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由于缺乏统一的定义且随访时间存在差异,目前所报道的蛛网膜下腔出血(SAH)后癫痫和围手术期(?)性发作的发病率、发病时间和预测因素存在很大的差异。据J Neurosurg杂志报道,Lin等对手术治疗的SAH患者进行了长期随访,对围手术期癫(?)和随访期间的(?)性发作的发病率、时间过程和预测因素进行了分析。 共纳入217例术后存活超过2年的颅内动脉瘤破裂患者,对其进行了回顾性分析。根据发病时间,将癫(?)发作分为起病时癫(?)(首次出血后12 h内)、术前癫(?)、术后癫(?)和晚期癫(?)。平均随访时间为78.7个月(24～157个月),有46例患者(21.2％)在SAH后至少有过1次癫(?)发作,17例患者(7.8％)为起病时发作,5
In the absence of a uniform definition and differences in follow-up, the prevalence, onset time, and predictors of epilepsy and perioperative episodes (post-SAH) reported today are quite different. According to J Neurosurg, Lin et al. Conducted long-term follow-up of surgically treated patients with SAH and analyzed the incidence, timing, and predictors of (?) Episodes during perioperative epilepsy and follow-up. A total of 217 patients with ruptured intracranial aneurysms who survived for more than 2 years were retrospectively analyzed. According to the time of onset, epileptic seizures were divided into onset epilepsy (?) (Within 12 h after the first bleeding), preoperative epilepsy (?), Postoperative epilepsy (?) And late epilepsy (?). The average follow-up time was 78.7 months (24 to 157 months). 46 (21.2%) had at least one episode of epilepsy after SAH and 17 (7.8%) had episodes at onset, 5