探讨脑梗死后继发癫痫的临床特点

Clinical Features of Secondary Epilepsy After Cerebral Infarction

目的探讨脑梗死后继发癫痫的临床特点。方法选择本院在2014年7月-2016年7月收治的66例脑梗死后继发癫痫患者为研究主体。回顾性分析其继发癫痫的发作类型、发作时间、病灶位置、治疗和预后。结果脑梗死后继发癫痫的发作类型中最为常见的是部分性发作,比率是71.21%;发作时间多为早发型,为42例（63.64%）;病灶位置居于皮质部位较多,为51例（77.27%）;所有患者的治疗和预后效果均较好。结论脑梗死后继发癫痫具有较明显的临床特点,以早发型、部分性发作和皮质部位发作为主。经早期治疗,病情会显著缓解,而迟发型癫痫者坚持长时间的抗癫痫治疗,同样可取得良好预后。

Objective To investigate the clinical features of secondary epilepsy after cerebral infarction. Methods 66 patients with secondary epilepsy after cerebral infarction in our hospital were selected as research subjects from July 2014 to July 2016. The type,duration,location,treatment and prognosis of secondary epilepsy were retrospectively analyzed. Results The most common type of secondary epilepsy after cerebral infarction was partial seizures,and the ratio was 71.21%. The onset time was early onset,42 cases（63.64%）. The location of the lesion was more in the cortex,51 cases（77.27%）. The treatment and prognosis of all patients were good. Conclusion The clinical features of epilepsy secondary to cerebral infarction have obvious clinical features,such as early onset,partial seizures and focal cortical seizures. Early treatment,the disease will be significantly reduced,and the late onset of epilepsy patients adhere to a long period of antiepileptic treatment,also can achieve a good prognosis.