p90x workout schedule Epilepsy after stroke of 58

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Epilepsy after stroke Clinical analysis of 58 cases

Abstract Objective To analyze the clinical Epilepsy after stroke characteristics, pathogenesis and prognosis. Methods 58 cases of epilepsy after stroke in patients with epilepsy secondary to the time, type, type of stroke, epilepsy and the relationship between lesion site were analyzed retrospectively. Results The incidence of epilepsy after stroke 7.39% (58/785), in which early-onset epilepsy, 81% (47/5 Cool

, late-onset epilepsy,[link widoczny dla zalogowanych], 19% (11/5 Cool

; early-onset generalized seizures in epilepsy accounts for 72.34 % (34/47), delayed onset of seizures accounted for 72.73% of part (8 / 11); cortex lesions epilepsy accounted for 68.97% (40/5 Cool

, subcortical lesions accounted for 31.03% of secondary epilepsy (18/58 ), the difference was statistically significant (P Key words stroke; epilepsy; clinical analysis of stroke is caused an important factor in epilepsy, seizures after stroke, epilepsy occurrence and patterns of understanding can have a positive clinical guidance. Court from December 2003 to December 2007 a total of 785 cases of stroke patients treated, 58 patients with secondary epilepsy, now clinical data analyzed as follows. 1 Materials and Methods 1.1 General information 785 cases of stroke patients after head CT or (and) the first stroke patients were diagnosed as lumbar puncture, all cases were consistent with the Fourth National Cerebrovascular disease meeting established diagnostic criteria. 245 cases of its center-derived infarction, cerebral artery thrombosis in 156 cases of cerebral infarction, intracerebral hemorrhage in 355 cases, 29 cases of subarachnoid hemorrhage. Epilepsy after stroke in 58 cases, the incidence rate was 7.39%. 58 epilepsy patients are in line with the International Epilepsy League in 1981 seizure classification scheme diagnostic criteria, and excluding other causes of epilepsy. 58 patients, 31 males and 27 females; the age of 38 to 78 years, mean (61 ± 8.6) years. 1.2 Methods of analysis of indicators in all cases the data collected through chart review and follow up, follow way for telephone, mail or outpatient, as against time to 2 years after stroke. The author on this group of patients with epilepsy onset, type, type of stroke and epilepsy and the relationship between the lesion sites were analyzed. 1.3 Treatment and prognosis of 47 cases of early-type seizures in 31 cases only 1 or 2 times, only the temporary use of injection and stability control symptoms; 8 cases of antiepileptic drugs from 1 to 3 months after stopping had no recurrence; 5 cases maintenance treatment with antiepileptic drugs; three cases of status epilepticus, 1 patient died, two cases of drug maintenance therapy. 11 cases and 6 cases of delayed antiepileptic drug treatment for 3 to 6 months after the withdrawal, no recurrence, and the remaining five cases of maintenance treatment with antiepileptic drugs. 2 results 2.1 hours of epilepsy attack and stroke type according to different times, divided into early-onset epilepsy after stroke (2 weeks after stroke), delayed (brain more than 2 weeks after onset of stroke), epilepsy duration and proportion of different types of stroke Table 1. 2.2 58 cases of epilepsy in patients with systemic onset type of 36 cases, 20 cases of partial seizures,[link widoczny dla zalogowanych], multiple seizure types in 2 cases. 47 patients within 2 weeks (early onset) seizures in 34 cases of generalized seizures, partial seizures in 12 cases, 1 case of multiple seizure types; 11 cases after 2 weeks (delayed) seizures in 8 cases of partial seizures, generalized seizures 2 cases, multiple seizure type 1 case, see Table 2. 2.3 the relationship between epilepsy and lesion sites of ischemic stroke in a total of 30 cases of epilepsy, including 22 cases of brain lobe (temporal lobe in 10 cases, 6 cases of frontal lobe, parietal lobe in 3 cases, 2 cases of occipital lobe top temporal parietal 1 case),[link widoczny dla zalogowanych], 7 cases of basal ganglia, external capsule 1 case; bleeding 28 cases of epilepsy after stroke, in which brain lobe in 19 cases (10 patients with temporal lobe, parietal lobe in 4 cases,[link widoczny dla zalogowanych], frontal in 3 cases, the top frontal lobe in 1 case, 1 case of top occipital), basal ganglia in 9 cases, the patients were not found in the hypothalamus and cerebellar hemorrhage seizure occurred. The occurrence of post-stroke epilepsy in the cortex was 68.97% (40/5 Cool

, subcortical rate was 31.03% (18/5 Cool

, the difference was statistically significant (P <0.05).
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