脑卒中后癫痫的临床特点及危险因素分析

Analysis of clinical characteristics and risk factors of epilepsy after stroke

目的:探讨脑卒中后癫痫患者的临床特点和危险因素。方法:收治脑卒中患者188例,58例合并癫痫患者为观察组,130例未合并癫痫患者为对照组,比较两组临床资料。结果:在观察组,早发型癫痫发病率显著高于迟发型癫痫;在癫痫发作类型中,出血性脑卒中以全身型为主,缺血性脑卒中以部分发作为主;病灶部位,皮质上病变率显著高于皮质下病变率;危险因素主要包括脑卒中类型、病灶范围和部位。结论:脑卒中后癫痫以早发性、皮质部位为主,相应发病率和脑卒中类型有紧密联系,其中出血性脑卒中、多脑叶和皮层部位是影响脑卒中后癫痫的主要危险因素。

Objective：To explore the clinical characteristics and risk factors of epilepsy after stroke.Methods：188 patients with stroke were selected,58 patients with epilepsy were treated as the observation group,and 130 patients without epilepsy were as the control group.We compared the clinical data of two groups.Results：In the observation group,the incidence of early-onset epilepsy was significantly higher than that of the late-onset epilepsy.In the type of epileptic seizure,the whole body type was the main in hemorrhagic stroke,and partial attack was the main in ischemic stroke.The lesion rate in the cortex in lesion site was significantly higher than in the subcortex.The risk factors included stroke type,range and location of lesion.Conclusion：Epilepsy was mainly early onset and cortical area after stroke.There was a close relationship between the corresponding morbidity and the type of stroke.Hemorrhagic stroke,multilobar and upper cortical site were the main risk factors of epilepsy after stroke.