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目的探讨脑卒中后继发癫痫的病因及治疗。方法分析45例患者的临床资料。结果 45例患者全身发作25例,部分发作17例,多种发作类型3例。35例2周内(早发型)癫痫发作中全身发作22例,部分发作10例,多种发作类型2例;10例2周后(迟发型)癫痫发作中,部分发作7例,全身发作3例,多种发作类型1例。结论早期癫痫与卒中后早期病理生理变化的基础有关,致痫的原因随着治疗而改善,一般随原发病治疗的好转而癫痫发作终止,故抗癫痫药物不需长期应用。迟发性癫痫多因中风囊瘢痕机械刺激所致,是慢性过程,应给予足够重视,需要坚持长期治疗。
Objective To investigate the etiology and treatment of secondary epilepsy after stroke. Methods Clinical data of 45 patients were analyzed. Results 45 patients with systemic attack in 25 cases, partial seizures in 17 cases, a variety of seizure types in 3 cases. In the 35 cases of 2 weeks (early-onset) seizures in 22 cases of systemic attacks, partial seizures in 10 cases, a variety of seizure types in 2 cases; 10 cases 2 weeks later (delayed type) seizures, partial seizure in 7 cases, generalized episode 3 For example, a variety of seizures type in 1 case. Conclusion The early epilepsy is related to the pathophysiology of early stroke. The cause of epilepsy is improved with the treatment. Generally, seizures are terminated with the improvement of the primary disease. Therefore, antiepileptic drugs do not need long-term application. Delayed epilepsy due to mechanical stroke caused by stroke scarring, is a chronic process, should be given enough attention, need to adhere to long-term treatment.