脑梗死继发癫痫30例临床分析

Clinical analysis of 30 cases epilepsy after cerebral infarction

关键词:  脑梗死  癫痫  部分性发作

Key words:  cerebral infarction  epilepsy  partial seizure

摘要:

［目的］探讨脑梗死继发癫痫的临床特点及发病机制。［方法］针对352例脑梗死病例中继发性癫痫患者的临床资料进行回顾性分析。［结果］ 脑梗死继发癫痫发作共30例，发生率为8.5% 。癫痫发作的类型以部分性发作最多见，共21例(占70%)。继发癫痫的梗死部位,脑叶梗死26例,基底节区3例,丘脑1例。早发性癫痫11例,迟发性癫痫19例。系统抗癫痫治疗24 例癫痫发作停止。［结论］脑叶梗死较易合并癫痫发作，抗癫痫药物对脑梗死继发癫痫治疗大多有效。

Abstract:

［Objective］ Discussion of clinical feature and pathogenesis of epilepsy after cerebral infarction. ［Method］ The data of 30 patients with epilepsyafter cerebral infarction were analysed respectively, which were selected from 352 cases. ［Results］ Partial seizure is the most common type, 21 cases (70%). Among the cerebral infarction patients. Incidence of secondary epilepsy in cerebral infarction patients is 8.5%. Among the cerebral infarction in cerebral lobe is 26 cases; in basal ganglion infarction is 3 cases and thalamic infarction is 1 cases. 11 patients had secondary epilepsy within 2 weeks after cerebral infarction, 19 cases had secondary epilepsy 2 weeks later after cerebral infarction. Seizure disappears in 24 cases after anti-epilesy therapy.［Conclusions］ Secondary epilepsy often in cerebral lobe infarction and anti-epilepsy therapy is effective for epilepsy after cerebral infarction.