中老年糖尿病继发癫痫39例的诊治分析

目的总结分析糖尿病合并癫痫的发病机理、临床表现及治疗效果。方法对39例中老年糖尿病继发癫痫的患者临床资料进行分析。结果中老年糖尿病合并癫痫多发于有糖尿病或隐性糖尿病史者，其发作形式以局限性运动发作及全面性发作持续状态为特点，抗癫痫药治疗疗效不明显，降血糖后可缓解或终止发作。结论中老年糖尿病继发癫痫的发作与血糖升高密切相关。因此，对无明确糖尿病史的中老年癫痫患者可考虑按糖尿病处理。

Analysis on diagnosis and treatment of 39 middle-aged and aged patients of diabetes with secondary epilepsy

Objective To observe and analyze the clinical manifestations, pathogenesis and therapeutic effects of diabetes with sencondary epilepsy. Methods The clinicalo data of 39 middle-aged and aged patients of diabetes with secondary epilepsy were analyzed. Results Diabetes with secondary epilepsy were more likely happened to middle-aged and aged people with diabetes or recessive diabetes history and attacked in a way of focal motor seizures or generalized seizures continuance. Lowering blood sugar could alleviate or terminate the seizures while the therapeutic effects of antiepileptic drugs were not obvious. Conclusion The seizures of diabetes with secondary epilepsy in middle -aged and aged people are highly relevant to elevation of blood sugar, therefore, middle-aged and aged epileptics with no explicit diabetic history can be treated according to the therapy of the symptom mentioned above.