脑中风继发癫痫的易患因素与防治

Risk Factors and Prevention of Secondary Epilepsy after Stroke

目的探讨脑中风患者继发癫痫的发生机理以及防治措施。方法本文对53例脑中风继发癫痫患者的临床资料与同一时期其他脑中风病人进行比较分析。结果脑中风累及皮质的脑叶灶患者极易引发癫痫,蛛网膜下腔出血以及血管畸形导致的脑出血比普通的脑出血患者更易引起癫痫。结论对出血性脑中风患者应进行必要的癫痫预防性治疗。

Objective To investigate the mechanism and prevention measures of secondary epilepsy after stroke.Methods Clinical data of 53 patients with secondary epilepsy after stroke and other stroke patients of the same period were compared.Results Patients with lobar lesions involving the cortex of the stroke were extremely easy to cause epilepsy, subarachnoid hemorrhage and vascular malformation caused bleeding in the brain were more likely to cause epilepsy than normal cerebral hemorrhage patients .Conclusion It is necessary to perform epilepsy preventive treatment in patients with hemorrhagic stroke.