脑卒中后癫痫的临床、影像学特点与预后分析

目的 探讨脑卒中后继发癫痫的临床表现、影像学特点与预后的关系。方法 对840例脑卒中后出现癫痫发作的患者78例进行临床资料回顾性分析。结果 脑卒中后癫痫的发生率为9.29%,其中早期发作癫痫(2周内)占61.54%,发作类型以部分发作及强直-阵挛发作为主,脑出血及病灶累及皮层者发病率高,对症治疗控制良好,但病死率比无癫痫发作者高(P<0.05)。结论 脑卒中后癫痫多并发于皮层病灶,脑出血比脑梗死多见,控制良好,但预后欠佳。

Analysis of clinical & imaging characters and prognosis in patients with epilepsy after stroke

Objective To evaluate the relationship between clinical, imaging characters and prognosis in patients with epilepsy after stroke. Methods In total 78 cases of post - stroke epilepsy were studied retrospec-tively out of 840 cases. Results The incidence of post-stroke epilepsy was 9.29%. The early-stage epilepsy (less than 2 weeks) accounted for 61.54%. The major type of seizure were partial seizure and general tonic-clonic seizure. The incidence was higher in patients with cerebral hemorrhage or with lesions involving the cortex. Symptomatolytic medication was effective. Compared with non - epilepsy group, the mortality of epilepsy was higher. Conclusion Post - stroke epilepsy is usually accompanied with cortical focus, which is more often seen in patients with cerebral hemorrhage than in patients with cerebral infarction. Post - stroke epilepsy responses well to the medication but indicates a poor prognosis.