脑血管病后继发癫痫的相关因素分析

目的：探讨脑血管病后继发癫痫的相关因素。方法：观察组脑血管病后继发癫痫患者87例,对照组脑血管病后无痫性发作或继发性癫痫患者230例。对两组患者的临床特点、头颅CT或MRI情况进行比较。结果：两组脑血管病危险因素和病因比较无统计学差异（P〉0.05）。病变部位在皮质和部分前循环综合征为表现的脑血管病患者继发性癫痫的发生率较高（P〈0.05或者P〈0.01）。结论：脑血管病后继发癫痫的发生率与脑血管病危险因素和病因无关,病变部位在皮质和以部分前循环综合征为表现的脑血管病患者继发癫痫发生率较高。

Correlation Factor Analysis of Epilepsy in Patients after Cerebrovascular Disease

Objective：To analysis the relation of epilepsy after cerebrovascular disease. Method：87 Patients with epilepsy after cerebrovascular disease were involved as observation group. 230 patients without seizure or epilepsy after cerebrovascular disease were involved as control group. The data of clinical feature and results of head CT or MRI in the two groups were compared. Result：There was no significant difference in risk factors and aetiology in the two groups （P 〉5）. Occurrence of epilepsy after cerebrovascular disease mostly happened in cerebral cortex injury （P〈 0. 01）. Cerebrovascular disease patients with the highest incidence of epilepsy were those with a partial anterior circulation syn- drome （P〈0.05）. Conclusion：Occurrence of epilepsy after cerebrovascular disease is closely related to the cortex in- jury,patients with a partial anterior circuiation syndrome rather than the risk factors and aetiology.