老年癫55例临床分析  

Clinical analysis of 55 patients with epilepsy in the old people

作　　者：侯晓丽[1] 吴荣东[1] 陈伟群[2] 

机构地区：[1]山东淄博市第八人民医院神经内科,淄博255000 [2]卫生部北京医院神经内科,北京100000

出　　处：《中国实用神经疾病杂志》2007年第9期24-26,共3页Chinese Journal of Practical Nervous Diseases

摘　　要：目的探讨老年癫的临床特征。方法回顾性分析55例老年癫患者的临床表现、脑电图、头部影像学和治疗效果等临床资料。结果55例老年癫患者中,全身性强直-阵挛发作30例(54.55%),部分性发作23例(41.82%);有脑血管病者34例(61.82%),脑萎缩4例(7.27%),药物不良反应4例(7.27%),脑肿瘤4例(7.27%)。18例尸检结果:8例为脑梗死,4例为脑软化灶(出血后),4例为吸入性肺炎,1例为肿瘤多发脑转移,1例为脑血管粥样硬化(管腔狭窄Ⅱ～Ⅲ级)。结论老年癫患者病因中以脑血管病最为常见,其次为脑肿瘤、脑萎缩及药物中毒等。Objective To study the clinical features of epilepsy （EP） in old people. Methods The clinical characteristics, eletroencephalography（EEG） brain tomography and curative effect of 55 old patients with epilepsy were reviewed retrospectively. Results 30 cases （54. 55%） of them were generalized epilepsy, 23 cases （41.82%） were partial epilepsy, 34 cases （61.82%） had cerebrovascular disease;4 cases （7.27%） were brain atrophy, 4 cases （7.27%） were drug side effect and 4（7.27%） were brain tumor. Antipsy results.- 8 cases of them were cerebral infarction;4 cases were encephalomalacia （posthemorrhage） ; 4 cases were in- halant pneumonia;1 case was metastasis tumor into the brain~ 1 was arteriosdeorosis（vascular stenosis Ⅱ-Ⅲ grade）. Conclusion The pathogens of EP in old people are mostly cerebrobascular disease, brain tumor, brain atrophy and drug poisoning.

关 键 词：老年人 癫痫 病因 临床发作类型 

分 类 号：R742.1[医药卫生—神经病学与精神病学]