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目的观察蛛网膜下腔出血(SAH)继发癫痫发作的临床特点。方法回顾分析近10年来167例SAH中22例继发癫痫的临床资料。结果 SAH继发癫痫的发病率为13.2%,死亡率36.4%;以癫痫发作为首发症状的18例;发作类型以全身强直—阵挛发作(GTCS)为主,占54.5%(12/22),简单部分性运动发作(SPS)占27%(6/22),复杂部分性发作(CPS)占18%(4/22)。结论 SAH易伴发癫痫发作,其发作类型与出血量及部位相关,继发脑损害发生率与死亡率高于未伴发癫痫者。
Objective To observe the clinical characteristics of secondary seizures in patients with subarachnoid hemorrhage (SAH). Methods The clinical data of 22 cases of secondary epilepsy in 167 cases of SAH in recent 10 years were retrospectively analyzed. Results The incidence of secondary epilepsy was 13.2% and the mortality rate was 36.4% in SAH group. Seizure onset was the first symptom in 18 cases. The type of seizure was mainly GTCS (54.5%), , Simple partial motor attacks (SPS) accounted for 27% (6/22), and complex partial seizures (CPS) accounted for 18% (4/22). Conclusions SAH is easily accompanied by seizures. The type of seizure is related to the amount of bleeding and the location of the seizures. The incidence of secondary brain damage and mortality are higher than those without seizures.