脑卒中后继发性癫癎的临床分析

目的探讨脑卒中后继发性癫癎的临床特点、发病机制、脑电图改变及治疗。方法对46例脑卒中后继发癫癎患者的发病时间、临床表现、治疗方法及脑电图变化进行分析。结果547例脑卒中后继发癫癎46例(8.409%)。早发型明显多于迟发型,起病时间与病变性质无关;癫癎的发生与卒中部位、颅内高压及电解质紊乱有关。脑电图改变以慢波、尖/棘波多见,发作类型以单纯部分性运动发作多见。结论脑卒中累及大脑皮质或脑血液循环障碍或机械牵拉导致神经元异常放电时癫癎易发作,早期预防,可减少卒中患者继发性癫癎发作。

Clinical analysis of patients with epilepsy after stroke

Objective To explore the clinical manifestation, the mechanism and therapy of epilepsy after stroke .Methods Incidence date,clinical data and imaging characteristics of 46 cases of epilepsy after stroke were analyzed retrospectively .Results Some 46 cases were epilepsy in 547 cases of cerebral apoplexy,the morbidity of epilepsy after stroke was 8.409%. The patients with early seizure were obviously more than the late seizure patients.The incidence was not fixed with the nature and extent of the diseases, but it was related with station,intracranial hypertension and the turbulence of serum electrolyte. The simple partial seizure was the most episode.Conclusion Cerebral apoplexy is related to abnormal discharge of neurons resulting from cerebral cortex or abnormal of blood circulation.It has great clinical value in providing early prevention and therapeutic and shorten epilepsy after stroke.