脑卒中后继发性癫痫的临床分析  

Clinical Analysis of Epilepsy Secondary to Cerebral Stroke

作　　者：朱燚[1] 张强[1] 陈明华[1] 

机构地区：[1]成都市第六人民医院,四川成都610051

出　　处：《现代临床医学》2008年第1期22-23,共2页Journal of Modern Clinical Medicine

摘　　要：目的:探讨脑卒中后继发性癫痫的发生与卒中类型、部位和面积的关系,以指导治疗,评价预后。方法:选择2000年1月至2006年12月连续住院的480例脑卒中患者中出现继发性癫痫的42例患者,对他们的临床特点、头颅CT情况进行χ2检验单因素统计分析。结果:脑卒中后继发性癫痫患者多见于脑皮质卒中患者,皮质脑卒中组癫痫发生率明显高于皮质下脑卒中组癫痫发生率,有极显著性差异(P<0.01)。>4 cm的脑卒中病灶组癫痫发生率明显高于<4 cm脑卒中病灶组癫痫发生率,有极显著性差异(P<0.01)。出血性卒中组和缺血性卒中组癫痫发生率无显著性差异(P>0.05)。结论:脑卒中后继发性癫痫的发生率与脑卒中类型无关,与脑卒中发生部位和面积有关。Objective ：To discuss the relation of epilepsy after cerebral stroke bettwen it＇s location, area and classification, and to explore the treatment principle afterward epileptic seizures. Methods： To analyse retrospectively the clinical fteature date of head CT and medication of 480 cerebral stroke cases （42 of them were with epileptic seizures）. Results：Occurrence of epileptic seizure after cerebral stroke mostly happened in cerebral cortex stroke, 〉4 cm in the cerebral stroke cases was more than 〈4 cm in the cerebral stroke cases. There was not different between the cerebral ischemia and the cerebral infarction. Conclusion： Occurrence of epileptic seizures after cerebral stroke is closely related to the location,size rather than the classification.

关 键 词：脑卒中 继发性癫痫 临床分析 

分 类 号：R743.33[医药卫生—神经病学与精神病学]