儿童卒中后早期癫痫的临床特征

Clinical feature on post apoplectic epilepsy in children

目的探讨儿童卒中后早期癫痫的临床特点。方法对428例卒中患儿中53例继发癫痫的临床资料进行回顾性分析。结果儿童卒中后早期癫痫的发病率为124%,卒中后癫痫的发生与病灶部位(皮层、皮层下)有明显相关性。出血性卒中以蛛网膜下腔出血多见,而缺血性卒中则以腔隙性梗死多见。结论儿童卒中后早期癫痫发病率比成人高,非癫痫持续状态预后好。

Objective To explore the clinical feature of early seizures after acute stroke in children.Methods The clinical data of 53 patients of secondary epilepsy taken from 428 patienys with acute stroke studied retrospectively.Results The incidence of the postpoplectic epilepsy in early stage was 12.4%.There were significant relationships between the incidence of the postapoplectic epilepsy and the location of focus(cortex/subcortex).Subarachmid hemorrhage is more common form of hemorrhagic apoplexy.While it is more with lacunars infarction in cerebral arterial thrombosis.Conclusions Incidence rate of early seizures after acute stroke in children is higher than adult.Non-status epilepsy has a good prognosis.