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癫痫后卒中:一种需要注意的卒中

Stroke after Epilepsy:a Stroke Needs More Attention

【作者】 陈蓉

【导师】 肖争;

【作者基本信息】 重庆医科大学 , 神经病学, 2015, 硕士

【摘要】 癫痫和卒中是全世界最常见的两大神经系统疾病。二者之间的关系十分紧密且复杂。众所周知,卒中后癫痫是老年新发癫痫最常见的原因之一。然而,癫痫后卒中却没有得到足够的重视。近年,越来越多的研究发现癫痫后卒中不容忽视:与一般人群比较,癫痫病人有更高的卒中发病风险和死亡风险;癫痫后卒中可能与抗癫痫药物(antiepileptic drugs, AEDs)、癫痫发作及癫痫患者的生活习惯有关。了解卒中在癫痫病人中的发生规律有助于他们的诊断和治疗,改善患者的预后。本文综合文献复习了癫痫后卒中的流行病学,并探讨了他们可能的机制、意义及防治措施。

【Abstract】 Stroke and epilepsy are two of the most common neurological disorders. The relationship between stroke and epilepsy is complicated. It has been well established that stroke is one of the most important causes of epilepsy, especially the new-onset epilepsy among the elderly people. However, the stroke after epilepsy hasn’t been paid enough attention. In recent years, it has been demonstrated that the epilepsy patients have an increased risk of stroke and increased mortality from stroke when comparing with the general population. Additionally, it was proposed that the post-epilepsy stroke might be associated with antiepileptic drugs (AEDs), the epileptic seizures and the lifestyle of the epileptic patients. Thus, the present article comprehensively reviewed the epidemiology and possible reasons for post-epilepsy stroke, and discussed the interventions for post-epilepsy stroke.

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