动脉硬化性脑梗死继发性癫痫

Secondary Epileptic Seizures to Atherosclerotic Cerebral Infarction

动脉硬化性脑梗死继发性癫痫217例,梗死灶主要位于脑叶,提示痫性活动与皮层梗死密切相关.早发性痫性发作(发生于脑梗死2周内)为短暂性痫性发作,可能为脑代谢异常所致,一般仅临时用安定,预后好.晚发性痫性发作(发生于脑梗死2周后)可能为癫痫灶所致,半数病例需服抗癫痫药.

patients with epileptic seizures to atherosclerotic cerebral infarction.The fact suggested that the seizures is related to the infarction in cerebral lobes.The early epileptic seizures in the first two weeks of cerebral infarction is transient epilepsy attack which might be resulted from metabolic temporary disturbance of brain;The patients need take tranquilizer favorable prognosis.The later epileptic seizures in third week or later might be resulted from an organized foci of the hemisphere.Half of patients with later seizures are controlled by antiepileptic agent,short course of treatment,but the patients need not take antiepiceptic agent for a long time.