摘要
83例颈内动脉系统脑动脉硬化性大片脑梗死患者分为癫痫组（A组27例）和非癫痫组（B组56例）。癫痫发生率高达32．5％。临床观察表明：运动性癫痫是此类癫痫的主要发作形式（88．9％）。早发癫痫绝大部分（84．2％）演变成迟发癫病．两者的发作形式也基本相同。与非癫痫组相比，癫痫组并发的肺部感染、急性心肌缺血和精神心理障碍明显增多（P＜0．05或0．01），独立步行和日常生活自理能力亦明显下降（P＜0．05或0．005）。提示大片脑梗死继发的癫痫无论是早发还是迟发，在其首次发作后即应根据其发作类型开始正规抗癫痫治疗．以有利于预防癫痫再发和神经功能的恢复。
Eighty-three patients with large cerebral infarction caused by cerebral arteriosclerosis within internal carotid artery were divided into two groups: 27 cases in the group with secondary epilepsy and 56 cases in the group without attack. The epileptic incidence was as high as 32. 5 %. Results showed that motor epilcpsy was the main attack. Majority of the early attack could be developed into delayed attack. Pulmonary infection. acute myocardial ischemia and psychologic problem in the group with secondary epilepsy were found rnore often (P<0.05 or P<0. 01 )than in the group without secondary epilepsy. meanwhile low ability in walking and ADI, was also observed frequently in the same group (P<0. 05 or P<0. 005). It was suggested that regular antiepilepsy medication should be glven as soon as the first epilepsy occurred in the large cerebral infarction whatever early or delayed epllcpsy. which would be beneficial to both preventing epileptic reoccurrence or complication and prornoting function recovery.
出处
《中国康复》
1999年第4期203-204,共2页
Chinese Journal of Rehabilitation
关键词
脑动脉硬化
脑梗死
癫痫
功能预后
cerebral arteriosclerosis
cerebral infarction
epilepsy
functional outcome
