以癫痫为首发症状的脑出血的临床分析  

Clinical analyssis of epilepsy as initial appearanee with cerebral hemorrhage

作　　者：张强[1] 邓发斌[1] 黄育梅[1] 宋春江[1] 孙笛 

机构地区：[1]成都市第六人民医院,四川成都610051 [2]金堂县土桥镇卫生院,四川金堂610407

出　　处：《四川医学》2008年第10期1337-1338,共2页Sichuan Medical Journal

摘　　要：目的探讨以癫痫为首发症状的脑出血的临床特征,发病机制,及其治疗方法。方法对25例以癫痫为首发症状经头颅CT或MRI证实脑出血患者的临床资料进行回顾性分析。结果以癫痫为首发症状的脑出血占同期脑出血患者1.56%,皮质区癫痫发病率高于皮层下。发作类型以部分性发作多见。结论脑出血早期血肿的直接刺激、急性循环障碍、继发性脑水肿和代谢障碍可能是痫性发作的病理基础。治疗脑出血同时应进行抗癫痫治疗。大多数此类患者癫痫控制后无需长期服用抗痫药物。Objective To explore the clinical features, mechanism, and treatment of epilepsy as initial appearance with cerebral hemorrhage （CH ）. Methods 25 patients who presented with CH confirmed by CT scan or MRI,and epilepsy as initial appearance,were retrospectively studied. Results In 1604 cases of CH there were 25 cases（ 1.56% ）, Presented with epilepsy flint. Epilepsy were more common in cortical hemorrhage. Partial seizures epilepsy can be seen in most patients. Conclusion The pathologic foundation of epilepsy may associated with hematoma at the early time after CH, acute circulatory impairment, edema and metabolism disorder. Epilepsy patients after CH should be given antiepilepic treatment on the bases of routing treatment. After these epliepsy patients had been controlled, it as no necessary to offer a further AEDS treatment for most of them.

关 键 词：脑出血 首发癫痫 治疗 

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