老年人动脉硬化性脑梗死继发癫痫发作  

Epilepsy after atherosclerotic cerebral infarction of senile patients.

作　　者：黄海威[1] 黄如训[1] 陶玉倩[1] 

机构地区：[1]中山医科大学附属一院神经科,510080

出　　处：《中国神经精神疾病杂志》1999年第4期216-218,共3页Chinese Journal of Nervous and Mental Diseases

摘　　要：目的 　探讨老年人动脉硬化性脑梗死继发癫痫的临床特点。方法　回顾性分析经 Ｃ Ｔ 证实的脑梗死１ ６８２ 例中符合条件的８６ 例资料。结果　脑叶梗死７２ 例，基底节区９ 例（ 包括腔隙性梗死３ 例） ，丘脑５ 例。中风２ 周内继发癫痫发作３９ 例，发作次数１ ～３ 次，仅８ 例需服抗癫痫药；中风２ 周后继发癫痫发作４７ 例，发作较频，全部需服抗癫痫药。结论　 脑叶梗死较易合并癫痫发作，腔隙性梗死较少继发癫痫发作。晚发癫痫较易控制，复发癫痫需规则长期服用抗癫痫药。Objective To investigate the clinical features of epilepsy after atherosclerotic cerebral infarction of senile patients. Methods The data of 86 senile patients with secondary epilepsy after atherosclerotic cerebral infarction were analysed respectively, which were selected from 1682 cases. Results Cerebral lobes infarction occurred in 72 cases,basal ganglion infarction in 9 cases (including 3cases of lacunal infarction) and thalamic infarctioin in 5 cases. 39 patients had secondary epilepsy within 2 weeks after stroke, and total attacks for each were 1 to 3 times, only 8 cases had to take anti epileptic drugs. 47 cases had secondary epilepsy 2 weeks later after stroke, the attacks were frequent, anti epileptic drugs were necessary in all of them. Conclusions Secondary epilepsy rarely occurs in lacunal infarction, but often in infarction of cerebral lobes. Epilepsy can be easily controlled when it occurs in the early stage of stroke, and regular pharmacotherapy is necessary for most patients who have epilepsy in the later stage of stroke.

关 键 词：癫痫 动脉硬化 脑梗死 老年人 

分 类 号：R743.33[医药卫生—神经病学与精神病学] R742.1[医药卫生—临床医学]