Analysis of 65 cases of senile epilepsy.docVIP

 PAGE \* MERGEFORMAT 6 Analysis of 65 cases of senile epilepsy Of: Lv Xiaoping Lv Xiaomin Chen Yu Lvyangcuili [Keywords:] the elderly, epilepsy, EEG 60 years old epileptic seizures that occurred after the seizure, increasing its incidence, second only to cerebrovascular disease and dementia (1). Old epileptic seizures, mostly secondary, now 65 cases of elderly patients with epilepsy information to make a analysis. 1 Clinical data 1.1 General Information Department of Neurology, First Hospital of Jilin University, April 2007-June 2009 65 cases of outpatients and inpatients treated in elderly epilepsy patients, 42 males and 23 females, aged 60 to 75 years, mean 67.2 years old. A history of 1 to 5 years 48 patients, 6 to 10 years in 15 cases, more than 10 years in 2 cases. All the cases no family history of epilepsy. 1.2 seizure types and clinical manifestations Generalized tonic clonic seizures in 26 cases (40.00%, status epilepticus in 2 cases (3.07%, simple partial seizures in 18 cases (27.69%, complex partial seizures in 12 cases (18.46%, unclassifiable seizures in 3 cases (4.61%, mixed seizures in 4 cases (6.15%. exacerbation of intermittent positive signs of the nervous system detected 48 cases (73.84%, with paralysis, sensory disturbance, oculomotor nerve paralysis, aphasia, limb involuntary movements. 1.3 Etiology Diagnostic and classification criteria refer to the Chinese Medical Association of the First National Conference on Epilepsy classification of epileptic seizures Bill (1985,65 cases were detailed history, careful neurological examination, parallel head CT, MRI examination, EEG and laboratory tests . cerebrovascular disease is a common cause of senile epilepsy (67.69%, of which 26 cases of cerebral infarction (40.0%, cerebral hemorrhage, 18 cases (27.69%, followed by the cause of brain tumor in 6 cases (9.23%, traumatic brain injury in 3 cases (4.62% brain atrophy in 5 cases (7.70%, intracranial infection in 4 cases (