【摘要】 目的　分析脑卒中后癫痫的临床特征。方法　收集 5 2例脑卒中后癫痫的临床资料 ,并进行了 6～ 2 4个月的随访观察。结果　脑卒中后癫痫发病率为 16 99% ,其中 2周内早期癫痫为 9 15 % ,2周后迟发性癫痫为 7 84%。卒中后癫痫的常见病理损害部位为皮质、脑叶及蛛网膜下腔等结构。卒中后早期癫痫以蛛网膜下腔出血常见 ,发作形式以强直 阵挛发作为主 :迟发性癫痫以脑梗塞多见 ,以部分性发作为主。结论　脑卒中后癫痫十分常见 ,应提倡对其抗癫痫治疗更多还原

【Abstract】 AIM To analysis the clinical features of patients with seizures after stroke. METHODS We studied 52 patients with seizures after stroke and had a follow up of 6～24 months. RESULTS The incidence of seizures after stroke is 16 99%, which comprises 9 15% of patients within 2 weeks and 7 84% of patients after 2 weeks. Seizures after stroke often occurred in leisure of cortical, lobar, subarachnoid structures. Early seizures after stroke chiefly happened in SAH, and were more likely to be generalized seizures. Late seizures after stroke often occurred in CI, and were likely to be partial seizures. CONCLUSION Seizures after stroke are common and command to be managed.更多还原