关键词: 卒中; 症状性癫痫; 早发性痫性发作

Abstract:

Objective To discuss the incidence rate, clinic manifestation, therapy and prognosis of early seizures after stroke. Methods We reviewed and analyzed the patients at the Department of Neurology in our hospital that had stroke from Jan. 2012 to Feb. 2013. Results Among the 1973 stroke patients, 28 patients attacked by early seizures after stroke, the incidence rate was 1.4%. And the incidence rate was 1.1% (20/1785) when it came to the one who suffered infarction, 3.7% (8/188) as to the cerebral hemorrhage patients (P＜0.001); among the 28 patients 20 were male, the incidence rate was 1.7% (20/1149), 8 were female, the incidence rate was 1.0% (8/824); the seizures types were partial seizure or generalized seizure after partial seizure. The number of the patients whose lesions located in cerebral cortex was 13 (46.4%), 6 (21.4%) patients' lesions located in subcortex, others' (32.2%) located in both cerebral cortex and subcortex. Conclusion The incidence of early seizures after stroke has no significant difference between different genders or the types of stroke, the cortical stroke could cause the early seizures after stroke more easily than subcortical stroke.

Key words: Stroke; Symptomatic epilepsy; Early seizures after stroke