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本文报告68例急性脑卒中后癫痫发作,其中51例脑出血,17例为脑梗塞。脑出血51例中35.29%为即刻发作,56.86%为早期发作,3.92%为后期发作,35.29%为癫痫持续状态,41.18%为大发作,23.53%为局灶发作。脑梗塞12例中即刻发作,早期发作及后期发作分别为5.88%、64.71%和29.41%,其癫痫持续状态、大发作和局灶发作分别为23.53%、47.06%和29.41%。本文资料证实,1、癫痫是由于出血灶或梗塞灶波及大脑皮层,2、抗癫痫药物在紧危状态时应用是必须的,特别是病灶波及大脑皮层时应用抗癫药物预防是必须的,3、急性脑卒中后伴癫痫患者较不伴癫痫者预后差,两者有非常显著差异。
This article reports 68 cases of acute post-stroke seizures, including 51 cases of cerebral hemorrhage and 17 cases of cerebral infarction. Among the 51 cases, 35.29% were immediate attack, 56.86% were early attack, 3.92% were late attack, 35.29% were status epilepticus, 41.18% were major attack, 23.53% For the focal attack. In the 12 cases of acute cerebral infarction, immediate attack, early attack and late attack were 5.88%, 64.71% and 29.41%, respectively. The status of epilepticus, major attack and focal attack were 23.53% and 47% respectively. 06% and 29.41%. This data confirmed that 1, epilepsy is due to hemorrhagic lesions or infarction affecting the cerebral cortex, 2, antiepileptic drugs in the tight state of the application is necessary, especially when applied to the cerebral cortex antiepileptic prevention is necessary, 3 , Acute stroke patients with epilepsy compared with those without epilepsy, poor prognosis, the two have very significant differences.