摘要
目的总结426例脑损伤患者发生癫痫所具有的临床特征,分析致痫因素。方法回顾426例脑损伤患者的病例资料,从中筛选出发生癫痫的病例,总结癫痫的发作特点,分析癫痫发作与多个临床因素的关系。结果颅脑外伤后癫痫的发作与脑损伤的部位等因素密切相关,且早期癫痫的发生与脑挫裂伤、脑内血肿关系密切,晚期癫痫与外伤后脑软化灶关系密切。结论颅脑外伤后早期癫痫的发生,主要是由于脑挫裂伤、脑内血肿等因素导致神经细胞兴奋性增强所引起,晚期癫痫主要是由于脑软化灶、瘢痕形成致痫灶的异常放电引起。因此,外伤性癫痫应针对不同的时间采取相应的治疗。
Objective To summarize the clinical characteristics and etiology of traumatic epilepsy induced by intracerebral hematoma. Methods The clinical materials of 426 cases of such patient were analyzed in its characteristics and etiology. Results qhe episode of epilepsy was related with the location of injury and so on and it related with the injury and hematoma in early stage. It related with softening of brain lesion in late stage. Conclusion The early epilepsy might be caused by the cell exciting in involved location due to injury and hematoma. The late epilepsy might be related with brain softening and scar formation,The treatment should be depended different stages and reasons.
出处
《黑龙江医学》
2007年第10期783-784,共2页
Heilongjiang Medical Journal
关键词
颅脑损伤
癫痫
Cerebral injury
Epilepsy
