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目的:探讨脑梗死后迟发性癫的临床特点.方法:对33例脑梗死后迟发性癫的临床资料进行分析.结果:脑梗死后迟发性癫发生率为3.6％(33/916).其中70％(23/33)发生在脑梗死后半年内,而大发作者占52％(17例).部分性发作表现多样.抗癫治疗82％(27例)有效.结论:脑梗死后迟发性癫多发生在脑梗死后半年内,临床表现多样,无抽搐病例易误诊,抗癫治疗效果佳.“,”Objective:To investigate the clinical manifestation of late epilepsy following cerebral infarction.Method: Clinical data of 33 patients with late epilepsy following cerebral infarction was analyzed. Results: The incidence of late epilepsy was 3. 6% (33/916). Seventy percent (23/33) of late epilepsy occurred within half year follwingcerebral infarction, Fifty-two percentage of which was of grand mal. The manifestation of partial seizure was manifold. Eighty-two percent of patiens responded to anti-epileptic therapy. Conclusions: Late epilepsy, usually occurringwithin half year following cerebral infarction, is mani fold in manifestation and responds well to anti-epileptic therapy. Patients without seizure tend to be misdiagnosed.