脑血管病继发癫痫66例临床研究

目的:探讨脑血管病与继发性癫痫的关系。方法:对66例脑血管病继发性癫痫作总结分析。结果:早期型癫痫43例,迟发型癫痫23例。病变部位多侵及脑叶(47/66),癫痫以全面发作居多,治疗效果佳。结论:脑血管病是继发性癫痫的重要原因之一,早期型癫痫多不需长期服抗癫痫药,迟发型癫痫多需长期服抗癫痫药,脑血管病急性期癫痫发作组患者死亡率明显高于非癫痫组,癫痫持续状态提示患者病情危重、预后不良。

Clinical Study on 66 Cases of Cerebrovascular Disease with Secondary Epilepsy

Objective:To discuss the relationship between cerebrovascular disease (CVD) and its secondary epilepsy. Methods:66 cases of cerebrovascular disease with epilepsy were summarized and analysed.Results:Among the patients,there were 43 cases of early epilepsy,23 cases of late epilepsy.Most lesion location existed in the cerebral lobe(47/66).Most of them showed overall onset of epilepsy;however,after medication,having better therapeutic effects.Conclusion:Cerebrovascular disease is one of the main causes in secondary epilepsy.Most patients with early epilepsy needn't take antiepileptic drugs for a long time, but patients with late epilepsy have to.The death rate of the patients with cerebrovascular disease in acute epilepsy onset group are higher than that in non-epilepsy group,and sustaining status of epilepticus shows that patient's condition was serious and had poor prognosis.