【摘要】 目的:探讨脑卒中后继发性癫痫的发生与卒中类型、部位和面积的关系,以指导治疗,评价预后。方法:选择2000年1月至2006年12月连续住院的480例脑卒中患者中出现继发性癫痫的42例患者,对他们的临床特点、头颅CT情况进行χ2检验单因素统计分析。结果:脑卒中后继发性癫痫患者多见于脑皮质卒中患者,皮质脑卒中组癫痫发生率明显高于皮质下脑卒中组癫痫发生率,有极显著性差异(P<0.01)。>4 cm的脑卒中病灶组癫痫发生率明显高于<4 cm脑卒中病灶组癫痫发生率,有极显著性差异(P<0.01)。出血性卒中组和缺血性卒中组癫痫发生率无显著性差异(P>0.05)。结论:脑卒中后继发性癫痫的发生率与脑卒中类型无关,与脑卒中发生部位和面积有关。更多还原

【Abstract】 Objective:To discuss the relation of epilepsy after cerebral stroke bettwen it’s location,area and classification,and to explore the treatment principle afterward epileptic seizures.Methods:To analyse retrospectively the clinical fteature date of head CT and medication of 480 cerebral stroke cases(42 of them were with epileptic seizures).Results:Occurrence of epileptic seizure after cerebral stroke mostly happened in cerebral cortex stroke,>4 cm in the cerebral stroke cases was more than <4 cm in the cerebral stroke cases.There was not different between the cerebral ischemia and the cerebral infarction.Conclusion:Occurrence of epileptic seizures after cerebral stroke is closely related to the location,size rather than the classification.更多还原