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目的:研究急性脑叶出血与癫癎的关系。方法:选择首次发病、既往无脑卒中及癫癎病史的单纯脑叶出血428例,均在发病至住院阶段观察,并进行回顾性分析。结果:(1)急性脑叶出血后癫癎发生率为12.15％。(2)额叶出血癫癎发生率明显高于颞叶,其它各脑叶间比较无显著性差异。(3)癫癎以即刻发作为主要表现,以大发作多见,且大发作多发生于发病2周内。(4)患者意识障碍程度及死亡率与伴发癫癎不成正比,预后与年龄、既往史、出血部位、出血量、并发症等多因素有关。结论:了解急性脑叶出血后癫癎发作特点,对临床工作有指导意义。
Objective: To study the relationship between acute cerebral lobe hemorrhage and epilepsy. Methods: Forty-two cases of simple cerebral lobar hemorrhage with no history of stroke and epilepsy were selected for the first time. All of them were observed during the period of onset to hospitalization and were retrospectively analyzed. Results: (1) The incidence of epilepsy after acute cerebral lobar hemorrhage was 12.15%. (2) The incidence of epilepsy of frontal lobe hemorrhage was significantly higher than that of temporal lobe, and there was no significant difference among other lobes. (3) Epilepsy with immediate attack as the main performance, more common in major episodes, and the major episodes occurred in the incidence of 2 weeks. (4) The degree of patient’s disturbance of consciousness and mortality are not in direct proportion with the associated epilepsy. Prognosis is related to multiple factors such as age, past history, bleeding site, bleeding volume and complications. Conclusion: It is instructive to understand the characteristics of epileptic seizures after acute cerebral lobar hemorrhage.