脑梗继发癫痫的因素与监测  

FACTORS AND MONITORING OF SECONDARY EPILEPSY INDUCE BY CEREBRAL INFARCTION

作　　者：黄越[1] 

机构地区：[1]川北医学院附属医院儿科,南充637000

出　　处：《现代预防医学》2011年第21期4553-4554,共2页Modern Preventive Medicine

摘　　要：[目的]探讨脑梗继发癫痫的易患因素,分析总结脑电图动态监测活动。[方法]将2005年1月-2009年12月某院儿科住院的脑梗死继发癫痫患者86例,根据癫痫首发时间分为早发性癫痫组;迟发性癫痫组,对癫痫发作的类型、癫痫发作的时间、脑梗死的部位面积、脑电图检查结果及治疗情况进行分析。对患者随访10个月-4年,平均24个月。[结果]癫痫发生时间与脑梗死类型的关系：脑出血、蛛网膜下腔出血多发于早发性癫痫患者,而脑血栓形成患者数明显少于迟发性癫痫患者;癫痫发作与脑梗死部位和面积的关系：脑梗死面积占一侧半球的1/4-1/2和﹥1/2患者明显多于﹤一侧半球的1/4;脑出血20-40ml和﹥40ml的患者明显多于﹤20ml的患者。[结论]早发性癫痫以脑出血、蛛网膜下腔出血和脑栓塞为主,迟发性癫痫以脑血栓形成为主;脑梗死面积超过一侧半球面积的1/4,脑出血﹥40ml者发生癫痫的危险性明显增高。[Objective]To study secondary epilepsy induced by cerebral infarction electroencephalogram（eeg）.[Methods]In January 2005-December 2009,86 in-patients with secondary epilepsy induced by cerebral infarction were studied.According to the starting time of epilepsy,the subjects were divided to early onset group and late onset group.Seizure type,seizure time,infarction area,EEG（electroencephalogram）result were analyzed.Patients were followed for 10 months to 4 years,average 24 months.[Results]Cerebral hemorrhage,subarachnoid hemorrhage occured in early onset seizure,and the number of patients with cerebral thrombosis was obviously less than that of late-onset epilepsy;The patients whose cerebral infarction area ocuppied for 1/4-1/2 and ﹥1/2 were significantly more than those whose infarction area ocuppied for 1/4;The patients with cerebral hemorrhage 20 to 40 ml and ﹥40 ml were significantly more than those with cerebral hemorrhage﹤ 20 ml.[Conclusion]Early onset seizure mostly has cerebral hemorrhage,subarachnoid hemorrhage and cerebral embolism.Late onset epilepsy mostly has cerebral thrombosis;Cerebral infarction area ﹥1/4 and cerebral hemisphere ﹥40 ml are the risk for seizure.

关 键 词：脑梗 继发癫痫 因素与监测 

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]