中风早期的癫痫发作

Early Seizures Following Apoplexy

219例幕上中风病人早期(<30天)癫痫发作发生率为5.5%(脑出血6.4%,脑梗塞4.5%)。急性期(<7天)占83%,迟发期(8～30天)占17%。脑叶出血及脑动脉干支闭塞引起的脑梗塞患者其癫痫发生率最高,建议对这类中风患者于急性期应用抗癫痫药治疗。

Early seizures(within 30 days)occurred in 5.5% of 219 patients with supraten-torial apoplexy,including intracerebral hemorrhage in 6.4% and cerebral infarction4.5% 83% of them was in the acute stage(within 7 days);17% in later delay stage(8 to 30 days).The highest incidence of seizures was found among patients withlobar hemorrhage and cerebral infarction that caused by occlusion of the cerebralarterial stem or branches.It was suggested that anticonvulsants should be used tothose patients in the acute stage.