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本文收集33例脑血管病继发癫痫的尸检材料,认为软化灶或出血灶引起抽搐发作与病灶部位密切有关,尤以额顶叶受损多见,为局性性或全身性抽搐,而强直性抽搐发生于脑干、小脑、脑室出血为主。抽搐与病变血管及病灶大小无关。皮层的波及、脑水肿,缺血、缺氧是重要的致痫因素。陈旧梗塞灶较新梗塞灶发生抽搐机会较多。急性期发作随病情好转而终止,而后期发作可用抗癫痫药物治疗。
This article collected 33 cases of autopsy materials of cerebral vascular disease secondary epilepsy, that seizures caused by softening or hemorrhagic lesions and focus of the lesion is closely related, especially the frontal lobe damage more common, focal or generalized convulsions, and rigidity Sexual convulsion occurs in the brainstem, cerebellum, intraventricular hemorrhage-based. Convulsions and lesions of the lesion has nothing to do with the size. Cortical spread, cerebral edema, ischemia, hypoxia is an important cause of epileptogenic factors. Obsolete infarction lesions than older new opportunities for convulsions. Acute onset with the condition improved and termination, and seizures available antiepileptic drugs.