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目的:探讨癫痫发作后神经功能缺损的病例特点。方法:回顾性分析9例癫痫发作后神经功能缺损的病例特点。以首次癫痫发作的有6例,既往有原发性癫痫病史1例,继发性癫痫2例;原发性癫痫入院前不规则服用抗癫痫药物,继发性癫痫中有脑炎后遗症病史1例,一氧化碳中毒病史1例。9例患者入院后均予以积极抗癫痫治疗,并行相关影像学、脑电图及血生化等检查。结果:9例癫痫发作后神经功能缺损患者,其中6例出现于癫痫持续状态之后;癫痫发作后神经功能缺损表现多种形式,其中8例表现有肢体偏瘫,1例为肢体单瘫,6例表现有不同程度失语,5例表现有面瘫,1例表现有偏盲,2例表现有凝视。神经功能缺损时间持续时间3至9天,平均5.6天。结论:癫痫发作后神经功能缺损多发生于癫痫持续状态之后;神经功能缺损表现多种形式,以肢体偏瘫最常见,症状持续时间不同,多数预后良好。
Objective: To investigate the characteristics of neurological deficits after epileptic seizures. Methods: Nine cases of neurological deficits after epilepsy were retrospectively analyzed. The first epileptic seizure in 6 cases, previous history of primary epilepsy in 1 case, 2 cases of secondary epilepsy; epilepsy irregular admission of antiepileptic drugs before admission, history of secondary epilepsy with sequelae of encephalitis 1 Cases, history of carbon monoxide poisoning in 1 case. Nine patients were admitted to active anti-epilepsy treatment, parallel imaging, EEG and blood biochemistry and other tests. Results: Nine patients with neurological deficits after epileptic seizures, of which six cases occurred after the status epilepticus; neurological deficits after seizures showed various forms, including 8 cases of limb hemiplegia, limb paralysis in 1 case, 6 cases of limb paralysis There were varying degrees of aphasia, facial paralysis in 5 cases, hemianopia in 1 case and stare in 2 cases. Duration of neurological deficit Duration 3 to 9 days, an average of 5.6 days. Conclusion: The neurological deficits mostly occur after epileptic seizures. Neurological deficits manifest in various forms. The most common symptom of hemiplegia is limb paralysis, and the duration of symptoms is different. Most of the patients have good prognosis.