EPILEPTIC SEIZURES IN CEREBRAL ARTERIAL OCCLUSIVE DISEASE
EPILEPTIC SEIZURES IN CEREBRAL ARTERIAL OCCLUSIVE DISEASE
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DOI：
10.1161/01.str.13.2.189
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发表时间：
1982-01-01
期刊：
影响因子：
8.3
通讯作者：
RENI, L
中科院分区：
文献类型：
--
作者：
COCITO, L;FAVALE, E;RENI, L
对141例经血管造影证实的颈动脉或大脑中动脉闭塞性疾病患者癫痫发作的发生率进行了研究。癫痫发作发生在17.3%的颈动脉患者和10.8%的MCA患者的疾病的临床过程中的一段时间，主要是部分运动性癫痫发作。两组脑动脉疾病自然史中癫痫发作的发生模式不同。在颈动脉组中，癫痫是6.7%患者的主要症状，而MCA患者在出现神经功能缺损之前没有癫痫发作。由于癫痫发作可能会使无症状的颈动脉阻塞复杂化，因此当其他标准检查（包括CT扫描）未能显示晚发性癫痫的原因时，应进行血管造影。
The occurrence of epileptic seizures was investigated in 141 patients with angiographically proven carotid or MCA [middle cerebral artery] occlusive disease. Epileptic seizures occurred some time during the clinical course of the disease in 17.3% of carotid patients and in 10.8% of MCA patients, being mainly represented by partial motor seizures. The pattern of occurrence of seizures in the natural history of cerebral arterial disease was different in the 2 groups. In the carotid group, epilepsy was the presenting symptom in 6.7% of patients, while no MCA patient had seizures prior to the appearance of a neurological deficit. Since epileptic seizures may complicate an otherwise asymptomatic carotid obstruction, angiography should be performed whenever the other standard investigations, including CT[computed tomography]-scan, fail to reveal the cause of a late-onset epilepsy.