缺血性脑卒中后继发癫痫的临床探讨

目的探讨缺血性脑卒中后继发癫痫的临床特点。方法对110例缺血性脑卒中后继发癫痫的临床资料进行分析。结果缺血性脑卒中后继发性癫痫发生率为13.06%,皮层病灶继发癫痫发生率高,占77.27%;而全身强直阵挛发作占58.19%,部分性发作表现多样,抗癫痫治疗有效。结论缺血性脑卒中后继发性癫痫多发生在脑卒中半年内,以大脑皮质的发生率为高,临床表现多样,抗癫痫治疗效果佳。

Objective To investigate the clinical features of secondary epilepsy after ischemic stroke. Methods 110 cases of ischemic stroke secondary epilepsy clinical data analysis. Results After cerebral ischemic stroke secondary epilepsy occurred in 13.06%, cortical lesions secondary epilepsy rate high, accounting for 77.27%; and generalized tonic-clonic seizures accounted for 58.19%, partial seizure manifestations of diversity, effective antiepileptic treatment.Conclusion Ischemic stroke secondary epilepsy occurred in the stroke within half a year in the cerebral cortex, the incidence rate is high, clinical manifestations, treatment effect.