CAJ | 학술논문

目的：探析脑卒中后继发癫痫的临床特征。方法选择本院神经内科2012年1月～2014年7月接收的33例脑卒中后早发性癫痫患者，同期选择10例脑卒中后迟发性癫痫患者，分析患者卒中类型，卒中部位，临床疗效及预后，并分析癫痫与卒中类型，病灶部位间的关系。结果与迟发型患者作对比，早发型患者发病率相对偏高，P＜0.05，差异具有统计学意义；早发型入选患者有效率84.85%，迟发型60.0%， P＜0.05，差异具有统计学意义；早发型33例，28例症状得到控制，具有5例出现复发，经过服用1～3 W的抗癫痫药物后，发作停止并停药；迟发型10例，6例病情得到好转，并经过服用3～6个月抗癫痫药物后，发作停止并停药；3例需要长期服用药物控制，1例出现癫痫持续状态发生死亡。结论脑卒中后继发癫痫病变部位多在皮层，早发型患者预后较好。
목적：탐석뇌졸중후계발전간적림상특정。방법선택본원신경내과2012년1월～2014년7월접수적33례뇌졸중후조발성전간환자，동기선택10례뇌졸중후지발성전간환자，분석환자졸중류형，졸중부위，림상료효급예후，병분석전간여졸중류형，병조부위간적관계。결과여지발형환자작대비，조발형환자발병솔상대편고，P＜0.05，차이구유통계학의의；조발형입선환자유효솔84.85%，지발형60.0%， P＜0.05，차이구유통계학의의；조발형33례，28례증상득도공제，구유5례출현복발，경과복용1～3 W적항전간약물후，발작정지병정약；지발형10례，6례병정득도호전，병경과복용3～6개월항전간약물후，발작정지병정약；3례수요장기복용약물공제，1례출현전간지속상태발생사망。결론뇌졸중후계발전간병변부위다재피층，조발형환자예후교호。
Objective To explore clinical features of epilepsy after stroke. MethodsSelected 33 cases of early-onset epilepsy after stroke patients from January 2012 to July 2014 in our hospital, the same period 10 cases of stroke after selected delayed epilepsy, analyzed of stroke type, stroke location, clinical efficacy and prognosi, and analyze the relationship between epilepsy and stroke type, lesion sites between.ResultsLate-onset patients for comparison, the incidence of early-onset patients was relatively high,P<0.05, had difference statistically signiifcance, selected patients with early onset efifciency 84.85%, delayed 60.0%, comparing the two groups there were gaps,P<0.05, had difference statistically significance, early onset 33 cases, 28 cases of patients with symptoms under control with ifve patients had relapsed after 1 to 3 weeks after taking antiepileptic drugs, seizures stopped and withdrawal, delayed 10 patients, 6 patients condition was improved, and after 3 to 6 months of taking antiepileptic drugs, seizures stopped and withdrawal, 3 patients need long-term control medication, one patient died of status epilepticus occur.Conclusion Stroke epilepsy more lesions in the cortex, early-onset patients with a better prognosis.