脑梗死继发癫痫相关性临床分析  

Clinical analysis on the correlation of epilepsy secondary to cerebral infarction

作　　者：郑晓东[1] 

机构地区：[1]萍乡市人民医院,江西萍乡337000

出　　处：《临床医药实践》2015年第1期20-21,共2页Proceeding of Clinical Medicine

摘　　要：目的:探讨脑梗死后继发癫痫与脑梗死部位的关系以及其临床特征和治疗原则。方法:选择脑梗死后继发癫痫的患者156例,对患者的脑梗死病变部位、临床特征及治疗进行回顾性分析。结果:脑梗死后癫痫的发生率因病灶部位(皮质/皮质下)的不同差异存在显著性,皮质占80.8%,癫痫发作类型中简单部分性发作112例(71.8%),全身强直-阵挛21例(13.5%),复杂部分性发作18例(11.5%),癫痫持续状态5例(3.2%);早发性癫痫占58.9%,迟发性癫痫占41.1%。结论:脑梗死后继发癫痫与脑梗死部位密切相关,以皮质梗死为主,继发癫痫发作形式以简单部分性发作为主,其次为全身强直-阵挛、复杂部分性发作、癫痫持续状态,早发性癫痫治疗效果好于迟发性癫痫。Objective：To investigate the clinical relationship,characteristics and therapeutic principle of epilepsy seconda-ry to cerebral infarction and the cerebral infarction position. Methods：The clinical data of 3 568 cases of cerebral cerebral in-farction with secondary epilepsy in 156 cases,were retrospectively analyzed according to the clinical characteristics and treat-ment of cerebral infarction lesions. Results：The incidence of epilepsy after cerebral infarction（cortex or subcortex）significant difference exists among different,cortex 81% ,112 cases of epilepsy,simple seizure type（71. 6% ）,generalized tonic array twin sex in 21 cases,accounted for 13. 3% ,complex partial seizure in 19 cases,accounted for 12% ,status epilepticus in 5 cases, accounting for 3. 1% ;early onset epilepsy（58. 9% ）,accounted for 41. 1% of the delayed epilepsy. Conclusion：parts of sec-ondary epilepsy after cerebral infarction is closely related to cerebral infarction,give priority to cortical infarction,secondary ep-ilepsy carbuncle attack form is given priority to simple partial seizure,followed by systemic rigidity clonus,complex partial sei-zures,epilepsy carbuncle state continued,early - onset epilepsy treatment effect is better than that of late - onset epilepsy.

关 键 词：脑梗死 癫痫 脑梗死部位 临床特征 治疗原则 

分 类 号：R741[医药卫生—神经病学与精神病学]