De Santis A, Cappricci E, Granata G
J Neurosurg Sci. 1979 Jul-Sep;23(3):207-10.
In a series of 2.980 brain-injured patients, 84 (2.8%) showed epileptic seizures. Epilepsy occurred with a higher incidence rate in operated patients (11.6%) than in non operated ones (1.2%). Seizures appeared within the first week since trauma in 91% of the cases. They have been single in 48%, recurring in 34%, with figures of status epilepticus in 16% partial in 61%, and GM in 33%. Prognosis quoad vitam of early epilepsy seems to be favourable, however, in severely brain-injured patients, seizures occur more frequently and may determine a worsening of the clinical picture even if they are not responsible for the death.
在2980例脑损伤患者中,84例(2.8%)出现癫痫发作。接受手术治疗的患者癫痫发生率(11.6%)高于未接受手术治疗的患者(1.2%)。91%的病例在创伤后的第一周内出现癫痫发作。其中,48%为单次发作,34%为复发,16%为癫痫持续状态;61%为部分性发作,33%为全面性发作。早期癫痫的生命预后似乎较好,然而,在重度脑损伤患者中,癫痫发作更为频繁,即使不是导致死亡的原因,也可能使临床病情恶化。