| Song Xiaoling,Zhao Dongmei,Hu Yijun,Zou Xin,Zhang Diwen,Multiple factors study of stroke type, stroke location and post-stroke epilepsy[J].SICHUAN MENTAL HEALTH,2020,33(2):164-167 |
| Multiple factors study of stroke type, stroke location and post-stroke epilepsy |
DOI：10.11886/scjsws20191011001 |
| English keywords:Epilepsy Stroke Stroke type Stroke location |
| Fund projects:四川省卫计委课题（项目名称：卒中后癫痫发生的相关因素分析，项目编号：140037） |
| Author Name | Affiliation | Postcode | | Song Xiaoling | Sichuan Mental Health Center·The Third Hospital of Mianyang, Mianyang 621000, China | 621000 | | Zhao Dongmei | Sichuan Mental Health Center·The Third Hospital of Mianyang, Mianyang 621000, China | 621000 | | Hu Yijun | Sichuan Mental Health Center·The Third Hospital of Mianyang, Mianyang 621000, China | 621000 | | Zou Xin | Sichuan Mental Health Center·The Third Hospital of Mianyang, Mianyang 621000, China | 621000 | | Zhang Diwen | Sichuan Mental Health Center·The Third Hospital of Mianyang, Mianyang 621000, China | 621000 |
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| English abstract: |
| Objective To explore the relationship between stroke type, stroke location and post-stroke epilepsy based on multiple factors analysis, so as to provide references for the treatment and prevention of post-stroke epilepsy.Methods A total of 1 804 stroke patients were selected as the research objects, and data including gender, age, stroke type, lesion location and onset time of post-stroke epilepsy were collected. Patients were divided into post stroke non-epilepsy group (n=1 487) and post-stroke epilepsy group (n=317) according to absence or presence of epilepsy onset after stroke, then the risk factors of post-stroke epilepsy were verified.Results Among the selected subjects, 317 patients had epilepsy after stroke, including 141 cases of early onset epilepsy (44.48%) and 176 cases of late onset epilepsy (55.52%). The incidence of each location and type of stroke was 17.57%. Multivariate logistic regression analysis showed that stroke lesions located in parietal lobe along with subarachnoid space, frontal lobe along with temporal lobe, frontal lobe along with temporal and occipital lobe, or temporal lobe were risk factors for epilepsy after stroke (P<0.01). Lesions located in temporal lobe was a risk factor for early onset epilepsy after stroke (P<0.01). Early onset epilepsy was common in patients with cerebral infarction (23.66%) and late onset epilepsy was common in patients with cerebral hemorrhage (47.95%).Conclusion Stroke types of cerebral infarction, cerebral hemorrhage and subarachnoid hemorrhage are related to epilepsy after stroke, moreover, the stroke locations are related to epilepsy after stroke include parietal lobe along with subarachnoid space, frontal lobe along with temporal lobe, frontal lobe along with temporal and occipital lobe, and temporal lobe. |
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