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目的 :探讨老年人癫痫的发病原因、临床特点和背景EEG的变化规律。方法 :对 98例≥ 6 0岁临床确诊为癫痫病患者的临床症状、病史、辅助检查进行统计。结果 :病因明确 85例 (86 73% ) ,单纯部分性发作 12例 ,复杂性部分性发作 32例 ,复杂性部分性发作发展为全部性发作 2 4例 ,全部性发作 2 6例 ,不能分类的发作 4例。EEG异常 77例 ,有痫波放电 9例 ,4 7例睡眠诱发中 11例 (2 3 4 % )出现痫样波放电。结论 :老年人迟发性癫痫多数病因明确 ,发作形式为复杂部分性发作 ,EEG异常率高 ,但痫样波异常放电率低 ,应重视睡眠诱发
Objective: To investigate the pathogenesis of epilepsy in the elderly, clinical features and background EEG changes. Methods: The clinical symptoms, medical history and auxiliary examinations of 98 patients ≥ 60 years old diagnosed as epilepsy were statistically analyzed. Results: The etiology was clear in 85 cases (86.73%), simple partial episodes in 12 cases and complex partial episodes in 32 cases. The complicated partial seizures developed in 24 cases with all-cause episodes and all-episodes in 26 cases, which could not be classified The attack in 4 cases. EEG abnormalities in 77 cases, 9 cases of epileptic discharge, 47 cases of sleep induced in 11 cases (23.4%) epileptiform discharge. Conclusion: The etiology of most of the elderly patients with delayed epilepsy is definite. The attack form is complex partial seizure. The abnormal EEG rate is high, but the abnormal discharge rate of epileptiform wave is low. Sleep-induced