急性脑血管病继发癫癎的临床研究  

Clinical Investigation of Seizure Secondary to Acute Cerebrovascular Disease

作　　者：顾寒英[1] 宋永建[1] 

机构地区：[1]上海瑞金医院卢湾分院神经内科,上海200020

出　　处：《神经病学与神经康复学杂志》2009年第3期197-199,215,共4页Journal of Neurology and Neurorehabilitation

摘　　要：目的研究急性脑血管病继发癫癎的临床特点。方法回顾性分析1137例急性脑血管病患者发病后癫癎发作的发生率、脑电图(EEG)及癫癎与脑卒中类型、病灶部位的关系。结果急性脑血管病后癫癎发作的发生率为7.04%,脑叶出血、丘脑出血破入脑室的癫癎发生率较单纯基底节、小脑、脑干出血显著增高(P<0.01);皮质梗死较非皮质梗死发生继发性癫癎的机率明显高(P<0.01)。脑叶、皮质病变继发癫癎与皮质下病变继发癫癎的EEG检查有显著统计学差异(P<0.01)。结论急性脑血管病继发癫癎发作很常见,其发生率与病变部位有关。EEG对急性脑血管后癫癎发作患者的诊断和预后及治疗有一定价值。Objective To study the clinical features of seizure secondary to acute cerebrovascular disease.Methods Clinical data of 1 137 patients with acute cerebrovascular disease were investigated retrospectively. The incidence, and EEG findings of seizure were described,and its relation with the type of stroke and the location of lesion were analyzed. Results The incidence of seizure secondary to acute cerebrovascular disease was 7.04%. The incidence of seizure in lobar hemorrhage and thalamus hemorrhage entering v...

关 键 词：脑卒中 癫癎 脑电图 

分 类 号：R743[医药卫生—神经病学与精神病学]