CAJ | 학술논문

目的回顾性分析老年人癫痫发作的临床特点. 方法对72例门诊和住院诊断为癫痫发作的60岁及以上老年患者的临床资料进行研究. 结果 72例患者中,脑血管病伴发癫痫样发作共52例,占72.2％.部分性发作50例,占69.4％;全面性发作22例,占30.6％.38例脑梗死继发癫痫发作的患者中,脑叶皮层梗死者26例,占68.4％,14例脑出血继发癫痫发作的患者中,脑叶皮层出血者11例,占78.6％.72例发作间期脑电图,8例为正常脑电图(占11.0％),64例(88.8％)为异常脑电图.31例(占48.4％)出现尖波、棘波或尖-慢复合波,33例为低中波幅的慢波活动,为非特异性异常(占51.6％). 结论老年人癫痫发作的病因主要为脑血管病继发,发作类型以部分性发作为主要形式,脑血管病继发癫痫发作中以近皮层病变居多.
목적 회고성분석노년인전간발작적림상특점. 방법 대72례문진화주원진단위전간발작적60세급이상노년환자적림상자료진행연구. 결과 72례환자중,뇌혈관병반발전간양발작공52례,점72.2％.부분성발작50례,점69.4％;전면성발작22례,점30.6％.38례뇌경사계발전간발작적환자중,뇌협피층경사자26례,점68.4％,14례뇌출혈계발전간발작적환자중,뇌협피층출혈자11례,점78.6％.72례발작간기뇌전도,8례위정상뇌전도(점11.0％),64례(88.8％)위이상뇌전도.31례(점48.4％)출현첨파、극파혹첨-만복합파,33례위저중파폭적만파활동,위비특이성이상(점51.6％). 결론 노년인전간발작적병인주요위뇌혈관병계발,발작류형이부분성발작위주요형식,뇌혈관병계발전간발작중이근피층병변거다.
Objective To retrospectively study the clinical features in elderly patients with epilepsy.Methods Clinical data of 72 elderly patients with epilepsy aged over 60 years from outpatients and inpatients were studied.Results In the 72 cases,cerebrovascular disease associated with epilepsy occurred in 52 cases (72.2％),with partial seizures in 50 cases (69.4％),and with generalized seizures in 22 cases (30.6％).In 38 cases with epilepsy secondary to cerebral infarction,the cerebral cortex infarction occurred in 26 cases (68.4％).In 14 cases with epilepsy secondary to cerebral hemorrhage,cerebral cortex hemorrhage occurred in 11 cases (78.6％).In interictal electroencephalogram (EEG) of the 72 cases,8 cases had normal EEG (11.1％),64 cases had abnormal EEG (88.8％).31 cases (48.4％) presented with sharp wave,spikes wave or tip--slow composite wave,33 cases (51.6％) presented with low amplitude of slow wave activity,which were non-specific abnormalities.Conclusions The main cause of seizures in the elderly is cerebrovascular disease.Partial seizures is the main type of seizure.Most of seizures caused by cerebrovascular disease occur in the region near the cortex.