脑卒中后癫痫的临床特点分析

目的 探究脑卒中后癫痫的发病机制及临床特点.方法 选取2009年3月至2015年4月于本院确诊为脑卒中后癫痫的患者62例,收集患者相关资料,对癫痫发作时间、类型、病灶等方面的临床资料进行分析.结果 早发型癫痫患者45例(72.58％),迟发型癫痫患者17例(27.42％).癫痫发作类型中,出血性脑卒中以全身发作为主(31/36),缺血性脑卒中以部分发作为主(18/26).皮质部位病变患者45例(72.58％),皮质下部位病变患者17例(27.41％).结论 脑卒中后癫痫的发病时间以早发型为主,发病部位以皮质为主,发病率与脑卒中类型有关.

Analysis of the clinical features of epilepsy after stroke

Objective To investigate the pathogenesis and clinical features of epilepsy after stroke.Methods 62 patients diagnosed as epilepsy after stroke in our hospital from March 2009 to April 2015 were selected.Collected relevant information of patients,analyzed attack time,type,nidus of epilepsy.Results There were 45 patients with early-onset epilepsy (72.58％),17 patients with late-onset epilepsy (27.42％).Seizure type of hemorrhagic stroke was mainly generalized seizure (31/36),seizure type of ischemic stroke was mainly partial seizure (18/26).There were 45 cases of cortical lesions (72.58％),17 cases of subcortical lesions (27.41％).Conclusion Early-onset and cortical lesions are common in epilepsy after stroke,the morbidity is related to stroke type.