Matuja W B
Neurology Unit, Muhimbili Medical Centre, University of Dar es Salaam, Tanzania.
Afr J Med Med Sci. 1990 Jun;19(2):89-92.
Over a period of 2 years, 26 subjects with epilepsy following non-missile head injury were referred to the neurology clinic at Muhimbili Medical Centre, Dar es Salaam. The mean age was 28.5 yr. Twenty of these subjects were males. Sixteen (62%) were victims of road traffic accidents, six (23%) had direct blows of the head and four (15%) had fallen from heights. The first late seizure occurred 2 weeks after injury in all subjects. Fifty-eight per cent had the first late seizure between the third and seventh month after injury. Only 8% had the first seizure after 1 year of injury. Posttraumatic amnesia of over 24 h was the commonest recorded complication and occurred in 58% of subjects. Other complications were: depressed fracture (31%), acute intracranial haematoma (27%) and early seizures (12%). Twenty per cent of subjects had no complications. The role of the head injury complications as a factor in increasing the risk of late epilepsy as well as individual susceptibility to seizures is discussed.
在两年的时间里，26名非导弹头部受伤后患有癫痫的患者被转诊至达累斯萨拉姆穆希姆比利医疗中心的神经科门诊。平均年龄为28.5岁。其中20名患者为男性。16名（62%）是道路交通事故的受害者，6名（23%）头部受到直接撞击，4名（15%）从高处坠落。所有患者首次迟发性癫痫发作均在受伤后2周出现。58%的患者首次迟发性癫痫发作发生在受伤后的第3至7个月。只有8%的患者在受伤1年后首次发作。超过24小时的创伤后遗忘是最常见的并发症，58%的患者出现此并发症。其他并发症包括：凹陷性骨折（31%）、急性颅内血肿（27%）和早期癫痫发作（12%）。20%的患者无并发症。本文讨论了头部损伤并发症作为增加迟发性癫痫风险的一个因素以及个体对癫痫发作的易感性。
