老年部分性发作癫痫持续状态的临床特征及视频脑电图分析

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Abstract Objective To investigate the clinical characteristics and video electroencephalogram of partial seizure status in the elderly. Methods From December 2015 to June 2018, 19 elderly patients with partial epileptic seizure status admitted to Shenzhen Hospital (Guangming) of the university of Chinese academy of sciences and the Second General Hospital of Bao′an Second People′s Hospital (Group) were selected as the research objects, and their video electroencephalogram, treatment and other data were retrospectively analyzed to summarize their clinical characteristics. Results Among the 19 patients, there were 5 cases (26.31%) with non-convulsive status epilepticus, 14 cases (73.69%) with convulsive status epilepticus, 4 cases (21.05%) with pure motor status epilepticus, and 10 cases (52.64%) with secondary tonic and clonic status epilepticus.Among the 19 patients with definite etiology, 15 patients(78.96%) had cerebrovascular disease, 2 patients(5.26%) had brain tumor, 1 patients(10.52%) had neurodegenerative disease, and 1 patients (5.26%) had dual etiology. Sixteen patients (84.22%) had different degrees of consciousness disturbance, two patients (10.52%) had Todd paralysis, and one patient (5.26%) had blurred vision. Nineteen patients were given dynamic video electroencephalogram examination, and 17 patients (89.48%) had epileptiform discharge, and the abnormal background activity of the patients showed slow-wave activity, while 2 patients (10.52%) had no correlation between abnormal discharge and limb convulsion. Conclusion Most of the elderly patients with partial seizure status have definite etiology, and the analysis of clinical and dynamic video electroencephalogram and imaging examination results is helpful to improve the diagnosis of this disease.

Key words： Partial seizure Status epilepticus Clinical features Video electroencephalogram

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	LIU Tao1 LAN Chunwei1 YUAN Kunxiong1 WANG Qingyong1 XUE Lijun2

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LIU Tao1 LAN Chunwei1 YUAN Kunxiong1 WANG Qingyong1 XUE Lijun2. Clinical features and video electroencephalogram analysis of persistent epilepsy in senile patients with partial seizures[J]. 中国医药导报, 2019, 16(16): 95-99.

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http://www.yiyaodaobao.com.cn/EN/ OR http://www.yiyaodaobao.com.cn/EN/Y2019/V16/I16/95

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