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阴道EEG:老年人的病因和死亡率与非状态发作

Glória M A S Tedrus¹

¹Postgraduate Program in Health Sciences, Pontifícia Universidade Católica de Campinas, Campinas, SP, Brasil.

Clinical EEG and neuroscience

|July 27, 2023

概括

在老年人中,非性状态 (NCSE) 通常呈现为焦点NCSE与意识受损. 对NCSE的良好预后与初始治疗反应和特定的EEG发现有关.

科学领域:

神经学神经学
老年病的医生老年病的医生
发病学 (Epileptology) 是一个专业的学科.

背景情况:

在老年人中确定非性状态 (NCSE) 亚型的临床,病因和预后数据仍然是一个挑战.
老年人代表了一个脆弱的人群,NCSE可以在其中独特地表现出来.

研究的目的:

评估诊断为NCSE的老年人的临床半学,脑电图 (EEG) 发现和预后指标.
在老年人群中描述NCSE亚型.

主要方法:

一项涉及老年人进入急诊室时意识发生改变的前性研究.
收集和分析了临床和EEG数据,用于NCSE诊断和亚型.
评估了病因,治疗反应和30天死亡率.

主要成果:

在105名老年人中,47.6%的人 (平均年龄为72.8岁) 诊断出NCSE.
结构性病因是最常见的 (82%). 脑电图显示68%的患者出现了形放电 (EDs>2.5 Hz),70%的患者出现了节律三角形活动/横向周期性模式.
最初的临床改善发生在36例病例中,但30天死亡率为38.8%. 良好的预后与初始治疗反应和EDs>2.5Hz的EEG相关.

结论:

焦点NCSE与意识受损是老年人中最常见的亚型.
虽然初始治疗可能会导致改善,但整体死亡率仍然很高.
早期的临床改善和特定的EEG发现 (ED>2.5Hz) 与老年NCSE患者的更好的预后有关.

关键词:

这是一个EEGEEGEEGEEGEEGEEGEEG.没有的状态性 (epilepticus).年龄较大的成年人.

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