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Abstract Objective： To investigate the main clinical features and treatment of elderly patients with epilepsy secondary effect. Method： Our department of elderly patients with epilepsy from January 2008 to December 2012 54 patients hospitalized， the basic clinical data were retrospectively analyzed patients， medical history， as well as the onset of characteristic radiographic findings， treatment， etc.， summary the clinical features， explore effective control measures. Result： 54 patients cause categories of secondary epilepsy， 46 cases（ 85.2%） for secondary epilepsy after stroke， 38 cases of cerebral ischemic stroke， including 33 cases of cerebral infarction， cerebral embolism in 5 cases， 8 cases of hemorrhagic stroke， including 7 cases of brain hemorrhage，subarachnoid hemorrhage in 1 case. Proportion of ischemic cerebral apoplexy was significantly higher than hemorrhagic stroke. The remaining patients respectively， 3 cases of traumatic brain injury， brain tumor（ incidence of brain metastases） in 2 cases， metabolic encephalopathy in 2 cases，intracranial infection， 1 case. General stiffness matrix that big twin sex seizures 28 cases（ 51.9%）， status epilepticus in 2 cases（ 3.7%）， 9 cases of simple partial seizure（ 16.7%）， complex partial seizure in 11 cases（ 20.4%）， 4 cases were not classified attack（ 7.4%）， tip - secondary epilepsy with systemic rigidity matrix twin sex hair as the most common type. 38 ischemic stroke patients， late-onset epilepsy（ 2 weeks after stroke recovery and sequelae of epilepsy） 29 cases， 9 cases of early-onset epilepsy， including 1 case with epilepsy as first symptoms. In 8 patients with hemorrhagic stroke， the early onset of epilepsy in 5 cases within 48 h after the onset of patients with cerebral hemorrhage， tended to secondary epilepsy，directly affects the primary disease type secondary epilepsy onset time. Are head CT or MRI data， all patients with multifocal lacunar infarction， brain atrophy and brain white matter demyelination changes， such as cerebral hemorrhage，cerebral metastases performance. Conclusion： Elderly patients with secondary epilepsy highest incidence of stroke as the primary disease， the cause clear， but the primary disease is different， a different time of onset. To give appropriate treatment according to the patient’s primary disease， seizure type， seizures time. Early anticonvulsant therapy will focus on controlling symptoms also need to be given to maintain long-term oral antiepileptic drugs reduce mortality.
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