老年脑卒中急性期继发癫痫的临床研究

Clinical analysis on succeed epilepsy of elderly cerebral stroke in acute stage

目的探讨老年脑卒中急性期继发癫痫的临床特点。方法回顾性分析老年脑卒中急性期继发癫痫的临床表现、CT改变及EEG特点和预后关系。结果老年脑卒中急性期继发性癫痫以脑出血多见，病变部位以脑叶为主，占75．9％，其次为基底节区占24．1％，发病72h内占79．1％，单纯部分性运动发作者预后好，癫痫持续状态者预后不良。结论老年脑卒中急性期较易继发癫痫，这为临床预防癫痫持续状态提供临床依据。

Objective To study the clinical characteristics of succeed epilepsy of elderly cerebral stroke in acute stage. Methods By the use of review, the relationship between clinical manifestation, computerized tomography （ CT）, characteristic of electroencephalogram （ EEG ） and prognosis was evaluated in 29 succeed epilepsy of elderly cerebral stroke in acute stage. Results The incidence of succeed epilepsy was the most in elderly patients with in the first 75.9% ,basic ganglion was in the second 24.1% ;incident of succeed epilepsy was often in 72 hour after onset79.1% ;prognosis of simple partial seizure was better than other types,and status epilepticus was not good. Conclusion Elderly cerebral stroke was liable to cause epilepsy in acute stage ,which may provide a good clinical basis for preventing status epilepticus.