PDF(Pubmed)
Abstract：
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.
OBJECTIVE: 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.
CONCLUSIONS: In EEG, epileptiform waves can occur in the side opposite to the stroke lesion in patients with post-stroke epilepsy.
OBJECTIVE: 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.
CONCLUSIONS: In EEG, epileptiform waves can occur in the side opposite to the stroke lesion in patients with post-stroke epilepsy.
摘要：
背景：卒中后癫痫是急性脑血管病常见且容易被忽视的并发症。长期癫痫发作可严重影响患者的预后和生活质量。脑电图（EEG）是诊断癫痫的最简单方法，在预测癫痫发作和指导用药方面发挥着重要作用。
目的：探讨脑卒中后癫痫患者的脑电图特点，提高癫痫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例脑卒中后癫痫患者。临床，成像,并收集脑电图特征。笔划位置，癫痫发作类型,然后回顾性分析卒中后癫痫患者的发作和发作间EEG表现。
结果：在所有10名患者中，癫痫样波在发作间阶段发生在与中风病变相对的一侧；这些表现为尖锐的波，尖波复杂，或尖刺放电在与病变相对的一侧的前头部引线。
结论：在脑电图中，卒中后癫痫患者的卒中病灶的反侧可出现癫痫样波型。
目的：探讨脑卒中后癫痫患者的脑电图特点，提高癫痫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例脑卒中后癫痫患者。临床，成像,并收集脑电图特征。笔划位置，癫痫发作类型,然后回顾性分析卒中后癫痫患者的发作和发作间EEG表现。
结果：在所有10名患者中，癫痫样波在发作间阶段发生在与中风病变相对的一侧；这些表现为尖锐的波，尖波复杂，或尖刺放电在与病变相对的一侧的前头部引线。
结论：在脑电图中，卒中后癫痫患者的卒中病灶的反侧可出现癫痫样波型。
