摘要
目的 :探讨脑梗死继发癫痫的易患因素及用动态脑电图 (AEEG)监测脑电活动。方法 :将 6 5例脑梗死继发癫痫病人 (研究组 )与 6 5例同期住院脑梗死病人 (对照组 )AEEG监测资料进行比较分析。结果 :年龄、性别、基础疾病、神经功能缺损程度不足以推断脑梗死后继发癫痫的易患因素 ;脑梗死发生在脑叶皮质区有癫痫样波的病例较在深部白质区有癫痫样波的病例多 ,两者间比较 ,有显著差异 (P <0 .0 5 ) ;腔隙性脑梗死与脑梗死AEEG检出癫痫样波的病例比较 ,两者间无显著性差异 (P >0 .0 5 ) ;脑梗死继发癫痫单个病灶的病例与多个病灶的病例AEEG检测出癫痫样波比较 ,两者间有极其显著性差异 (P <0 .0 1)。结论 :AEEG监测对脑梗死继发癫痫有重要价值。脑梗死继发癫痫的发生在很大程度上决定于脑梗死的部位和脑组织坏死灶的多少。
Objective: To explore the susceptible factors of epilepsy secondary to cerebral infarction and monitor electrical activity of brain using 24 hours AEEG. Methods: Sixty-five patients with epilepsy secondary to cerebral infarction (study group) and sixty-five in-patients with cerebral infarction (control group) were monitored using 24h AEEG. The AEEG and clinical data of two groups were analyzed comparatively. Results: Age, sex, based diseases and degree of the lose of neurofunctions were not enough to deduce the susceptible factors of epilepsy secondary to cerebral infarction. The epileptiform wave of patients whose infarction lesions was in substantia corticalis was more significantly than that of patients whose infarction lesions was in deep white substance (P<0.05). There was no significant difference between the lacunar infarction group and cerebral infarction group in epileptiform wave (P>0.05). In study group, there was much significant difference between the epileptiform wave of the patients with single infarction focus and that of those with multiple foci (P<0.01). Conclusion: AEEG monitoring is of great value for patients with epilepsy secondary to cerebral infarction. Whether cerebral infarction will be seconded by epilepsy is determined by location and amount of infarction focus to great extent.
出处
《江西医学院学报》
2000年第3期59-61,共3页
Acta Academiae Medicinae Jiangxi
关键词
癫痫
并发症
脑电图
脑梗塞
易患因素
epilepsy/complications
electroencephalogram
cerebral infarction
susceptible factor
