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我院1995年1月至1998年3月收治急性脑血管病所致的继发性癫痫36例,现作一初步分析。 1 临床资料 均为住院病人,既往无癫痫病史。所有急性脑血管病患者均经头颅CT或头颅MR检查证实。癫痫发作的诊断以临床观察为主,其中3例住院期间仅有1次发作,其余均有2次以上发作,经抗癫痫治疗有效。部分病例作过脑电图检查为“痫性放电”。 2 结果 2.1 急性脑血管病后癫痫的发生率:急性脑血管病病人695例,发生继发性癫痫36例(其中脑出血8例,蛛网膜下腔出血2例,脑梗塞26例),发生率为5.18％。 2.2 急性脑血管病发生的部位与癫痫的关系:发生脑叶的急性脑血管病患者159例(包括脑出血和脑
Our hospital from January 1995 to March 1998 admitted to acute cerebral vascular disease caused by 36 cases of epilepsy, is now a preliminary analysis. 1 clinical data are hospitalized patients, no previous history of epilepsy. All patients with acute cerebrovascular disease were confirmed by skull CT or cranial MR examination. The diagnosis of epileptic seizures mainly clinical observation, of which 3 cases during hospitalization only one episode, the rest have more than 2 episodes, the effective anti-epileptic treatment. In some cases for EEG examination as “epileptic discharge.” 2 Results 2.1 The incidence of epilepsy after acute cerebrovascular disease: 695 patients with acute cerebrovascular disease, 36 cases of secondary epilepsy (including 8 cases of intracerebral hemorrhage, 2 cases of subarachnoid hemorrhage, 26 cases of cerebral infarction) occurred The rate is 5.18%. 2.2 The incidence of acute cerebrovascular disease site and the relationship between epilepsy: Cerebral ischemia occurred in 159 patients with cerebrovascular disease (including cerebral hemorrhage and brain