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急性中风后癫痫发病率为4.4％～17％,其差别与研究对象、随访时间及脑CT检查等因素有关。自1985年至1992年,为探讨癫痫发作临床特征和中风类型之间的关系,作者对1640例首次中风病人在最初15天内继发癫痫的情况进行了初步研究。 作者在对15万人口连续7年观察研究发现:7年中各类脑中风病人1722例,选择其中1640例供研究,男869例,女771例,平均73±15岁。脑CT结果提示:脑出血168例(脑叶88例、蛛网膜下24例,深部41例);脑梗塞940例(心源性126例)、腔隙梗塞273例、TIA259例。在1640例病人中,15天内有90例发生癫痫,脑电图均示异常。其中单纯部分性发作55例,继发全身性发作25例,全身扩散性发作10例。
The incidence of acute epilepsy after epilepsy was 4.4% ~ 17%, the difference was related to the study object, follow-up time and brain CT examination and other factors. From 1985 to 1992, in order to explore the relationship between the clinical features of seizures and the type of stroke, the authors conducted a preliminary study of 1640 first-episode stroke patients with secondary epilepsy within the first 15 days. The author of 150,000 people for 7 consecutive years of observation and study found that: 7 years of various types of stroke patients in 1722 cases, of which 1640 were selected for study, 869 males and 771 females, mean 73 ± 15 years. Brain CT findings suggest that there are 168 cases of intracerebral hemorrhage (88 cases of lobulation, 24 cases of subarachnoid and 41 cases of deep), 940 cases of cerebral infarction (126 cases of cardiogenic origin), 273 cases of lacunar infarction and 259 cases of TIA. In 1640 patients, 90 cases of epilepsy within 15 days, EEG showed abnormalities. Of which 55 cases of simple partial seizures, 25 cases of secondary systemic attacks, systemic spread of attack in 10 cases.