老年人蛛网膜下腔出血继发性癫痫  

EPILEPSY DUE TO SUBARACHNOID HEMORRHAGE IN SENILITY

作　　者：崔文柱[1] 李玲[1] 赵宝华[1] 

机构地区：[1]河北省人民医院神经内科

出　　处：《河北医学》1996年第3期209-210,共2页Hebei Medicine

摘　　要：目的：探讨老年继发性癫痫与蛛网膜下腔出血的关系。方法：回顾性分析我院近几年收治的１０７例老年蛛网膜下腔出血的病人，其中１３例继发癫痫，统计癫痫发作的发病率、发作类型及转归。结果：老年性蛛网膜下腔出血继发癫痫发作的发病率为１２．１％（１３／１０７例）。全身强直阵挛发作为６９．２％（９／１３例），单纯部分发作为２３％（３／１３例）部分发作发展为全身强直阵挛发作为７．６％（１／１３例）。多无典型脑膜刺激征，短期应用抗癫痫药物效果良好。结论：提示蛛网膜下腔出血是老年继发性癫痫不可忽视的因素。Objective: To analyse the relationship between secondary epilepsy and subarachnoid hemorrhage(SAH) in senility.Methods: A retrospective study was made for 107 cases of SAH in senility, which were treated in our hospital in recent years.Epiletic seizures occured in 13 of the cases. Stastic method was used for the incidance, the clinical types, and their outcomes of seizures. Results: The incidance of epilepsy was 12.1%(13/107 cases). Epilepsy with tonicoclonic seizure was 69. 2%(9/13 cases).Partial seizure was 23%( 3/13 cases),Partial seizure developing in to tonicoclonic seizure was 7.6%(1/ 13 cases). There were no typical meningeal irritation sign in many cases.It was found that seizure using some anticonvulsants in time was very effectived. Conclussion: The findings suggests that SAH may be an unnegligible cause of epilepsy in senility.

关 键 词：蛛网膜下腔出血 继发性 癫痫 老年人 

分 类 号：R742.1[医药卫生—神经病学与精神病学] R743.35[医药卫生—临床医学]