脑梗死继发癫痫的因素与监测(1)
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2011年2月15日
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[摘要] 目的：探讨脑梗死继发癫痫的易患因素，分析总结脑电图动态监测活动。方法：将2005年1月~2009年12月本院神经内科住院的脑梗死继发癫痫患者86例，根据癫痫首发时间分为早发性癫痫组和迟发性癫痫组，对癫痫发作的类型、癫痫发作的时间、脑梗死的部位面积、脑电图检查结果及治疗情况进行分析。对患者随访10个月~4年，平均24个月。结果：癫痫发生时间与脑梗死类型的关系，脑出血、蛛网膜下腔出血多发于早发性癫痫患者，而脑血栓形成患者数明显少于迟发性癫痫患者；癫痫发作与脑梗死部位和面积的关系为脑梗死面积占一侧半球的1/4~1/2和>1/2患者明显多于40 ml的患者明显多于<20 ml的患者。结论：早发性癫痫以脑出血、蛛网膜下腔出血和脑栓塞为主，迟发性癫痫以脑血栓形成为主；脑梗死面积超过一侧半球面积的1/4，脑出血>40 ml者发生癫痫的危险性明显增高。
[关键词] 脑梗死；继发癫痫；因素与监测
[中图分类号] R743.33 [文献标识码]A[文章编号]1674-4721(2011)02(b)-028-02
Epilepsy secondary to cerebral infarction and monitoring of the factors
LIANG Hanmei
(The First People's Hospital Central Hospital of Chenzhou City, Hunan Province, Chenzhou423000, China)
[Abstract] Objective: To study epilepsy secondary to cerebral infarction risk factors, analyze and summarize the dynamic EEG monitoring. Methods: From January 2005 to December 2009 neurology hospital admission 86 patients with cerebral infarction secondary to epilepsy, according to epilepsy starting time were divided into early-onset epilepsy and late-onset epilepsy, the type of seizure , seizures of the time, the site of cerebral infarction area, the EEG findings and treatment were analyzed. Patients were followed up for 10 months -4 years, an average of 24 months. Results: Epilepsy occurred between time and type of cerebral infarction, cerebral hemorrhage, subarachnoid hemorrhage, mainly in patients with early-onset epilepsy, and cerebral thrombosis significantly fewer patients with delayed epilepsy; epileptic seizures and cerebral infarction site and area relationship, the side of cerebral hemisphere area of the 1/4-1/2, and> 1/2 were significantly higher than 40 ml significantly more than patients <20 ml of patients. Conclusion: The early-onset epilepsy to cerebral hemorrhage, subarachnoid hemorrhage and cerebral embolism based, delayed epilepsy in the main cerebral thrombosis; cerebral hemisphere side of the area covering more than 1/4, cerebral hemorrhage> 40 ml are epilepsy significantly increased the risk ......
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