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目的 :探讨老年脑卒中后癫痫的发生及其临床特点、治疗及预后。方法 :分析老年脑卒中后癫痫 45例临床资料 ,并加以研究总结。结果 :癫痫发生时间与脑卒中类型有关。其发作类型与脑卒中部位有关 ,早发生癫痫用安定控制 ,预后较好 ,迟发性癫痫需抗癫痫治疗 ,大部分预后较好。结论 :早发性癫痫多见于脑出血、蛛网膜下腔出血 ,而迟发性癫痫多见于脑血栓形成 ,二者的发病机理不同。老年脑卒中癫痫发作类型以全面性强直阵挛发作多见 ,其脑卒中部位多位于额、颞、顶叶和额叶 +颞叶。
Objective: To investigate the incidence of senile post-stroke epilepsy and its clinical features, treatment and prognosis. Methods: 45 elderly patients with epilepsy after stroke clinical data, and to study and summary. Results: The time of epilepsy was related to the type of stroke. The type of attack and stroke sites, early seizures with diazepam control, the prognosis is good, delayed epilepsy antiepileptic treatment, most of the prognosis is good. Conclusion: Early-onset epilepsy is more common in cerebral hemorrhage and subarachnoid hemorrhage, and delayed-onset epilepsy is more common in cerebral thrombosis, both of which have different pathogenesis. Elderly stroke seizure types to comprehensive tonic clonic seizures more common, most of its stroke in the frontal, temporal, parietal and frontal + temporal lobe.