52例继发性癫癎的病因分析

目的 对继发性癫癎进行病因、发作分型、脑电图分析,为临床快速诊断提供参考依据.方法 对52例癫癎患者均在入院2 d内采用20导脑电图仪,按国际10～20系统安置头皮电极进行常规描记.所有患者进行常规血生化检查.结果 继发性癫癎中以脑血管病最多为32例,占61.54%;其次脑炎脑膜炎6例,占11.54%;其病因还有颅内肿瘤、代谢疾病、中毒和阿斯发作.发作类型以大发作最多,27例(51.92%);其他依次是局限性发作、精神运动性发作和小发作.结论 继发性癫癎病因复杂,发作类型多样,脑电图对其诊断有重要的价值.

Analysis of secondary epilepsy in 52 cases

Objective To provid rapid diagnosis for clinical reference for secondary epilepsy,seizure type,EEC analysis,end so on.Methods 52 patients were in hospital within 20 I.2d EEG device,according to the international system 10 ~ 20 scalp electrode placement routine polygraph.All patients went through routine blood biochemical examination.Results In secondary epilepsy,cerebrovascular disease was the major one,up to 32 cases.accounting for 61.54%,followed by six cases of meningitis encephalitis,accounting for 11.54%.Its etiology includes intracranial tumor,metabolic disease,and poisoning and Aspen attack.The type of grand malseizure was the major one up to,27 cases(51.92%),followed by seizures,psychomotor seizures,and the limitations of small attacks and seizures.Conclusion Complex etiology of secondary epilepsy,the seizure types,and EEG have important diagnostic value.