蛛网膜下腔出血继发癫痫发作  

Epilepsy after subarachnoid hemorrhage.

作　　者：饶宜光[1] 谭晓帆 马春林[3] 黄如训[4] 

机构地区：[1]中山医科大学附属第一医院神经科进修医师 [2]江西省鹰谭市人民医院神经内科 [3]广西中医学院附属医院神经内科 [4]中山医科大学附属第一医院神经科

出　　处：《中国神经精神疾病杂志》2000年第4期209-211,共3页Chinese Journal of Nervous and Mental Diseases

摘　　要：目的　探讨蛛网膜下腔出血继发癫痫的临床特点。方法　回顾性分析近 2 0年来经腰穿及CT证实的 2 84例蛛网膜下腔出血患者中 3 6例继发性癫痫的临床资料。结果　蛛网膜下腔出血继发癫痫的发病率为 12 68% (3 6/2 84) ,其中全身性强直 -阵挛发作占 61 11% (2 2 /3 6) ,简单部分性运动发作占 19 44(7/3 6) ,复杂部分性运动发作占 19 44% (7/3 6) ;2周内癫痫发作 3 3例 ,其中以癫痫为首发症状 16例 ,18例临时用过抗癫痫药 ;2周后癫痫发作的 3例 ,需长期服抗癫痫药。结论　蛛网膜下腔出血较易继发癫痫 ,且与出血量及出血部位密切相关 ;早期发作较易控制 ,晚期发作较难控制 ,需长期服用抗癫痫药。Objective To investigate the clinical features of epilepsy after subarachnoid hemorrhage. Methods The data of 36 patients with secondary epilepsy after subarachnoid hemorrhage were analysed retrospectively. All patients were selected from 284 cases treated in our hospital in recent 20 years. Results The incidance of epilepsy was 12.68%(36/284 cases). Thirty three patients had secondary epilepsy within 2 weeks after subarachnoid hemorrhage. Epilepsy was the presenting symptom in 16 patients. Eighteen patients had to take anti epileptic drugs. Three patient had secondary epilepsy 2 weeks after subarachnoid hemorrhage and had to regular long term anti epileptic therapy. Conclusions Secondary epilepsy is common in subarachnoid hemorrhage. Its occurrence is relate to the position and volume of hemorrhage. Epilepsy can be easily controlled when it occurs early, while it is difficult to control and requires regular anti epileptic therapy when it occurs late after subarachnoid hemorrhage.

关 键 词：蛛网膜下腔出血 癫痫 继发性 发作类型 临床表现 

分 类 号：R743.35[医药卫生—神经病学与精神病学] R742.1[医药卫生—临床医学]