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目的:探讨脑卒中与其继发癫癎发作的关系。方法:对769例脑卒中患者继发癫癎发作的发病率、发作时间、类型、病变部位及治疗预后进行分析。结果:脑卒中后继发癫癎发作以蛛网膜下隙出血及脑栓塞概率较大。早期发作者中,以脑栓塞和蛛网膜下隙出血为主;迟发性发作者中,以脑血栓形成和脑出血为主。病变部位在皮质的患者脑卒中后癫癎发作发病率较高。结论:脑卒中是老年人癫癎发作的重要原因之一,癫癎发作的发病率与病灶性质、部位有明显相关性,由于发病机制不同,早发性癫癎发作较易控制,迟发性癫癎发作多需要长期服用抗癫癎药物。
Objective: To investigate the relationship between stroke and secondary epileptic seizures. Methods: The incidence of epileptic seizures, the time and type of seizure, the location of lesion and the prognosis of treatment were analyzed in 769 stroke patients. Results: Post-stroke secondary epileptic seizures with subarachnoid hemorrhage and cerebral embolism probability. Early onset in patients with cerebral embolism and subarachnoid hemorrhage; delayed onset in patients with cerebral thrombosis and cerebral hemorrhage. The incidence of epileptic seizures after stroke in patients with cortical lesions is higher. Conclusion: Stroke is one of the most important causes of epileptic seizures in the elderly. The incidence of epileptic seizures is significantly correlated with the nature and location of lesions. Because of different pathogenesis, seizures of early-onset epilepsy are easier to control and delayed Epileptic seizures need long-term use of anti-epileptic drugs.