中华老年医学杂志
中華老年醫學雜誌
중화노년의학잡지
Chinese Journal of Geriatrics
2012年
7期
578-580
,共3页
癫痫%脑图
癲癇%腦圖
전간%뇌도
Epilepsy%Brain mapping
目的 研究老年性癫痫的临床特征、治疗及预后. 方法 对180例老年性癫痫临床资料进行回顾性分析. 结果 老年性癫痫常见病因为蛛网膜下腔出血8例(4.4％),脑肿瘤24例(13.3％)、脑外伤和脑手术后癫痫18例(10.0％)、脑萎缩6例(3.3％)等.早发性与迟发性癫痫分别为52例和74例.发作类型大多数为局灶性发作106例(58.9％)或局灶性发作继发全身泛化62例(34.4％).脑电图特点常可见局灶性慢波活动120例.多数患者对单一抗癫痫药反应良好. 结论 老年性癫痫常见原因为脑血管病、脑肿瘤、外伤和脑手术后；大多数发作为局灶性发作或局灶性发作继发全身泛化；对抗癫痫药反应良好.
目的 研究老年性癲癇的臨床特徵、治療及預後. 方法 對180例老年性癲癇臨床資料進行迴顧性分析. 結果 老年性癲癇常見病因為蛛網膜下腔齣血8例(4.4％),腦腫瘤24例(13.3％)、腦外傷和腦手術後癲癇18例(10.0％)、腦萎縮6例(3.3％)等.早髮性與遲髮性癲癇分彆為52例和74例.髮作類型大多數為跼竈性髮作106例(58.9％)或跼竈性髮作繼髮全身汎化62例(34.4％).腦電圖特點常可見跼竈性慢波活動120例.多數患者對單一抗癲癇藥反應良好. 結論 老年性癲癇常見原因為腦血管病、腦腫瘤、外傷和腦手術後；大多數髮作為跼竈性髮作或跼竈性髮作繼髮全身汎化；對抗癲癇藥反應良好.
목적 연구노년성전간적림상특정、치료급예후. 방법 대180례노년성전간림상자료진행회고성분석. 결과 노년성전간상견병인위주망막하강출혈8례(4.4％),뇌종류24례(13.3％)、뇌외상화뇌수술후전간18례(10.0％)、뇌위축6례(3.3％)등.조발성여지발성전간분별위52례화74례.발작류형대다수위국조성발작106례(58.9％)혹국조성발작계발전신범화62례(34.4％).뇌전도특점상가견국조성만파활동120례.다수환자대단일항전간약반응량호. 결론 노년성전간상견원인위뇌혈관병、뇌종류、외상화뇌수술후；대다수발작위국조성발작혹국조성발작계발전신범화；대항전간약반응량호.
Objective To investigate the clinical characteristics,treatment and prognosis of senile epilepsy. Methods The clinical characteristics of 180 elderly patients with epilepsy were retrospectively studied. Results The common causes of senile epilepsy were cerebrovascular disease (8 cases,4.4％),brain tumor(24 cases,13.3％),brain trauma and operation (18 cases,10.0％),brain atrophy (6 cases,3.3 ％ ),The most type of seizures were focal seizures (106 cases,58.9 ％) or focal seizures preceding a generalized (62 cases,34.4％). Electroencephalogram (EEG) usually showed focal slow wave activity or rhythm.Most of seizures were responsive well to single antiepilepsy drug. Conclusions The causes of elderly epilepsy are cerebrovascular disease,brain tumor,brain trauma, brain operation, brain atrophy. Senile epilepsy is more likely to have symptomatic and focal seizures,and can be controlled by anti-epilepsy drugs.
