出血性脑卒中后继发癫痫临床分析  

Clinical Analysis on the Secondary Epilepsy after Hemorrhagic Stroke

作　　者：丁亚楠[1] 李春晖[1] 田春辉[1] 郝梦然[1] 刘海建[1] 

机构地区：[1]河北大学附属医院神经外科,保定070100

出　　处：《中国医药导刊》2011年第10期1695-1695,1697,共2页Chinese Journal of Medicinal Guide

摘　　要：目的:探讨出血性脑卒中后继发癫痫的临床特点。方法:对386例住院确诊出血性脑卒中患者进行随诊,并对其呼床资料进行回复分析。结果:386例患者中出现继发癫痫42例(10.9%),其中早发性癫痫36例(85.7%),迟发性癫痫6例(14.3%),皮质范围内出血212例(60.9%),皮质下范围136例(39.1%),皮质出血较皮质下出血更易发生继发性癫痫,以30ml出血量为界限,<30ml 11例(26.2%),>30ml 31例(73.8%),随着出血量增大,继发癫病例数有增加。结论:出血性脑卒中后继发癫痫早发性发生率高,皮质范围内出血易发生,同出血量有正相关性。且抗癫痫治疗效果好。Objective： To investigate clinical features of secondary epilepsy of the hemorrhagic stroke.Methods： 386 hospitalized patients diagnosed with hemorrhagic stroke were followed up, and response analysis of the clinical data.Results; In 386 patients, there were 42 cases of secondary epilepsy （10,9%）, 36 cases of early-onset epilepsy （85.7%）, 6 cases of late-onset epilepsy （14.3%）, 212 cases of the cortical hemorrhage （60.9%）, 136 cases of the subcortical hemorrhage （39.1%）.Cortical bleeding than subcortical hemorrhage more likely occurred secondary epilepsy, limit in 30ml measure, ll cases of 〈30ml bleeding amount （26.2%）, 31 cases of〉30ml bleeding amount （73.8%）, cases increase of secondary epilepsy with the bleeding amount increasing.Conclusion： The incidence of early onset epilepsy was high for secondary epilepsy of ttemorrhagic stroke.The cortex scope of bleeding easily happen, and there was a positive correlation in bleeding amount and cortex scope.

关 键 词：出血性脑卒中 继发性癫痫 

分 类 号：R743.3[医药卫生—神经病学与精神病学] R742.1[医药卫生—临床医学]