50例脑出血后癫痫临床分析

The Clinical Analysis of 50 Cases Epilepsy After Brain Hemorrhage

目的探讨脑出血后癫痫发作的临床特点。方法对我院2008年1月至2011年2月收治的358例脑出血患者中出现癫痫50例患者的临床资料进行回顾分析。结果发现脑出血后癫痫的发生率和病灶部位及出血发生时间有关,早期发作18例,迟发性发作32例。皮层受累更易引起癫痫:脑叶出血,共36例,包括额叶13例,顶叶10例,颞叶7例,枕叶3例,额顶叶3例,其它部位14例,包括内囊6例,丘脑2例,壳核2例,尾状核4例。早发性癫痫与脑水肿及脑代谢异常有关,迟发性癫痫与出血后形成癫痫灶有关。结论脑出血后癫痫常发生在半年内,早期治疗多可缓解,对迟发性癫痫应坚持长期规则服用抗癫痫药。

Objective To investigate the clinical characteristics of epilepsy after cerebral hemorrhage,Methods The clinical data of 50 cases cerebral hemorrhage epilepsy were retrospectively analyzed,Results The incidence rate of epilepsy after brain hemorrhage was related with the lesion site and bleeding time,cortical was more likely caused epitepsyoEarly onset in 18 cases,delayed onset of 32 cases,More likely to cause epileptic cortical involvement：lobar hemorrhage,a total of 36 cases,including 13 cases of frontal lobe,parietal lobe in 10 cases,temperal lobe in 7 cases,occipital lobe in 3 cases,frontal in 3 cases,other parts of the 14 cases, including the internal capsule 6 patients,thalamus in 2 cases, 2 cases of putamen,caudate nucleus in 4 cases,early--onset epilepsy was related with cerebral edema and cerebral metabolic abnormalities,Delayed epilepsy was related with the formation of epilepsy and the epileptic loci after bleeding,Conclusion Epilepsy after brain hemorrhage often occurs within six months,Early treatment can relieve it,and they should adhere to taking long--term anti--epileptic drugs for the late--onset epilepsy