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首页> 外文期刊>Journal of neurology >Non-epileptic seizures of the elderly.
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Non-epileptic seizures of the elderly.

机译：老年人非癫痫发作。

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OBJECTIVE: To characterize non-epileptic seizures (NES) in the elderly and compare their features with NES of a younger control group. METHODS: The database of the epilepsy monitoring unit of the Cleveland Clinic Foundation (CCF) was searched for patients aged 60 years and older having undergone long-term video-/EEG monitoring between 1994 and 2002, with the subsequent diagnosis of NES. Videotapes of all events were evaluated by independent observers. NES were classified based on the clinical manifestations recorded on video, EEG and imaging data, and compared with a control group of younger adults with NES. RESULTS : Thirty-nine elderly patients were included. Seventeen of them (44%) had NES only, six (15%) had both epilepsy and NES. The control group consisted of 20 patients, two of them had NES and epilepsy. The NES were classified as physiological in 10 elderly patients (43%) and one control patient. They included TIA, syncope, movement disorders and sleep disorders. Psychogenic NES were found in 13 elderly and 19 control patients and were associated with somatoform disorders, anxiety disorders, mood disorders and reinforced behavior pattern. Psychogenic NES consisted of predominant motor activity in 8 (61%) elderly and 13 (68%) control patients, unresponsiveness in 4 (31%) elderly and 2 (11%) control patients and subjective symptoms in 1 (8%) elderly and 4 (21%) control patients. Twelve (71%) of the patients of each group without evidence for epilepsy were on anticonvulsant drugs at the time of admission. CONCLUSION: NES are a frequent problem in elderly patients referred to a comprehensive epilepsy center. In contrast to a younger control group, physiological and psychogenic NES are equally frequent in the elderly. Loss of responsiveness was seen in only 20% of patients with psychogenic NES. Although most of the patients did not have any evidence for epilepsy, more than two thirds of these patients had been placed on anticonvulsive drugs.
机译：目的：鉴定老年人的非癫痫性癫痫发作（NES），并将其与年轻对照组的NES进行比较。方法：检索克利夫兰诊所基金会（CCF）癫痫监测单位的数据库，以查找在1994年至2002年之间接受长期视频/ EEG监测并随后诊断为NES的60岁及60岁以上的患者。所有事件的录像带均由独立观察员评估。根据视频，EEG和影像数据上记录的临床表现对NES进行分类，并与对照组的NES年轻人进行比较。结果：包括三十九名老年患者。其中十七名（44％）仅患有NES，六名（15％）患有癫痫和NES。对照组包括20例患者，其中2例患有NES和癫痫。 NES被分类为生理性的10例老年患者（43％）和1例对照患者。它们包括TIA，晕厥，运动障碍和睡眠障碍。在13名老年人和19名对照患者中发现了精神源性NES，它们与躯体形式障碍，焦虑症，情绪障碍和行为方式强化有关。心理性NES包括8位（61％）老年人和13位（68％）对照患者的主要运动活动，4位（31％）老年人和2位（11％）对照患者的无反应性以及1位（8％）的老年人的主观症状和4名（21％）对照患者。入组时，每组中有十二名（71％）没有癫痫证据的患者使用抗惊厥药物。结论：NES是老年患者的常见问题，转诊至综合性癫痫中心。与年轻的对照组相比，老年人中生理和心理原因的NES患病率相同。只有20％的心因性NES患者发现反应力下降。尽管大多数患者没有癫痫病的证据，但这些患者中有三分之二以上曾服用过抗惊厥药物。

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