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目的探讨老年人癫痫发作的临床特点,以期为临床诊治提供帮助。方法对在1987年1月~1997年12月间因癫痫发作而住院的121例中的24例首发年龄在60岁以上的老年病人进行分析。结果本组资料显示:60岁以上首次癫痫发作的24例占同期因癫痫发作而住院的121例的19.83%;急性脑血管病为主要原因(79.17%);发作形式以部分性发作为主(62.50%);头颅CT检查发现病灶在皮层的发生率最高(56.52%)。结论老年癫痫发作有其自身特点,针对老年癫痫发作的不同病因应采取不同的治疗手段。
Objective To explore the clinical features of seizures in the elderly in order to provide help for clinical diagnosis and treatment. Methods Twenty-four elderly patients over 60 years of age from the 121 hospitalized for seizures from January 1987 to December 1997 were analyzed. Results The data of this group showed that 24 cases of first seizure over the age of 60 accounted for 19.83% of 121 cases hospitalized for seizures during the same period; acute cerebrovascular disease was the main reason (79.17%); seizure was mainly based on partial seizures 62.50%); cranial CT examination showed the highest incidence of lesions in the cortex (56.52%). Conclusion Elderly seizures have their own characteristics, and different treatments should be taken for different causes of senile seizures.