Correlation between focus location of acute cerebral infarction and epileptic attack LI Yimeng1） ，PI Xingwen2） 1） Clinical College of Traditional Chinese Medicine，Hubei University of Traditional Chinese Medicine，Wuhan 430000，China； 2）Ezhou Hospital of Traditional Chinese Medicine/The Affiliated Hospital of Hubei University of Traditional Chinese Medicine，Ezhou 436000，China Corresponding author：LI Yimeng 【Abstract】 Objective To explore the relationship between the symptoms of scar attack and the location of focus in patients with acute cerebral infarction，so as to provide basis for early clinical diagnosis and treatment. Methods Totally 97 patients with secondary endoscopic attack after acute cerebral infarction treated in the Department of Neurology of Ezhou Hospital of traditional Chinese medicine from July 2020 to July 2021 were selected as the research object. The time，type，EEG characteristics and manifestations of similar attack and the relationship with the infarct location shown in the results of head MRI imaging were discussed. Results The incidence of early-onset seizures （63.92%） was significantly higher than that of degenerative seizures （36.08%）（P < 0.05）. There were 45 cases of simple partial seizures（46.39%），24 cases of complex partial seizures（24.74%）， 24 cases of comprehensive seizures（24.74%），and 4 cases of unclassified seizures（4.13%）. The lesions were located in cortical area in 65 cases（63.77%）and non-cortical area in 32 cases（36.23%）. The difference was statistically significant（P < 0.05）. During the attack，visual EEG was normal in 13 cases（13.40%），EEG changes in marginal state in 6 cases（6.19%），and video EEG was abnormal in 78 cases（80.41%）. Conclusion Early onset infatuation is common after acute cerebral infarction. The incidence of paroxysmal seizures was high in patients with lesions in the lobar cortex. Partial seizures were common. Epileptic discharge was the main abnormality of video EEG in patients with epilepsy secondary to acute cerebral infarction. 【Key words】 Acute cerebral infarction; Epileptic attack; MRI; Focal location; Correlation
