难治性癫痫62例临床分析

CLINICAL ANALYSIS OF 62 CASES OF OBSTINATE EPILEPSY

本文分析62例难治性癲痫,有明确病因者占87％,复杂部分性发作占42％.脑电图异常率为93％。30例行头颅C7检查,异常率为67％.本文分析指出,导致癫痫难治的因素与器质性病变、发作类型、脑电图持续性异常、急、慢性感染有关;而情绪紧张,睡眠不足,失规律生活均可能是促发因素.本文并提出增加单药浓度、联合用药、改善患者体质、注意心理状态、有规律地生活是有益于控制发作在最低限度的措施.

In this paper 62 cases of obstinate epilepsy are analysed. Of these cases, definite causes of epilepsy could be traced in 87%, complex partial seizure occurred in 42%, and EEG abnormalities were found in 93%. In 30 patients who taken a brain CT examination, the abnormality rate was 67%. Clinical evidences revealed that the obstinacy of epilepsy was in correlation with its organic pathogenesis, seizure typs, continuous abnormality in EEG and acute or chronic infection. and seizure was often induced by stressing emotion, insuffecient sleep or irregular life. It is recommended that:① in patients with epilepsy comlecated by psychiatric disorder, anti-epileptics often bring little effectiveness, hence psychotlerapy should be considered; ② careful ehoice of anti-epileptiesis extremely important, for once the drug of choice fails to give good result other drugs will also bring little effect;③ although a combination of drugs can be more effective, close attention should be paid to the compatibility of medicines to avoid any possible side-effect or toxication.