老年人癫痫发作的临床分析  

A CLINICAL ANALYSIS OF EPILEPTIC SEIZURES IN ELDERLY PERSONS

作　　者：潘天虹[1] 李颖[1] 周孝达[1] 车颖[1] 周孝选[1] 

机构地区：[1]上海第二医科大学附属仁济医院神经内科200001

出　　处：《老年医学与保健》1999年第3期122-122,125,共2页Geriatrics & Health Care

摘　　要：目的 探讨老年人癫痫发作的临床特点，以期为临床诊治提供帮助。方法 对在1987年1月—1997年12月间因癫痫发作而住院的121例中的24例首发年龄在60岁以上的老年病人进行分析。结果 本组资料显示：60岁以上首次癫痫发作的24侧占同期因癫痫发作而住院的121例的19．83％；急性脑血管病为主要原因(79．17％)；发作形式以部分性发作为主(62．50％)；头颅CT检查发现病灶在皮层的发生率最高(56.52％)。结论 老年癫痫发作有其自身特点，针对老年癫痫发作的不同病因应采取不同的浩疗手段。The purpose of this article is to investigate the clinical features of epileptic seizure in elderly persons. Methods This paper analysed 24 elderly cases among 121 patients with epileptic seizure, who were treated in this hospital from Janl987 to Dec 1997. The 24 cases were symptomatic epilepsy with first onset at age of over 60 (19.83% ) . Results The main cause was acute cerebrovascular diseases (79.17%). The partial seizures (62.50 %) were more frequently than generalized ones. Most of the foci were in cortices on CT (56. 52 % ) . Conclusions Respective treatment should be corresponded to the pathologic causes of epileptic seizure in elderly persons.

关 键 词：癫痫发作 老年人 住院 临床分析 部分性发作 发作形式 首次 结论 手段 帮助 

分 类 号：R742.1[医药卫生—神经病学与精神病学] R743[医药卫生—临床医学]