脑卒中后癫痫的临床特点分析

目的：探究脑卒中后癫痫的临床特点，为临床的诊治提供参考依据。方法：回顾性分析我院从2005年-2013年期间收治的840例脑卒中患者中的58例脑卒中后癫痫患者的临床资料，统计分析患者在癫痫发作时间、癫痫发作类型和病灶部位等方面的临床特点。结果：脑卒中后癫痫患者中，早发型癫痫（83.3%）发生率明显高于迟发型癫痫（16.7%）；癫痫发作类型中缺血性脑卒中以部分性发作为主，出血性脑卒中以全身性为主；病灶部位皮质部位的病变（59.1%）多于皮质下部位的病变（40.9%）。结论：脑卒中后癫痫发作以早期常见，皮质部位为主，其发病率与脑卒中类型相关，根据临床发病特点指导临床治疗，对提高患者生活质量具有较大的意义。

A clinical analysis of post-stroke epilepsy

To provide reference for clinical diagnosis and treatment by exploring clinical features of post-stroke epilepsy. Methods：Clinical datas of 58 patients containing onset time, types and lesion site were analyzed. Results：In post-stroke epilepsy patients, incidence of early-epilepsy （83.3%） is higher than late-epilepsy （16.7%）; partial seizure is mainly in ischemic post-stroke, hemorrhagic stroke is mainly systemic;lesion in cortex （59.1%） is more than subcortex （40.9%）. Conclusion：The incidence of early post-stroke epilepsy is common, mainly in cortex, and associated with type of post-stroke. Clinical treatment based on clinical features could improve patients’ life quality with great significance.