论文部分内容阅读
目的探讨急性脑血管病继发癫的临床特点及预后。方法选取2011-06—2012-06我院诊治的80例急性脑血管病继发癫患者,给予相应抗癫治疗,对其临床资料进行回顾性分析。结果 80例急性脑血管病继发癫患者中,30例患者经过对原发病治疗,其癫症状得到有效控制;47例抗癫药物治疗后,症状得到控制;3例患者由于原发疾病恶化而死亡。脑出血继发癫以早期发作多见,脑梗死继发癫以晚期发作多见。病灶位于皮层范围的脑血管病患者继发癫的发生率明显较高。早期继发癫以强直-阵挛发作型为主,而晚期继发癫以单纯部分发作型为主。结论了解脑血管病与继发癫之间的关系,对于疾病的治疗和患者的预后有重要临床意义。
Objective To investigate the clinical characteristics and prognosis of acute cerebrovascular secondary epilepsy. Methods Eighty patients with acute epilepsy with cerebrovascular disease who were diagnosed and treated in our hospital from June 2011 to June 2012 were enrolled in this study. Corresponding antiepileptic treatment was given and their clinical data were retrospectively analyzed. Results Seventy patients with epilepsy secondary to acute cerebrovascular disease were treated with primary disease and the symptoms of epilepsy were effectively controlled. After the treatment with 47 antiepileptic drugs, the symptoms were controlled. In the three patients, the original The disease worsened and died. Epilepsy secondary to cerebral hemorrhage more common in early seizures, secondary to epilepsy secondary to cerebral infarction seizures more common. The incidence of secondary epilepsy was significantly higher in patients with cerebrovascular disease with cortical lesions. Early secondary epilepsy with tonic-clonic seizure-based, and late-onset epilepsy with a simple partial seizure-based. Conclusion Understanding the relationship between cerebrovascular disease and secondary epilepsy has important clinical significance for the treatment of disease and the prognosis of patients.