摘要
目的探讨脑卒中后继发性癫痫的临床特点和防治措施。方法回顾性分析2009年1月至2012年1月我院收治的48例经CT和(或)MRI证实的脑卒中后继发性癫痫患者临床资料。结果我院EP发生率为8.33%。蛛网膜下腔出血继发性癫痫发病率最高为17.9%,其次为混合性卒中、脑出血、脑梗死,分别为15.4%、9.7%、3.6%;早发性癫痫占70.8%,迟发性癫痫占29.2%;病灶发生部位以皮质病变为主占80.3%,明显高于其他发病部位(P<0.01)。结论 EP的发生与卒中类型、病程、病变部位及用药等密切相关,了解卒中后癫痫的发病特点及相关性,利于指导治疗、评价预后、降低病死率。晚期发作需长期抗癫痫药物治疗。
Objective To investigate the clinical characteristics of secondary epilepsy after stroke and prevention measures.Methods A retrospective analysis of 48 cases from January 2009 to January 2012 in our hospital CT and（or） MRI confirmed post-stroke patients with secondary epilepsy clinical data.Results The hospital EP incidence rate of 8.33%.Subarachnoid hemorrhage secondary epilepsy incidence of up to 17.9%,followed by mixed stroke,cerebral hemorrhage,cerebral infarction,respectively,15.4%,9.7%,3.6%;70.8% of early-onset epilepsy,tardive epilepsy,29.2%;the lesion occurrence site mainly cortical lesions（80.3%） was significantly higher than that of other diseased parts（P0.01）.Conclusion EP occurrence and type of stroke,duration of the lesion and drug use is closely related to the understanding of stroke epilepsy after onset characteristics and relevance,which will help guide treatment,prognostic evaluation,and reduce mortality.The late onset requires long-term antiepileptic drug therapy.
出处
《中国医药指南》
2013年第1期3-4,共2页
Guide of China Medicine
关键词
脑卒中
继发性癫痫
临床特点
防治措施
Stroke
Secondary epilepsy
Clinical features
Prevention measures
