中外健康文摘
中外健康文摘
중외건강문적
WORLD HEALTH DIGEST
2013年
5期
47-47
,共1页
癫痫%病因%临床特点%老年人
癲癇%病因%臨床特點%老年人
전간%병인%림상특점%노년인
epilepsy%pathogeny%clinical characteristics%elderly
目的探讨以抽搐发作为首发症状的老年癫痫患者的原因及临床特点。方法分析79例老年癫痫患者的临床特点。结果79例癫痫患者占所有癫痫就诊患者的2.76%，发病原因：脑血管病32例，占40.51%，其余主要为脑外伤、脑肿瘤、颅内感染等，原因不明者16例，占20.25%。发作类型：部分性发作56例，占70.89%，全身强直阵挛发作19例，占24.05%，癫痫持续状态4例，占5.06%。常规脑电图异常率44.30%，动态脑电图异常率83.54%。结论老年癫痫患者大多数为继发性癫痫，且病因明确，且大多为部分性发作。
目的探討以抽搐髮作為首髮癥狀的老年癲癇患者的原因及臨床特點。方法分析79例老年癲癇患者的臨床特點。結果79例癲癇患者佔所有癲癇就診患者的2.76%，髮病原因：腦血管病32例，佔40.51%，其餘主要為腦外傷、腦腫瘤、顱內感染等，原因不明者16例，佔20.25%。髮作類型：部分性髮作56例，佔70.89%，全身彊直陣攣髮作19例，佔24.05%，癲癇持續狀態4例，佔5.06%。常規腦電圖異常率44.30%，動態腦電圖異常率83.54%。結論老年癲癇患者大多數為繼髮性癲癇，且病因明確，且大多為部分性髮作。
목적탐토이추휵발작위수발증상적노년전간환자적원인급림상특점。방법분석79례노년전간환자적림상특점。결과79례전간환자점소유전간취진환자적2.76%，발병원인：뇌혈관병32례，점40.51%，기여주요위뇌외상、뇌종류、로내감염등，원인불명자16례，점20.25%。발작류형：부분성발작56례，점70.89%，전신강직진련발작19례，점24.05%，전간지속상태4례，점5.06%。상규뇌전도이상솔44.30%，동태뇌전도이상솔83.54%。결론노년전간환자대다수위계발성전간，차병인명학，차대다위부분성발작。
PurposeDiscuss the convulsive attacks as the initial symptom of epilepsy in the elderly patients with the causes and clinical features of.Method Analysis of 79 cases of elderly patients with epilepsy clinical features.Result In 79 patients with epilepsy accounts for all epilepsy patients 2.76%, cause of disease: 32 cases of cerebral vascular disease, accounting for 40.51%, the rest mainly with traumatic brain injury, brain tumor, intracranial infection, for unknown reasons in 16 cases, accounting for 20.25%. Seizure types: partial seizure in 56 cases, accounting for 70.89%, 19 patients with generalized tonic-clonic seizures, status epilepticus accounted for 24.05%, 4, 5.06%. Routine EEG abnormal rate was 44.30%, the abnormal rate of EEG of 83.54% dynamic.Conclusion Elderly patients with epilepsy for the majority of secondary epilepsy, and etiology of clear, and mostly for partial seizures
