脑卒中后癫痫84例临床研究

目的探讨脑卒中后癫痫的临床特征。方法对1542例脑卒中病人中84例继发癫痫患者的临床资料进行回顾性分析。结果卒中后癫痫的发生率为5．44％，男女两性无明显差异，发作类型以GTCS和SGTC为主，出血性与缺血性卒中的发生率无明显差异，皮质范围的较皮质下的发生率高。结论卒中后癫痫的发生率与病灶部位（皮质／皮质下）有明显相关性，而与性别及卒中类型无明显相关性。卒中后癫痫多数单药控制良好。

Clinical study on epilepsy after stroke

[Objective] To explore the clinical features of epilepsy after stroke. [Method] The clinical date of 84 patients of secondary epilepsy taken from 1 542 patients with stroke were studied retrospectively. [Results] The incidence of epilepsy after stroke was 5.44%. There were no difference between male and female, most seizures were GTCS and SGTC, there were no difference between inchemic stroke and hemorrhagic stroke, higher incidence were seen in cortical focus than subcortical one. [Conclusion] Incidence of epilepsy after stroke is associated with locations of focus(cortex/subcortex), not with sex, stoke types. epilepsy after stroke may be controlled by single-drug treatment.