急性脑血管病继发癫痫的临床分析

Clinical Analysis of Epilepsy Secondary to Acute Cerebrovascular Disease

目的：探讨急性脑血管病继发癫痫的临床特点、发病机制、发作类型及治疗预后。方法：对我科2006年1月～2014年1月收治的经头颅CT、MRI证实的389例急性脑血管病继发癫痫患者的临床资料进行分析，总结其临床特点、发病机制、发作类型、治疗及预后。结果：本组急性脑血管病继发癫痫的发病率为4．77％（389／8152），癫痫发病率与脑血管病的类型、发病部位有关；其中以脑梗死患者、累及皮层或邻近皮层者易患，发作形式以单纯部分性运动发作的发病率较高。结论：急性脑血管病继发癫痫的原因主要与脑水肿有关，病灶主要位于皮层或邻近皮层者易发作，发作类型以单纯部分性运动为多，累及大脑皮层者发生癫痫的危险性高，预后较差。

Objective：To explore the acute cerebrovascular clinical features of epilepsy,the mecha- nism, seizure types and the influence on prognosis. Methods：From January 2006 to January 2014,389 epileptic patients with cere-provascula discase confimed by CT and MRI were retrospectively analyzed and the clinical characteristics of the patients, seizure types and the influence on prognosis wer summarized. Results.. The incidence of patients with cerebro vascular epilepsy was 4.77%, the incidence of epilepsy was related to seizure types of eerebrovascular disease and the incidence area which was more found in patients with cerebral infarction, spasm involved mainly in cortex or vicinity cortex, and simple partial seizure was the most episode. Conclusion：The cause of epilepsy secondary to cerebrovaseular disease is mainly related to brain edema with the disease lesion mainly in cortex or vicinity cortex. The type of the incidence mainly belongs to simple partial seizure and those involving the cerebral cortex take a high risk of epilepsy.