老年脑卒中后癫痫病因及临床特点72例临床分析

The elderly post - stroke etiology and clinical features of epilepsy and clinical of 72 cases

目的探讨老年脑卒中后癫痫的发病机理及临床特点。方法对680例老年脑卒中病例进行回顾性分析。结果癫痫发生率为10．58％，以部分性发作为主，年龄、性别与脑卒中后癫痫无明显相关性（P〉0．05），与病灶部位及卒中类型有明显相关性（P〈0．01）。结论癫痫是老年卒中的最常见症状，病灶在脑叶者癫痫发生率高。

Objective To study the elderly post - stroke epilepsy pathogenesis and clinical features. Methods 680 cases of stroke in elderly patients were reviewed. Results The incidence of epilepsy was 10.58%. Mainly of partial seizures. It had no significant correlation with age and gender（ P 〉 0. 05 ）. But had clear correlation with lesion site and the type of stroke（P 〈0.01 ）. Conclusion Epilepsy is the most common symptom after the stroke in elderly. Brain lesions in the leaves had the high incidence of epilepsy.