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颈动脉内膜切除术后可并发各种并发症,但局灶性运动性癫痫却少见,作者在约1,100例此种手术中发现4例(3男、1女),年龄为58～61岁。患者均因偏瘫,语言不清,脑缺血发作等症状而检查发现双侧颈动脉杂音,经血管造影证实为双侧颈动脉或颈内动脉狭窄,施行一侧或双侧颈动脉内膜切除术。4例分别在术后第6、11、3和11天出现癫痫发作,表现为一侧肢体和(或)面部的强直性痉挛性抽搐。死亡1例。作者在分析本文4例和文献中由 Wilkinson 和
After carotid endarterectomy, various complications may occur, but focal locomotor seizures are uncommon. The authors found about 4 cases (3 males and 1 females) of about 1,100 such patients aged 58-61 years . Patients were diagnosed as bilateral carotid arteries due to hemiplegia, vague language, ischemic attacks and other symptoms, bilateral carotid artery or internal carotid artery stenosis confirmed by angiography, and one or both carotid endarterectomy Surgery. Four patients had epileptic seizures on days 6, 11, 3 and 11 postoperatively, respectively, showing tonic spastic convulsions on one limb and / or face. 1 case of death. The authors analyzed 4 cases in this paper and the literature by Wilkinson and