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目的探讨老年性癫痫的临床特点及其治疗预后。方法对81例老年性癫痫的临床资料进行回顾性分析。结果老年性癫痫的病因依次为脑卒中、脑肿瘤、脑外伤或脑手术后、脑萎缩及隐源性癫痫,发作方式以强直-阵挛性发作、单纯部分性发作为主;老年性癫痫应用AEDs治疗,多数癫痫发作可控制。结论老年性癫痫以症状性为主,脑出血、蛛网膜下腔出血、脑栓塞等易出现早发性癫痫,经积极治疗原发病,效果及预后较好;脑梗塞、脑肿瘤、脑外伤或手术后则以迟发性癫痫为主,根据发作类型长期规律应用AEDs,多数癫痫发作可控制,但应注意不良反应。
Objective To investigate the clinical features and prognosis of senile epilepsy. Methods The clinical data of 81 elderly patients with epilepsy were analyzed retrospectively. Results The causes of senile epilepsy were stroke, brain tumor, traumatic brain injury or brain surgery, brain atrophy and cryptogenic epilepsy. The mode of attack was mainly tonic-clonic seizure and simple partial seizure. Senile epilepsy AEDs treatment, the majority of seizures can be controlled. Conclusion The main symptoms of senile epilepsy are cerebral hemorrhage, subarachnoid hemorrhage, cerebral embolism and other premature epilepsy. Active treatment of the primary disease, the effect and prognosis is good; cerebral infarction, brain tumor, traumatic brain injury Or surgery is mainly delayed epilepsy, according to the type of seizure of long-term application of AEDs, the majority of seizures can be controlled, but should pay attention to adverse reactions.