Objective To investigate the pathogenesis clinical characteristics and treatment method of epilepsy after cerebral stroke. Methods A retrospective analysis of 83 cases of patients with epilepsy was made in seizure duration,seizure types and stroke character, stroke location relationship. Results In 83 cases,there were hemorrhagic cerebrovascular disease 54 cases,epilepsy after subarachnoid hemorrhage 10 cases,epilepsy after cerebral infarction 29 cases,cortical lesions 58 cases,epilepsy after subcortical lesions 15 cases,early onset epilepsy 57 cases, epilepsy after delayed epilepsy 26 cases. Conclusions The occurrence of epilepsy due to cortical lesions is higher than subcortical lesions. Early onset of seizures in epilepsy after hemorrhage is more than epilepsy after infarction, with high occurrence of partial seizures. There is no difference in hemorrhage and infaction of delayed epilepsy, with high occurrence of systenic seizures.%目的 探讨脑卒中后癫痫的发病机制、临床特点、治疗方法.方法 回顾性分析83例卒中后癫痫患者的发作时间、发作类型与卒中性质、卒中部位的关系.结果 83例患者中,出血性脑血管病继发癫痫54例,其中蛛网膜下腔出血继发癫痫10例,脑梗死后继发癫痫29例.皮层病变发生癫痫58例,皮层下病变发生癫痫15例.早发癫痫57例,迟发癫痫26例.结论 皮质病变发生癫痫高于皮层下病变,早发性癫痫中出血后癫痫高于梗死后癫痫,以部分性发作多发,迟发癫痫中出血和梗死发生率无差别,以全身性多发.
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