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目的:探讨老年人癫痫的病因和临床发作类型及特点。方法:对1998~2004年我科收治的60岁以上首次癫痫发作患者36例的病因、临床发作类型等进行回顾性分析。结果:病因中以脑血管病最多(72.2%),其次为脑外伤(8.3%)、颅内占位性病变(5.6%)、脑萎缩(5.6%)、颅内感染(2.8%)及代谢性疾病(2.8%)等;临床类型:全面性强直-阵挛性发作占44.4%,部分性继发为强直-阵挛性发作占36.1%。结论:脑血管病是老年人癫痫的最常见原因,以全面性强直-阵挛性发作及部分性发作多见。确定其病因对治疗有重要意义。
Objective: To investigate the etiology and clinical types and characteristics of epilepsy in the elderly. Methods: Retrospective analysis was performed on the etiology and clinical types of 36 patients with first seizure over the age of 60 from 1998 to 2004 in our department. Results: Cerebrovascular disease was the most common cause (72.2%), followed by traumatic brain injury (8.3%), intracranial lesions (5.6%), brain atrophy (5.6%), intracranial infection (2.8% (2.8%). Clinical types: Total tonic-clonic seizures accounted for 44.4%, and partial seizures accounted for 36.1% for tonic-clonic seizures. CONCLUSIONS: Cerebrovascular disease is the most common cause of epilepsy in the elderly and is more common in generalized tonic-clonic and partial seizures. To determine the cause of the treatment of great significance.