脑血管病所致癫痫发作的临床分析

The Clinical Study of Cerebrovascular Diseases and Epilepsy

目的 研究脑血管病后癫痫发作病人的临床分型及其与原发病和病灶的关系 ,评价脑电图、 CT、MRI对癫痫的诊断价值以及治疗效果。 方法 收集门诊病房几年来治疗的脑血管病合并癫痫发作的病人 85例。按癫痫发作发生的时间和临床表现分型 ,每例病人均做 CT、 MRI和 EEG。将数据进行统计学处理。 结果 本组资料中 ,早期型癫痫 2 6例 (3 1% ) ,迟发型癫痫 5 9例 (69% )。癫痫发作类型以额叶癫痫最常见。脑梗死及多发病灶患者占比例大。药物治疗控制发作效果较好。脑电图能反映病情变化 ,病情控制后 ,脑电图也逐渐好转。而 CT、 MRI对病灶的定位不能反映癫痫的类型。 结论 多发病灶易致癫痫发作 ,额叶癫痫最常见。脑电图对癫痫的诊断和判断癫痫的控制很有帮助 ,CT、MRI无助于癫痫的诊断和评价。

Object To study the clinic type and the relation with the primary affection and focus of the epilepsy caused by cerebrovascular diseases,evaluating the diagnostic value of EEG,CT and MRI to epilepsyand the treatment effect Method Collecting 85 patients with epilepsy causedby VD within recent years,we classified them into two types according to outbreak time or five types according to clinic CT,MRI and EEG of the patients weretaken Relative digital information were analysed with statistics Result There were 26 patients of epilepsy in the earlier period and 59 ones in late time The type of frontal lobe epilepsy was often viewed Patients of cerebral infarction and those with multiple focus were major The effect of antiepileptics treatment was better EEG was improved while epilepsy was controlled The focus orientation by CT or MRI can not reflect the type Conclusion The epilepsy were easily caused by multiple focus and the type of frontal lobe epilepsy was often viewed EEG was a aid of judgement to that whether or not epilepsy was controlled,but CT and MRI can not help diagnose and evaluate epilepsy