老年癫痫65例临床分析

目的探讨老年癫痫的临床特点、病因、治疗及预后。方法回顾性分析解放军总医院癫痫门诊收治的65例老年癫痫患者的临床资料。结果65例老年癫痫患者占所有就诊癫痫患者的2．8％。70．8％为部分性发作，24．6％为全身强直阵挛发作．4．6％以癫痫持续状态起病。发病原因：40．0％为脑血管病，其余主要为脑外伤、脑肿瘤、睡眠呼吸暂停综合征、缺氧性脑病、阿尔茨海默病、低血糖等，20．0％原因不明。常规脑电图异常率44_4％，动态脑电图异常率84．2％。80．0％患者药物治疗，抗癫痫药物主要为卡马西平、丙戊酸钠、苯妥英钠及托吡酯，73．1％为单药治疗，治疗后88．5％发作减少，9．6％未再出现发作，1．9％发作加重。结论老年癫痫绝大多数为继发性癫痫，有明确的病因，部分性发作比例高。抗癫痫药物治疗效果较好。因老年患者基础疾病多且病情复杂，抗癫痫药应从小剂量开始，逐渐加量，以小剂量长期治疗。

Epilepsy in the elderly:an analysis of 65 cases

Objective To study the etiological factor,clinical features and therapeutic efficacy concerning elderly epilepsy patients. Methods Sixty-five cases of elderly epilepsy patients were analyzed,and the clinical data were reviewed retrospectively. Results The 65 cases of elderly epilepsy patients account for 2.8% of all the epilepsy cases. 70.8% of the 65 cases were partial seizures,24.6% were generalized tonic-clonic seizure,and 4.6% were status epilepticus. As for the cause of the disease,40% were due to cere...