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目的探讨脑卒中继发癫痫的早、晚期的发病率,临床表现,治疗效果,预后情况及卒中后癫痫发生的相关危险因素。方法对2007年5月至2010年12月就诊的56例脑卒中继发癫痫患者的临床资料进行回顾性分析。结果 56例脑卒中后继发癫痫的患者中39例患者有脑电图异常,继发癫痫的发作类型与脑组织直接损伤的部位和程度有关。结论脑卒中是继发癫痫的主要原因,癫痫可为脑血管病变的早期表现,脑电图阳性率高,脑皮质病灶明显多于深部病灶,及时明确诊断和治疗是至关重要。
Objective To investigate the incidence of early and late epilepsy after stroke, its clinical manifestations, therapeutic effects, prognosis and related risk factors of epilepsy after stroke. Methods The clinical data of 56 patients with secondary epilepsy after stroke from May 2007 to December 2010 were analyzed retrospectively. Results Of 56 patients with post-stroke secondary epilepsy, 39 patients had abnormal EEG. The type of secondary epilepsy was related to the location and extent of direct brain injury. Conclusions Stroke is the main cause of secondary epilepsy. Epilepsy may be an early manifestation of cerebrovascular disease. The positive rate of EEG is higher than that of deep lesion. The timely diagnosis and treatment are of crucial importance.