脑血管病继发癫痫临床特点分析

Analysis of clinical characteristics secondary epilepsy in cerebrovascular disease

目的分析脑血管病继发癫痫临床特点。方法回顾性分析35例脑血管病继发癫痫患者的临床资料,观察其临床特点。结果本组35例患者,经CT或MRI确诊,脑出血、脑梗死所占比重分别为60.00%(21/35)、34.29%(12/35),均高于蛛网膜下腔出血的5.71%(2/35)。部分性发作所占比例为60.00%(21/35),高于全面性发作的40.00%(14/35);早发性所占比例为68.57%(24/35),高于迟发性的31.43%(11/35);伴有偏瘫所占比例为71.43%(25/35),高于未伴偏瘫的28.57%(10/35)。脑血管病继发癫痫患者经针对性治疗,治疗总有效率为97.14%(34/35),仅1例死亡,随访1年,复发率为2.94%(1/34),满意度为(98.6±1.2)分。结论脑血管病继发癫痫患者临床特点各异,通过及时、有效治疗,可改善患者临床症状,提高其生活质量,利于其早日康复。

Objective To analyze clinical characteristics secondary epilepsy in cerebrovascular disease. Methods Clinical data of 35 patients with secondary epilepsy in cerebrovascular disease were retrospectively analyzed, along with observation on their clinical characteristics. Results Diagnosis by CT or MRI in the 35 patients showed higher proportion of cerebral hemorrhage as 60.00%（21/35） and cerebral infarction as 34.29%（12/35） than 5.71%（2/35） of subarachnoid hemorrhage. Proportion of partial seizure was higher as 60.00%（21/35） than 40.00%（14/35） in generalized seizure. Proportion of early onset was higher as 68.57%（24/35） than 31.43%（11/35） in late onset. Proportion of complicated hemiplegia was higher as 71.43%（25/35） than 28.57%（10/35） in non-complicated hemiplegia. After targeted treatment for secondary epilepsy in cerebrovascular disease patients, treatment total effective rate was 97.14%（34/35）, along with only 1 death case. 1-year followup showed recurrence rate as 2.94%（1/34） and satisfaction score as（98.6±1.2） points. Conclusion Secondary epilepsy in cerebrovascular disease patients have various clinical characteristics. Timely and effective treatment can improve clinical symptoms and enhance quality of life in patients, and this method is beneficial for their early rehabilitation.