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老年癫痫41例临床特点分析
引用本文:赵翠玲,宋凡. 老年癫痫41例临床特点分析[J]. 中国实用医药, 2012, 7(8): 59-60
作者姓名:赵翠玲  宋凡
作者单位:[1]辽宁省大连市旅顺口区第二人民医院,116011 [2]大连医科大学附属第一医院神经内科,116011
摘    要:目的研究老年癫痫的临床特点。方法回顾性分析大连医科大学附属第一医院癫痫门诊41例老年癫痫患者的临床资料。结果 41例患者70.7%为部分性发作,29.3%为全面性强直阵挛发作。病因分析:63.4%为脑血管病,9.8%为脑肿瘤,7.3%为代谢性疾病,14.6%病因不明。41例均为单药治疗,其中61.0%发作完全控制,有效率87.9%。结论老年癫痫多为继发性癫痫,病因明确,发作类型以部分性发作为主,抗癫痫药物单药治疗效果好。

关 键 词:老年癫痫  发作类型  病因  单药治疗

Analysis of clinical characteristics in 41 patients with elderly epilepsy
ZHAO Cui-Ling,SONG Fan. Analysis of clinical characteristics in 41 patients with elderly epilepsy[J]. China Practical Medical, 2012, 7(8): 59-60
Authors:ZHAO Cui-Ling  SONG Fan
Affiliation:.Department of Neurology,the first hospital of dalian medical university,liaoning,116011
Abstract:Objective To investigate the clinical characteristics of elderly epilepsy.Methods Retrospective analyze the clinical data of 41 patients with elderly epilepsy.Results Of 41 patients,29(70.7%) patients were partial seizures and 12(29.3%) patients were generalized tonic-clonic seizures.The etiology of 41 patients were cerebrovascular diseases(63.4%),brain tumors(9.8%),metabolic diseases(7.3%) and unknown etiology(14.6%).All 41 patients were monotherapy,25 patients were seizure free(61.0%),the total effective rate was 87.9%.Conclusion Epilepsy in the elderly were mostly secondary epilepsy.Partial seizures were the main seizure types.Monotherapy was effect.
Keywords:epilepsy in the elderly  seizure type  etiology  monotherapy
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