脑卒中后继发性癫痫的临床研究

Clinical Study of Epilepsy after Cerebral Stroke

【目的】探讨脑卒中后继发性癫痫患者的临床特征。【方法】回顾性分析本院脑卒中后癫痫患者70例的临床资料，分析癫痫发作与脑卒中发作时间、病灶部位的相关性以及癫痫发作类型的发生率。【结果】70例病例中，早发型癫痫45例（64．2％），迟发型癫痫25例（35．8％）；脑卒中病灶位于皮质的55例，占78．6％，其中颞叶癫痫17例；癫痫发作类型中全身强直阵挛性发作35例，占50％。【结论】脑卒中后癫痫以早发型癫痫为主，病灶部位多位于皮质，而癫痫发作类型多见于全身强直阵挛性。

[Objective] To explore the clinical features of epilepsy after cerebral stroke. [Methods] The clinical data of 70 patients with epilepsy after cerebral stroke were analyzed retrospectively. The correlation between seizure and the time of cerebral stroke, lesion location and the incidence of seizure types of epilepsy. [Results]In 70 patients, there were 45 patients with early-onset epilepsy（64.2%） and 25 patients with lateonset epilepsy（35.8%）. The stroke lesions of 55 patients located in the cortex（78.6 %）, of which 17 patients were temporal lobe epilepsy. The seizure type of epilepsy in 35 patients were complete tetanus clonic seizure （50%）. [Conclusion]The epilepsy after cerebral Stroke is mainly early-onset epilepsy. The most lesions locate in the cortex, while complete tetanus clonic seizure is commonly seen.