| Objective To explore the characteristics of video electroencephalogram(VEEG)in patients with post-stroke epilepsy(PSE),so as to direct clinical diagnosis and treatment and evaluate prognosis.Methods 1.Retrospectively analyze the hospitalization data of patients with post-stroke epilepsy admitted to the Department of Neurology and Neurosurgery of the First People’s Hospital of Changde City from October 1,2018 to April 30,2020,and screened using the admission criteria.2.Collect the hospitalization data of the enrolled patients through the hospital electronic medical record system,including general data(name,gender,age,past history and adverse habits,stroke status,etc.)and epilepsy-related data(time of first seizure,seizure types,EEG examination results and medications,etc.).3.Follow-up of the enrolled patients,the content of the follow-up is the patient’s medication status and epilepsy control status,through telephone follow-up or outpatient review.4.Finally,SPSS 25.0 software was used for statistical analysis,and P<0.05 was considered as statistically significant.Results 1.There were 108 patients,including 77 male patients(71.30%)and31 female patients(28.70%),and the mean age was(63.04 ± 14.61)years old,65(60.20%)patients with hypertension,and 20 patients with diabetes(18.5%),62patients(57.4%)with atrial fibrillation.The type of stroke was cerebral hemorrhage in51 cases(46.3%),cerebral infarction in 50 cases(46.3%),cerebral infarction with hemorrhage in 7 cases(6.5%).2.There are 58 cases(53.70%)of general tonic-clonic seizures,and then 21 cases(19.40%)of simple partial seizures;there was a significant difference in the distribution of seizure types between early-onset epilepsy and late-onset epilepsy(P <0.05).3.There were 81 cases(75.00%)with stroke involving the lobes of the brain,27cases(25.00%)with no involvement of the lobes;there was no significant difference in the distribution of seizure types in different stroke sites(P>0.05).4.There were 99 patients with abnormal EEG(91.7%),49 patients(45.40%)with localized slow wave were detected,and 18 patients with diffuse slow wave were detected(16.70%),32 cases(29.60%)were detected with epileptic waves.5.Comparison of stroke focus and interictal epileptiform discharges(IED)of EEG in 32 patients with epileptic waves: 27(84.38%)patients with total agreement(including agreement and partial agreement),and 5 patients(15.62%)with disagreement.6.Among the 32 patients with epileptic waves detected,4 patients(12.50%)had epileptic waves detected only during the awake period,and 17 patients(53.13%)had epileptic waves detected only during the sleeping period,eleven patients(34.38%)with epileptic waves were detected both awake and sleep periods;in the comparison of stroke locations,24 cases(75.00%)were involved in the frontal and temporal lobes,2cases(6.25%)were in the parietal and occipital lobes,and 6 cases(18.75%)were involved in the basal ganglia.7.After a one-year follow-up,there were 73 patients(67.60%)without recurrence of epilepsy,23 patients(21.30%)with recurrence,and 12 patients(11.10%)who died.Among the 73 patients without recurrence,67 cases(91.80%)were treated with single drug,6 cases(8.20%)were treated with two or more drugs.8.Recurrent and recurrent patients have no significant differences in stroke risk factors,NIHSS scores,and drug selection,P>0.05;the differences between the VEEG results were statistically significant,P<0.05.9.The difference between the EEG results of patients before and after treatment was statistically significant,P<0.05.Conclusion 1.VEEG of patients with post-stroke epilepsy is mainly characterized by localized slow waves,and epileptiform discharge may be an important factor in predicting epilepsy recurrence.2.Patients with post-stroke epilepsy can effectively control epileptic seizures with monotherapy,and the prognosis is good. |
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