CAJ | 학술논문

目的探讨脑卒中后继发癫痫患者的临床特点.方法回顾性分析62例脑卒中后癫痫患者的临床资料,探讨癫痫类型、发生时间及癫痫与脑卒中类型、部位、大小的关系.结果脑卒中早期癫痫发作发生率显著高于迟发性发作(P＜0.01),早期发作患者以出血性脑卒中为主,占64.2％(P＜0.01);且大脑皮层卒中者显著高于皮层下卒中者(P＜0.01);较大病灶者显著多于较小病灶者(P＜0.01);部分发作患者主要为缺血性脑卒中,占66.7％(P＜ 0.05),全身强直阵挛性发作主要为出血性脑卒中,占84.6％(P＜0.01).结论脑卒中后癫痫以早发性为主,且与卒中类型、部位、大小有关,了解脑卒中后癫痫发作的临床特征,对于该病的防治具有良好的临床指导价值.
목적 탐토뇌졸중후계발전간환자적림상특점.방법 회고성분석62례뇌졸중후전간환자적림상자료,탐토전간류형、발생시간급전간여뇌졸중류형、부위、대소적관계.결과 뇌졸중조기전간발작발생솔현저고우지발성발작(P＜0.01),조기발작환자이출혈성뇌졸중위주,점64.2％(P＜0.01);차대뇌피층졸중자현저고우피층하졸중자(P＜0.01);교대병조자현저다우교소병조자(P＜0.01);부분발작환자주요위결혈성뇌졸중,점66.7％(P＜ 0.05),전신강직진련성발작주요위출혈성뇌졸중,점84.6％(P＜0.01).결론 뇌졸중후전간이조발성위주,차여졸중류형、부위、대소유관,료해뇌졸중후전간발작적림상특정,대우해병적방치구유량호적림상지도개치.
Objective To explore the clinical features of patients with epilepsy secondary to stroke.Methods The clinical data on 62 patients with epilepsy secondary to stroke were retrospectively analyzed.Results The rate of early-onset of epilepsy was significantly higher than that of the delayed onset of epilepsy ( P＜ 0.01 ).Hemorrhagic cerebral stroke was the major cause ( 64.2％ ) for the early-onset of epilepsy ( P ＜ 0.01 ).The rate of cerebral cortex stroke was significantly higher than that of subcortical stroke ( P ＜ 0.01 ); Patients with larger lesions were significantly more than those with smaller lesions ( P＜ 0.01 ).There were more patients with ischemic cerebral stroke ( 66.7％ ) in partial epilepsy ( P＜ 0.01 ) and more with hemorrhagic cerebral stroke ( 84.6％ ) in generalized tonic-clonic epilepsy ( P＜ 0.01 ).Conclusions Epilepsy secondary to stroke is mainly early-onset and it is related with types,location,and lesion sizes of stroke.Understanding of the clinical features of epilepsy secondary to stroke has a better clinical value in the prevention and treatment of this disorder.