卒中后癫痫的研究进展

Research progress about poststroke epilepsy

卒中是老年人癫痫的常见病因。卒中后癫痫发作和癫痫的危险因素仍不明确,卒中后癫痫发作的控制也是一个难题。目前卒中后癫痫发作抗癫痫药物治疗的最佳起始时间、疗程和治疗药物的选择仍存在争议。本综述的目的是讨论目前对卒中后癫痫发作和卒中后癫痫诊断和治疗的观点,以便临床医师更准确地了解卒中后癫痫发作和卒中后癫痫的危险因素,以及改善卒中后癫痫的预防和治疗。

Stroke is a common cause of epilepsy in elderly people.The risk factors of poststroke epileptic seizure and epilepsy remain unclear,and the control of poststroke epileptic seizure is a difficult issue.At present,the optimal starting time of antiepileptic drug(AED)therapy for poststroke epileptic seizure and the choice of treatment drugs are still controversial.The purpose of this review is to discuss the current perspectives about the diagnosis and treatment of poststroke epileptic seizure and poststroke epilepsy,so that clinicians can more accurately understand the risk factors for poststroke epilepsy,and improve the prevention and treatment of poststroke epilepsy.