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目的探讨老年癫痫病因。方法对120例老年癫痫患者完善头部CT,头部MRI,脑电图,腰穿,血生化,胸片,肝胆脾胰彩超或CT,泌尿系彩超等检查,明确癫痫发病原因,对其病因进行分析。结果脑血管病是常见病因(71.2%),其次病因:脑肿瘤(占11.7%),内分泌代谢病变(占7.9%),其中以尿毒症、低血糖症及高血糖症多见。脑外伤(占1.6%),颅内感染(占0.08%)。结论老年癫痫多为继发性癫痫。故对老年癫痫患者应及时查找病因,根据不同病因进行治疗。
Objective To investigate the etiology of senile epilepsy. Methods 120 cases of elderly patients with epilepsy to improve head CT, head MRI, electroencephalogram, lumbar puncture, blood biochemistry, chest X-ray, splenomegaly or CT, urinalysis and other tests to determine the cause of epilepsy, the etiology Analyze. Results Cerebrovascular disease was the common cause (71.2%). The second cause was brain tumor (11.7%) and endocrine and metabolic diseases (7.9%), of which uremia, hypoglycemia and hyperglycemia were more common. Brain trauma (1.6%), intracranial infection (0.08%). Conclusion Elderly epilepsy mostly secondary epilepsy. Therefore, elderly patients with epilepsy should find the cause in time, according to different causes of treatment.