黄海威 黄如训 陶玉倩 中山医科大学附属一院神经科(510080) 中国神经精神疾病杂志 1999 0 25 4


    关键词：癫痫；动脉硬化；脑梗死 期刊 zgsjjsjbzz 0 论著与学术交流 fur -->


    

【摘要 】 目的 探讨老年人动脉硬化性脑梗死继发癫痫的临床特点。方法 回顾性分析经CT证实的脑梗死1682例中符合条件的86例资料。结果 脑叶梗死72例，基底节区9例(包括腔隙性梗死3例)，丘脑5例。中风2周内继发癫痫发作39例，发作次数1～3次，仅8例需服抗癫痫药；中风2周后继发癫痫发作47例，发作较频，全部需服抗癫痫药。结论 脑叶梗死较易合并癫痫发作，腔隙性梗死较少继发癫痫发作。晚发癫痫较易控制，复发癫痫需规则长期服用抗癫痫药。

Epilepsy after atherosclerotic cerebralinfarction of senile patients.

Huang Haiwei, Huang Ruxum and Tao Yuqian.

    Department of Neurology, the First Affiliated Hospital, Sun Yat-sen University of MedicalSciences, Guangzhou. 510080. Tel:020-87606221

【Abstracts 】ObjectiveToinvestigate the clinical features of epilepsy after atherosclerotic cerebral infarction ofsenile patients. Methods The data of 86 senile patients with secondary epilepsy afteratherosclerotic cerebral infarction were analysed respectively, which were selected from1682 cases. Results Cerebral lobes infarction occurred in 72 cases,basal ganglioninfarction in 9 cases (including 3cases of lacunal infarction) and thalamic infarctioin in5 cases. 39 patients had secondary epilepsy within 2 weeks after stroke, and total attacksfor each were 1 to 3 times, only 8 cases had to take anti-epileptic drugs. 47 cases hadsecondary epilepsy 2 weeks later after stroke, the attacks were frequent, anti-epilepticdrugs were necessary in all of them. Conclusions Secondary epilepsy rarely occurs inlacunal infarction, but often in infarction of cerebral lobes. Epilepsy can be easilycontrolled when it occurs in the early stage of stroke, and regular pharmacotherapy isnecessary for most patients who have epilepsy in the later stage of stroke.

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