑卒中发生部位和面积有关.

Clinical analysis of 21 patients with secondary epilepsy after stroke

Objective To explore the relationship between epilepsy and stroke,the features of secondary epilepsy and its treatment. Methods 233 stroke patients were observed and the clinical data of 21 patients who had secondary epilepsy were analyzed. Results Secondary epilepsy after stroke was mainly seen in the cortical stoke patients, the incidence of epilepsy of the cortical stroke group was 16.7% , which was significantly higher than that of the gubcortical stroke patients(5.7% ) ,and there was significant difference between the two groups. The incidence of epilepsy of stroke with a lesion >4cm group was 17. 3% .which was significantly higher than that of stroke with a lesion <4cm group(5.4% ), there was also significant difference between the two groups. There was no significant difference between ischeraic stroke and hemorrhagic stroke(P>0.05). Conclusion The incidence of secondary epilepsy after stroke had no correlations with the stroke types,but was related to the area and the location of the stroke.