自发性蛛网膜下腔出血继发非抽搐性癫痫持续状态临床分析被引量：5

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摘要目的探讨自发性蛛网膜下腔出血(SAH)继发非抽搐性癫痫持续状态(NCSE)的危险因素、脑电图特征、临床特征、治疗及预后。方法回顾性分析158例自发性SAH继发4例NCSE的临床资料。结果 EEG以反复间断发作形式为主,波形特点以局灶性电发放为主。自发性SAH继发NCSE组的Hunt and Hess等级(Ⅳ或Ⅴ),脑实质结构损伤(脑内出血,脑梗死等)的发生率高于无癫痫发作组(P<0.05)。4例NCSE患者3例死亡。结论 Hunt andHess等级(Ⅳ或Ⅴ),脑实质结构损伤均为自发性SAH继发NCSE的危险因素。自发性SAH继发NCSE对药物反应差,预后不良。对自发性SAH继发NCSE的患者进行抗癫痫治疗时,应充分权衡患者的预后及药物所致的毒副作用,高危患者应给予预防性抗癫痫治疗。

作者李继华杨娜崔永鹏刘宝军裴斐赵焕燕

机构地区河北联合大学附属开滦总医院

出处《现代中西医结合杂志》 CAS 2013年第19期2100-2102,共3页 Modern Journal of Integrated Traditional Chinese and Western Medicine

关键词蛛网膜下腔出血非抽搐性癫痫持续状态脑电图

分类号 R742.1 [医药卫生—神经病学与精神病学]

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参考文献8

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