脑卒中后癫痫的临床研究  

Clinical investigation of epilepsy after stroke attack

作　　者：郑潮标[1] 

机构地区：[1]揭阳市人民医院神经科,广东省揭阳522000

出　　处：《中国基层医药》2007年第11期1795-1796,共2页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的探讨和分析脑卒中后癫痫的特点、治疗及预后。方法通过对不同类型、不同部位脑卒后出现癫痫的机率及时间,治疗转归进行分析比较。结果蛛网膜下腔出血及脑栓塞出现癫痫机率最大,分别为14.78%和10.28%,且多发生在起病初期,位于皮质及累及皮层的病灶癫痫发生率最高。结论脑卒中是老年人癫痫的重要原因之一,癫痫的发生率与病灶性质、部位有明显相关性,由于发病机制不同,早发型癫痫较易控制,晚发型癫痫多需要长期服用抗癫痫药物。Objective To investigate and analyze the characteristics,therapy and prognosis of epilepsy after stroke attack. Methods Different loci of stroke attack induced epilepsy were analyzed and compared of the time and chance,therapy and prognosis. Results The most common chance of epilepsy was seen in subarachnoid hemorrhage and cerebral embolism, dominated 14.78% and 10.28% respectively, and also happened in the initial stage. The most high epilepsy rate Was shown in cortex and involved cortex lesions. Conclusions Stroke attack was one of important cause of epilepsy in senile. The incidence rate of epilepsy was prominently related to location and nature of the focus, because of the difference of pathologic mechanism, it was easier to control early epilepsy, late epilepsy mostly need antiepilepsy drugs for a long time.

关 键 词：脑卒中 癫痫 预后 

分 类 号：R743.3[医药卫生—神经病学与精神病学] R742.1[医药卫生—临床医学]