Ist Morpho-Functional Sciences Department, Ist Medical Department, Faculty of Medicine, Grigore T. Popa University of Medicine and Pharmacy, Iaşi, Romania;
Rom J Morphol Embryol. 2020 Apr-Jun;61(2):529-534. doi: 10.47162/RJME.61.2.23.
Epilepsy is characterized by recurrent seizures that cannot be associated with other specific causes. The presence of a single convulsive or tonic seizure after a stroke does not necessarily mean that a person develops a form of epilepsy unless the convulsions become chronic and recurrent poststroke epilepsy. The purpose of our study is to highlight the existence of a connection between the type and the topography of a vascular stroke on the one hand, and on the other hand, the type of seizures that have occurred and how long they have occurred after the stroke. The study was conducted in a total of 165 patients at the Prof. Dr. Nicolae Oblu Emergency Clinical Hospital, Iaşi, Romania, diagnosed with stroke and spastic seizures after stroke and who survived for at least one year. In this study, the ideal patient should be the patient diagnosed for the first time with temporal lobe epilepsy, followed longitudinally by high-resolution imaging techniques. Studying topography and morphopathology of poststroke sequelae can lead to an increase in accuracy prediction of epilepsy after it.
癫痫的特征是反复发生的癫痫发作,且无法归因于其他特定原因。中风后单次惊厥或强直发作并不一定意味着会发展为某种类型的癫痫,除非惊厥变得慢性且中风后反复发生——即 中风后癫痫。我们研究的目的是强调一方面血管性中风的类型和发病部位,另一方面是中风后发生的癫痫发作类型及其持续时间之间存在联系。该研究共在罗马尼亚雅西的普罗夫·德拉努·尼古拉·奥布卢急诊临床医院对 165 名患者进行,这些患者被诊断为中风后出现痉挛性癫痫发作且至少存活一年。在这项研究中,理想的患者应该是首次被诊断为颞叶癫痫的患者,随后进行高分辨率成像技术的纵向研究。研究中风后遗症的发病部位和形态病理学可以提高对中风后癫痫的预测准确性。