Clinical analysis on 50 epilepsy patients after cerebral stroke seizure

Objective To analyze the clinical features of epilepsy following cerebral stroke seizure and its effect on the recovery of neural function. Methods Fifty patients with epilepsy following cerebral stroke seizure were analyzed in their seizure location and type, treatment time and effect. All cases were scored on their neural function based on the patients' conditions (slight, moderate and severe). Results Among 980 stroke patients, 50 cases developed epilepsy (5.1%, 50/980). Among them, 34 patients developed seizures in early stage (72%, 36/50), others in late stage(28%,14/50). Among 50 cases with epilepsy, 36 cases suffered seizures located in brain cortex (72%, 36/50); others were located in sub-cortex (28%, 14/50). In early seizure, generalized tonic-clonic seizure (GTS) occurred in 25 cases and partial seizure in 9. In late seizure, 6 cases presented with generalized seizure and 10 cases with partial seizure. The scores of neural function defects (NFD) in the epilepsy group were all lower than those in the control group (P0.05). Conclusion The epilepsy following cerebral stroke seizure usually occurred in the patients with lesions located in cerebral cortex. The epilepsy in early stage following stroke mostly presented with GTS and the one in late stage usually with partial seizure.The theraputic efficiency of the epilepsy following cerebral stroke was worse than the effect of control. The anti-epilepsy treatment is benefit for the recovery of neural function.