Clinical Analysis of 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: 50 patients with epilepsy following cerebral stroke seizure were analyzed in their seizure location,types,treatment time and effect.A11 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).36 patients developed seizures in early stage(72%,36/50),and the others in late stage(28%,14/50).Among the 50 cases with epilepsy,36 cases suffered seizures which 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 therapeutic efficiency of the epilepsy following cerebral stroke was worse than that of the contro1.The anti-epilepsy treatment would benefit the recovery of neural function.