脑性瘫痪合并癫痫的临床和预后  

Prognosis and Clinici of Epilepsy in Children with Cerebral Palsy

作　　者：文香淑[1] 邓富萍[1] 张金梅[1] 

机构地区：[1]珠海市妇幼保健院儿童神经康复科,广东珠海519001

出　　处：《中国伤残医学》2010年第1期25-27,共3页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的:分析脑性瘫痪及其合并癫痫的易患因素和预后,以发现规律,指导临床。方法:对232例脑瘫病例临床资料、影像和脑电图进行分析总结。Logistic回归分析脑瘫发生癫痫的危险因素。分析脑瘫类型与癫痫的发生、起病、癫痫控制难易的关系。结果:脑瘫合并癫痫发病率为25.9%,痉挛型四肢瘫最多受累。癫痫的发生与脑瘫的类型、影像改变和脑电图异常有统计学意义;癫痫的起病早晚及控制难易与脑瘫类型有关。结论:脑瘫是否合并癫痫以及合并癫痫的预后主要与脑瘫类型有关,即脑的受损部位和范围。Objective：To analysis risk factors and prognosis for epilepsy in children with cerebral palsy（CP）.Methods：It was analyzed for the clinical detail,magnetic resonance imaging findings and electroencephalogram（EEG）of 232 children with cerebral palsy.Results：The rate of epilepsy was 25.9%.Epilepsy of children with cerebral palsy was related to types of CP,imaging abnormality,and EEG abnormality.Epilepsy most commonly affected children with spastic tetraplegia.Onset and control of epilepsy was related to types of CP.Conclusion：Risk factors of epilepsy in children with CP might be types of CP and degree and extent of brain injury.

关 键 词：脑瘫 癫痫 易患因素 

分 类 号：R651[医药卫生—外科学]