脑卒中后癫痫发作的临床研究  

The clinical study of epilepsy after cerebral stroke

作　　者：郑云香[1] 曹建华[1] 

机构地区：[1]山东省滨州市人民医院,256610

出　　处：《临床医学》2005年第3期6-8,共3页Clinical Medicine

摘　　要：目的　研究脑卒中后癫痫发作病人的临床分型及其与原发病和病灶部位的关系,评价脑电图、CT、MRI对癫痫的诊断价值以及治疗的效果。方法　收集门诊、病房几年来治疗的脑卒中合并癫痫发作的病人 68 例,按癫痫发作的时间和临床表现分型。每例病人均做CT、MRI和EEG。结果　本资料中,早期型癫痫22例(32%),迟发型癫痫46例(68%)。癫痫发作类型以额叶癫痫最常见。脑梗死及多发病灶患者占多数。药物治疗控制发作效果较好。脑电图能反映病情变化,病情控制后,脑电图也逐渐好转。而 CT、MRI对病灶的定位不能反映癫痫的类型。结论　额叶癫痫最常见,多发病灶易致癫痫发作。脑电图对癫痫的诊断和判断癫痫的控制有帮助,CT、MRI无助于癫痫的分型和治疗的评价。药物治疗效果较好。Objective To study the clinic type and the relation with the primary affection and focus of the epilepsy after cerebral stroke,evaluating the diagnostic value of EEG,CT and MRI to epilepsy and the treatment effect.Methods Collecting 68 patients with epilepsy after cerebral stroke,they were classified into two types according to outbreak time or five types according to clinical presentation.CT,MRI and EEG of the patients were taken.Relative digital information were analysed with statistics.Result There were 22 patients of epilepsy in the earlier period and 46 ones in late time.The type of frontal lobe epilepsy was often viewed.Patients of cerebral infarction and those with multiple focus were major.The effect of antiepileptics treatment was better.EEG was improved while epilepsy was controlled.The focal orientation by CT or MRI can not reflect the type of epilepsy.Conclusions The epilepsy were easily caused by multiple focus and the type of frontal lobe epilepsy ws often observed.EEG was a aid to judge that whether or not epilepsy was controlled,but CT and MRI can not help diagnosis and evaluate the effect of antiepileptic treatment.

关 键 词：癫痫发作 脑卒中后 临床研究 额叶癫痫 脑电图 MRI 病灶部位 临床分型 诊断价值 临床表现 发作类型 药物治疗 病情变化 病情控制 治疗效果 CT 原发病 病人 EEG 迟发型 脑梗死 多发 

分 类 号：R743.3[医药卫生—神经病学与精神病学]