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目的:分析患者在脑卒中后引发癫痫的原因以及类型,并探究其治疗方法。方法:选取2012年1月至2015年1月期间,我院收治的50例脑卒中继发癫痫患者作为本次研究对象,对患者的病历资料回顾分析。结果:50例患者中,32例属于癫痫全面发作,占64%,18例属于癫痫部分发作,占36%;29例属于早发性癫痫,占58%,21例属于迟发性癫痫,占42%;27例属于皮层病灶继发型癫痫,占54%,23例属于皮层下病灶继发性癫痫,占46%。结论:根据研究结果发现,脑卒中是继发性癫痫发作的原因之一,脑卒中后引发的癫痫以早发性全面性发作类型为主,脑卒中病灶部位和继发癫痫的类型具有关联性,因此,加强对脑卒中患者病情观察,针对不同类型的脑卒中后引发的癫痫,选择相应的药物进行治疗,积极防治并发症,是控制病情减少癫痫发作次数的关键。
OBJECTIVE: To analyze the causes and types of patients with epilepsy after stroke and to explore their treatment. Methods: From January 2012 to January 2015, 50 patients with secondary epilepsy in stroke admitted to our hospital were selected as the object of this study. The medical records of the patients were retrospectively analyzed. Results: Of the 50 patients, 32 were epilepsy, accounting for 64%, 18 were epileptic seizures, accounting for 36%; 29 were epilepsy, accounting for 58%; 21 were late-onset seizures, accounting for 42%; 27 cases of epilepsy secondary to cortical lesions, accounting for 54%, 23 cases of epilepsy secondary to subcortical lesions, accounting for 46%. Conclusions: According to the results of the study, stroke is one of the causes of secondary seizures. Epilepsy induced by stroke is predominantly of early-onset generalized seizure type. The location of focal lesion and the type of secondary epilepsy are correlated Therefore, to strengthen the observation of patients with stroke, different types of stroke-induced epilepsy, select the appropriate drug for treatment, prevention and treatment of complications, is the key to control the condition to reduce the number of seizures.