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目的探讨脑梗死继发癫痫的临床特点和治疗。方法回顾性分析我院2010年2月至2012年7月年收治确诊的198例患者的临床资料。结果脑梗死继发癫痫发生率为9.3%,其中早发型癫痫占42.9%,迟发型癫痫占57.1%;病灶部位位于大脑皮质占78.3%,癫痫发作类型部分性发作占64.65%,全面性发作占34.85%。结论脑梗死继发癫痫以迟发型为主,病灶部位主要位于大脑皮质,发作类型以部分性发作为主。
Objective To investigate the clinical characteristics and treatment of secondary epilepsy after cerebral infarction. Methods The clinical data of 198 patients diagnosed in our hospital from February 2010 to July 2012 were retrospectively analyzed. Results The incidence of epilepsy secondary to cerebral infarction was 9.3%, of which 42.9% were early-onset epilepsy, 57.1% were delayed-type epilepsy, 78.3% were focal cerebral cortex, 64.65% were epileptic seizures, and all- 34.85%. Conclusions The main type of epilepsy secondary to cerebral infarction is delayed type. The focal lesion is mainly located in cerebral cortex. The type of seizure is mainly partial seizure.