[老年患者首次发作后患的风险,病因不明]
S López-Maza1,2,3, L Abraira1,2,3, E Bellido-Castillo1,2
1Hospital Universitari Vall d'Hebron, 08035 Barcelona, España.
Revista de neurologia
|May 14, 2024
概括
经历首次发作原因不明的老年患者患的风险超过80%. 常见的因素包括高血压和认知障碍,脑部成像经常显示缩和小血管疾病.
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:
- 在未知病因的成年后期发病的研究不足.
- 鉴定新发作的老年患者的特征对于预后至关重要.
研究的目的:
- 临床表征年长的患者经历了他们的第一个未知病因的发作.
- 预测这个人群中长期患的风险.
主要方法:
- 55岁以上的患者进行了回顾性观察性研究,首次发作原因不明.
- 从临床病史中收集的数据,包括脑电图 (EEG) 和脑磁共振成像 (MRI).
主要成果:
- 87名患者 (平均年龄为71.5岁) 接受了平均7.3年的随访.
- 在81.6%的患者中发生发作;在56.1%的患者中观察到发作复发.
- 常见的发现包括动脉高血压 (77%),焦点发作,皮质缩 (50%),小血管血管疾病 (67.8%) 和轻度认知障碍 (44.8%).
结论:
- 在老年人中,单次未引起的发作后,长期患的风险超过80%.
- 动脉高血压和轻度认知障碍是关键的临床特征.
- 大脑MRI经常显示皮质缩和小血管疾病;EEG往往缺乏形异常.
更多相关视频
08:28Methods for ECG Evaluation of Indicators of Cardiac Risk, and Susceptibility to Aconitine-induced Arrhythmias in Rats Following Status Epilepticus
Published on: April 5, 2011
17.8K
07:01Electrophoretic Delivery of γ-aminobutyric Acid GABA into Epileptic Focus Prevents Seizures in Mice
Published on: May 16, 2019
9.0K
相关概念视频
Arteries of the Lower Limbs
188
Epilepsy is a chronic neurological disease marked by recurrent, unpredictable seizures. These seizures are caused by abnormal electrical discharges in the brain, leading to behavior, sensation, or consciousness alterations. They can also cause transient impairment of awareness, interfering with daily activities.
Various factors can trigger epilepsy, including genetic factors, brain damage, metabolic causes, and unknown etiology. Diagnosis of epilepsy involves electroencephalography (EEG), which...
Various factors can trigger epilepsy, including genetic factors, brain damage, metabolic causes, and unknown etiology. Diagnosis of epilepsy involves electroencephalography (EEG), which...
188
Seizures: Classification
339
Epilepsy is primarily characterized by unpredictable seizures, either provoked by an identifiable factor, such as injury or illness, or unprovoked, occurring spontaneously without apparent cause.
Seizures are typically classified into two main categories: focal and generalized seizures.
Focal Seizures
Focal seizures originate from specific regions of the brain. These seizures are further sub-classified into two types:
Seizures are typically classified into two main categories: focal and generalized seizures.
Focal Seizures
Focal seizures originate from specific regions of the brain. These seizures are further sub-classified into two types:
339
Electroconvulsive Therapy
36
Electroconvulsive therapy (ECT), or shock therapy, remains a critical biomedical intervention for severe, treatment-resistant depression. While its origins can be traced back to Hippocrates' observations that malaria-induced convulsions alleviated mental illness, modern ECT has evolved significantly from its earlier, more primitive applications. First introduced in 1938 by Ugo Cerletti and his colleagues, ECT involves inducing controlled seizures using electrical currents. In its early...
36
Antiepileptic Drugs: Glutamate Antagonists
321
Glutamate is a fundamental neurotransmitter in the central nervous system, playing a vital role in neuronal communication and various cognitive processes. Glutamate stands as the principal excitatory neurotransmitter in the brain. Its presence is crucial for the communication between neurons, underpinning essential processes such as synaptic transmission, neuronal excitability, and plasticity. These functions are vital for higher-order cognitive processes, including learning and memory. The...
321
Antiepileptic Drugs: GABAergic Pathway Potentiators
387
γ-aminobutyric acid or GABA, plays a pivotal role as an inhibitory neurotransmitter in the brain. GABA pathway potentiators, also known as GABAergic drugs, are a class of pharmaceutical agents designed to enhance the functioning of the GABAergic system. These medications primarily treat epilepsy, a neurological disorder characterized by recurrent seizures.
The key GABA pathway potentiators used in epilepsy management are as follows.
Benzodiazepines are a well-known class of drugs used for...
The key GABA pathway potentiators used in epilepsy management are as follows.
Benzodiazepines are a well-known class of drugs used for...
387
