老年性癫痫的临床特征及其治疗  

The clinical characteristics of senile epilepsy and its treatment

作　　者：徐慧文[1] 刘菁菁[1] 周祥琴[2] 

机构地区：[1]北京世纪坛医院神经内科,100038 [2]中国医学科学院中国协和医科大学北京协和医院神经内科

出　　处：《中华老年医学杂志》2012年第7期578-580,共3页Chinese Journal of Geriatrics

摘　　要：目的 研究老年性癫痫的临床特征、治疗及预后。方法对180例老年性癫痫临床资料进行回顾性分析。结果老年性癫痫常见病因为蛛网膜下腔出血8例（4．4％），脑肿瘤24例（13．3％）、脑外伤和脑手术后癫痫18例（10．0％）、脑萎缩6例（3．3％）等。早发性与迟发性癫痫分别为52例和74例。发作类型大多数为局灶性发作106例（58．9％）或局灶性发作继发全身泛化62例（34．4％）。脑电图特点常可见局灶性慢波活动120例。多数患者对单一抗癫痫药反应良好。结论老年性癫痫常见原因为脑血管病、脑肿瘤、外伤和脑手术后；大多数发作为局灶性发作或局灶性发作继发全身泛化；对抗癫痫药反应良好。Objective To investigate the clinical characteristics, treatment and prognosis of senile epilepsy. Methods The clinical characteristics of 180 elderly patients with epilepsy were retrospectively studied. Results The common causes of senile epilepsy were cerebrovascular disease （8 eases,4.4%）, brain tumor（24 cases, 13.3%）, brain trauma and operation （18 cases, 10.0%）, brain atrophy （6 cases, 3.3%）, The most type of seizures were focal seizures （106 cases, 58.9%） or focal seizures preceding a generalized （62 cases, 34.4%） . Electroencephalogram （EEG） usually showed focal slow wave activity or rhythm. Most of seizures were responsive well to single anti- epilepsy drug. Conclusions The causes of elderly epilepsy are cerebrovascular disease, brain tumor, brain trauma, brain operation, brain atrophy. Senile epilepsy is more likely to have symptomatic and focal seizures, and can be controlled by anti-epilepsy drugs.

关 键 词：癫痫 脑图 

分 类 号：R742.1[医药卫生—神经病学与精神病学]