摘要
目的通过对脑卒中后癫癎临床特点的分析,初步探讨癫癎发作的机制。方法对77例脑卒中后癫癎的临床资料进行回顾性分析,对癫癎发生率、发作类型、发作时间和癫癎发作与病灶、病变性质之间关系进行统计分析。结果卒中后癫发生率为8·22%,早发型多于迟发型,癫癎的发生与卒中的部位有关。结论卒中累及大脑皮质易继发癫癎,应引起重视,以减少卒中患者继发癫癎的致残率和病死率,提高生存质量。
Objective To probe the clinical features and the onset mechanism of postapolectic epilepsy. Methods The clinical data of 77 patients with postapolectic epilepsy were studied retrospectively. Results The incidence of the postapolectic epilepsy was 8.22%. The epileptic attack in early stage was higher than that in later stage. The incidence of the postapolectic epilepsy was quite different according to the location of focus （cortex/subcortex）. Conclusion The epilepsy was caused easily when the location of stroke has relation with cortex. It isuggested that the strict, systematic observation and effective therapy should be taken in order to improve the condition of postapolectic epilepsy.
