脑血管病继发癫痫33例临床分析  

Clinical analysis of 34 cases symptomatic epilepsy secondary to cerebrovascular disease

作　　者：屈永才[1] 刘广忠[1] 杨杰[2] 

机构地区：[1]延安大学医学院附属医院神经内科,陕西延安716000 [2]延安大学医学院生理学教研室,陕西延安716000

出　　处：《延安大学学报（自然科学版）》2002年第2期62-64,共3页Journal of Yan'an University：Natural Science Edition

摘　　要：目的 :研究脑血管病与继发癫痫的关系。方法 :对 5 88例脑血管病人进行回顾性分析。结果 :脑血管病继发癫痫的发病率为 5 .6 % ,年龄以 6 0岁以上老年人多 (6 7% ) ,早发型多于晚发型 ;皮质病变的癫痫发生率多于皮质下。继发性癫痫的类型以全面性发作为多 ,脑电图改变以病灶侧局限性δ波或θ波和弥漫性慢波多见 ,而典型的癫痫性波少见。结论 :脑血管病继发癫痫的原因与脑血管病类型、病变部位和病程有关 ,抗癫痫药物治疗视病情和发作类型而定。Objective:To study the relation between cerebrovascular disease and symptomatic epilepsy.Methods:588 cases of cerebrovascular disease were analysised retrospectively.Results:The occurence rate of sympomatic epilepsy secondary to cerebrovascular diseases was 5.6%. Most of the patient(67%)ware older than 60.Early epiepsy was more frequent than late epilepsy and cortical lesion epilepsy was more frequent than subcortical lesion epilepsy.Generalized epileptic seizure were frequently seen.Cerebro-electrography was characterized by local δ wave or wave in the damaged half and by disseminated slow waves.Typical seizure-like discharge waves were rarely seen.Conclusion:The cause of symptomatic epilepsy secondary to cerebrovascular disease was related the type,location and course of cerebrovascular disease.Treatment with anti-epilepsy drugs should depend on the seventy of the disease and the type of attack.

关 键 词：脑血管病 继发癫痫 临床分析 

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]