关键词：蛛网膜下腔出血；癫痫
【摘要】 目的 探讨蛛网膜下腔出血继发癫痫的临床特点。方法 回顾性分析近20年来经腰穿及CT证实的284例蛛网膜下腔出血患者中36例继发性癫痫的临床资料。结果 蛛网膜下腔出血继发癫痫的发病率为12.68%(36/284)，其中全身性强直-阵挛发作占61.11%(22/36)，简单部分性运动发作占19.44(7/36)，复杂部分性运动发作占19.44%(7/36)；2周内癫痫发作33例，其中以癫痫为首发症状16例，18例临时用过抗癫痫药；2周后癫痫发作的3例，需长期服抗癫痫药。结论 蛛网膜下腔出血较易继发癫痫，且与出血量及出血部位密切相关；早期发作较易控制，晚期发作较难控制，需长期服用抗癫痫药。
Epilepsyafter subarachnoid hemorrhage
Rao Yiguang Tan Xiaofan Ma Chunlin Huang Ruxun
( Department ofNeurology, People sHospital of Shen Zhen City, Shen Zhen. 518020. Tel:0755-5533018-3022 )
【 Abstract 】 Objective To investigate the clinicalfeatures of epilepsy after subarachnoid hemorrhage. Methods The data of 36 patients with secondary epilepsy aftersubarachnoid hemorrhage were analysed retrospectively. All patients were selected from 284cases treated in our hospital in recent 20 years. Results The incidance of epilepsy was12.68%(36/284 cases). Thirty-three patients had secondary epilepsy within 2 weeks aftersubarachnoid hemorrhage. Epilepsy was the presenting symptom in 16 patients. Eighteenpatients had to take anti-epileptic drugs. Three patient had secondary epilepsy 2 weeksafter subarachnoid hemorrhage and had to regular long-term anti-epileptic therapy. Conclusions Secondary epilepsy is common insubarachnoid hemorrhage. Its occurrence is relate to the position and volume ofhemorrhage. Epilepsy can be easily controlled when it occurs early, while it is difficultto control and requires regular anti-epileptic therapy when it occurs late aftersubarachnoid hemorrhage.
【 Key words 】 Subarachnoidhemorrhage Epilepsy ▲
脑卒中继发癫痫发作并不少见 ......
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