【Abstract】 Objective To investigate the clinical features and related factors of epilepsy after stroke.Methods The age, sex, type of stroke, location of lesion, extent of lesion, time and type of epilepsy were grouped and compared. 861 stroke patients in Pujiang People’s Hospital from March 2008 to March 2016 were statistically analyzed in the incidence, clinical features and related risk factors of epilepsy after stroke. Results Seizures occurred in 62 patients of 861 patients with stroke(72%). The incidence of males and females was 73% and 71%, respectively. The incidence of patients aged 60 years was 74% (43/581) and younger was 68% (19/280). The incidence of epilepsy secondary to ischemic stroke was 70% (39/560). The incidence of epilepsy after hemorrhagic stroke was 76% (23/301). There was no significant difference between the two groups (P> 005). 16 patients (258%) had lesions ranging from 05cm2 to 2cm2， 18 cases (290 %)had lesions ranging from 2cm2 to 5cm2, 28 cases (452%) had focal lesions ranging from 5cm2. There was significant difference between epilepsy with secondary lesion above 5cm2 and secondary epilepsy with less than 5cm2 (P <005). 30 patients had secondary epilepsy. There were 32 patients had secondary epilepsy in 141 patients with multiple lobar stroke. The incidence of epilepsy secondary to multiple lobar stroke was significantly higher than that of single epilepsy (P<005). Among 62 cases with epilepsy, 51 cases (823%)Suffered seizures located in brain cortex. The others were located in subcortex. There had statistical difference between the two groups (P<005). There were 40 cases (645%) with earlyonset epilepsy and 22 cases (355%) had lateonset. In the seizure types, there were 29 cases (468%) with partial seizures, 9 cases (145%) with complicated partial seizures, 15 cases (242%) with generalized tonicclonic seizures, and 9 cases (145%) with partial seizures.Conclusion Stroke is a common cause of epilepsy in middleaged people. The occurrence of epilepsy after stroke is not related to stroke type, sex and age of patients.Seizures is mostly in the acute phase attack. Partial seizures are the most common seizure type. We should attach great importance to Patients with epilepsy after stroke, and be effectively control epilepsy based on the treatment of primary disease, improve survival.