Objective To investigate the clinical characteristics of epileptic seizures after cerebrovascular disease and its related risk factors. Methods A retrospective analysis of 478 cases with cerebrovascular disease was performed by reviewing clinical data including the prevalence of post-stroke secondary epilepsy, occurrence time, type of epilepsy, lesion site and prognonic etc. The related risk factors of epileptic seizures after cerebrovascular disease were analyzed with logistic regression analysis. Results The prevalence of epileptic seizures after cerebrovascular disease was 9.62% (46/478), and it was more common in intracerebral hemorrhage. The early epileptic seizures was more frequently after subarachnoid hemorrhagean and intracerebral hemorrhage. A high incidence of epileptic seizures ocurred in patients with cortical lesions, cerebral hemorrhage, cerebral infarction, multiple lobes of the brain affected, electrolyte imbalance and high intracranial pressure. Conclusion The incidence of epileptic seizures after cerebrovascular disease was high, butclose monitoring and analyzing will be helpful to prevent epileptic seizures.%目的 探讨脑血管病后癫痫发作的临床特征及与其相关的危险因素.方法 回顾性分析我科确诊的478例脑血管病患者,随访癫痫发作的情况,包括发作时间、发作类型、病变部位及预后等;Logistic回归分析影响脑血管病后癫痫发作的相关危险因素.结果 脑血管病后癫痫发作的总发生率为9.62％,其中以脑出血后癫痫发作的概率最高,达14.06％,脑出血和蛛网膜下腔出血后癫痫发作的类型均为早发型多见,Logistic回归分析发现皮质病变、脑出血、脑梗死、多个脑叶受累、电解质紊乱及颅内高压是脑血管病后癫痫发作的危险因素.结论 脑血管病后癫痫发作的发生率高,密切注意和分析该病的临床特征将有助于控制脑血管病后癫痫的发作.
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