论文部分内容阅读
目的研究急性脑血管病继发癫癎的临床特点。方法回顾性分析1137例急性脑血管病患者发病后癫癎发作的发生率、脑电图(EEG)及癫癎与脑卒中类型、病灶部位的关系。结果急性脑血管病后癫癎发作的发生率为7.04%,脑叶出血、丘脑出血破入脑室的癫癎发生率较单纯基底节、小脑、脑干出血显著增高(P<0.01);皮质梗死较非皮质梗死发生继发性癫癎的机率明显高(P<0.01)。脑叶、皮质病变继发癫癎与皮质下病变继发癫癎的EEG检查有显著统计学差异(P<0.01)。结论急性脑血管病继发癫癎发作很常见,其发生率与病变部位有关。EEG对急性脑血管后癫癎发作患者的诊断和预后及治疗有一定价值。
Objective To study the clinical features of epilepsy secondary to acute cerebrovascular disease. Methods The incidence of epileptic seizures, EEG and the relationship between epilepsy and stroke types and focal lesion in 1137 patients with acute cerebrovascular disease were analyzed retrospectively. Results The incidence of epileptic seizures was 7.04% after acute cerebrovascular disease. The incidence of epileptic seizures in cerebral lobar hemorrhage and thalamic hemorrhage was significantly higher than that in basal ganglia, cerebellum and brainstem (P <0.01) Compared with non-cortical infarction, the incidence of secondary epilepsy was significantly higher (P <0.01). There were significant differences in EEG examination between epilepsy secondary to epilepsy and subcortical lesions (P <0.01). Conclusion Acute cerebrovascular disease secondary to epileptic seizures are common, the incidence of lesions related to the site. EEG has certain value in the diagnosis, prognosis and treatment of patients with acute cerebrovascular epilepsy.