脑血管病继发性癫痫相关问题探讨

Discussion on the related problems of secondary epilepsy in cerebral vascular disease

目的:探讨脑血管病继发性癫痫的临床诊治。方法:收治脑血管病患者395例,回顾性分析其临床资料。结果:在395例患者中,继发性癫痫35例(8.9%),男性高于女性。癫痫发作类型以部分性发作最多,皮质发生率明显高于皮质下,首次发作多在脑血管病3周内。结论:当脑血管病累及大脑皮层或脑血液循环导致神经元异常放电时易继发癫痫,药物选择应针对不同的发作类型选择不同的药物,多数一线药物效果良好。

Objective:To investigate the clinical diagnosis and treatment of cerebral vascular disease secondary epilepsy.Methods:395 patients with cerebrovascular disease were selected,and the clinical data were retrospectively analyzed.Results:In the 395patients,35 cases(8.9% ) had secondary epilepsy,and the male was higher than the female.Among the types of seizures,partialseizures were the most;the cortical incidence was significantly higher than that of the subcortical incidence;the first seizure timewas more in 3 weeks after cerebral vascular disease.Conclusion:It was easy to secondary epilepsy when the neuron was abnormaldischarge caused by cerebral cortex or cerebral blood circulation disorder after cerebral vascular disease.We should choosedifferent drugs for different types of attack.The effect of the majority of first-line drugs was good.