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癫痫有时是脑内出血(ICH)的首发体征;一些病人的癫痫发作可成为脑出血的永久性后遗症。本文论述了脑内出血(ICH)病程中癫痫的发生率和发作时间、癫痫与出血部位的关系、外科治疗及临床后果。作者研究分析了经 CT 证实的123例原发性脑内出血(ICH),年龄23～85岁(平均61.8岁),78%有高血压病史;男性占46%,女性54%。平均随访4.6年。本组123例病人有31例(25%)在住院前、住院期间和住院后5年内至少有一次癫痫发作。出血症状表现为癫痫者占13%。脑叶出血病人中癫痫发生率最高。脑叶出血44例(33%),额叶11例,枕叶9
Epilepsy is sometimes the first sign of intracerebral hemorrhage (ICH); in some patients, seizures can become a permanent sequelae of cerebral hemorrhage. This article discusses the incidence and duration of epilepsy in the course of intracerebral hemorrhage (ICH), the relationship between epilepsy and bleeding sites, surgical treatment, and clinical consequences. The authors analyzed 123 CT-confirmed primary intracerebral hemorrhage (ICH) ages 23-85 years (mean, 61.8 years) and 78% had history of hypertension; 46% were males and 54% females. The average follow-up 4.6 years. Thirty-one patients (25%) in this group had at least one seizure before hospitalization, during hospitalization, and within 5 years of hospitalization. Hemorrhagic symptoms manifested as epilepsy accounted for 13%. Patients with lobar hemorrhage in the highest incidence of epilepsy. Cerebral lobe hemorrhage in 44 cases (33%), frontal lobe in 11 cases, occipital lobe 9