10例中风后癫痫患者的脑电图结果：一项回顾性研究。
Electroencephalogram findings in 10 patients with post-stroke epilepsy: A retrospective study.
作者信息
Wen Li-Min, Li Ran, Wang Yan-Ling, Kong Qing-Xia, Xia Min
机构信息
Clinical Medicine College, Jining Medical University, Jining 272067, Shandong Province, China.
School of Basic Medical Sciences, Shandong University, Jinan 250012, Shandong Province, China.
出版信息
World J Clin Cases. 2024 Jan 16;12(2):249-255. doi: 10.12998/wjcc.v12.i2.249.
BACKGROUND
Post-stroke epilepsy is a common and easily overlooked complication of acute cerebrovascular disease. Long-term seizures can seriously affect the prognosis and quality of life of patients. Electroencephalogram (EEG) is the simplest way to diagnose epilepsy, and plays an important role in predicting seizures and guiding medication.
AIM
To explore the EEG characteristics of patients with post-stroke epilepsy and improve the detection rate of inter-seizure epileptiform discharges.
METHODS
From January 2017 to June 2020, 10 patients with post-stroke epilepsy in our hospital were included. The clinical, imaging, and EEG characteristics were collected. The stroke location, seizure type, and ictal and interictal EEG manifestations of the patients with post-stroke epilepsy were then retrospectively analyzed.
RESULTS
In all 10 patients, epileptiform waves occurred in the side opposite to the stroke lesion during the interictal stage; these manifested as sharp wave, sharp-wave complex, or spike discharges in the anterior head lead of the side opposite to the lesion.
CONCLUSION
In EEG, epileptiform waves can occur in the side opposite to the stroke lesion in patients with post-stroke epilepsy.
背景
卒中后癫痫是急性脑血管疾病常见且易被忽视的并发症。长期癫痫发作会严重影响患者的预后和生活质量。脑电图（EEG）是诊断癫痫最简单的方法，在预测癫痫发作和指导用药方面发挥着重要作用。
目的
探讨卒中后癫痫患者的脑电图特征，提高发作间期癫痫样放电的检出率。
方法
纳入2017年1月至2020年6月我院收治的10例卒中后癫痫患者。收集其临床、影像学及脑电图特征。然后回顾性分析卒中后癫痫患者的卒中部位、发作类型以及发作期和发作间期脑电图表现。
结果
10例患者发作间期均在卒中病灶对侧出现癫痫样波；表现为病灶对侧前头部导联尖波、尖慢复合波或棘波放电。
结论
在脑电图检查中，卒中后癫痫患者可在卒中病灶对侧出现癫痫样波。
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