在八代人中出现新的发作
Lakshmi Priya Lalitha1, Ashalatha Radhakrishnan2
1Department of Neurology, R. Madhavan Nayar Center for Comprehensive Epilepsy Care (RMNC), Sree Chitra Tirunal Institute for Medical Sciences and Technology (SCTIMST), Trivandrum, Kerala, India.
新发作在老年人中更常见. 这项研究描述了85岁以上人群的发作,发现中风史和某些药物增加了复发风险,突出了及时管理的必要性.
科学领域:
- 神经学 神经学
- 老年病的医生 老年病的医生
- 的研究研究.
背景情况:
- 新发作的发作在老年人中发生的频率是年轻人群相比的2-3倍.
- 以前的研究集中在60岁或65岁以上的个体的发作特征上.
- 这项研究解决了ILAE工作组2023年关于老年的数据的呼吁.
研究的目的:
- 评估85岁及以上个体中发作的临床特征.
- 为了确定与这种特定年龄组的发作复发相关的风险因素.
- 为了解和管理晚发性做出贡献.
主要方法:
- 从电子医疗记录中收集未来的数据.
- 无和复发组之间的临床特征的比较.
- 对发作类型,神经成像,EEG发现和病因的分析.
主要成果:
- 40名患者 (平均年龄为88.7岁) 在30年内进行了研究.
- 最常见的是通用性强力-克隆性发作 (45%).
- 脑卒中是最常见的确诊病因 (27.5%),50%的病例有未确定的病因.
- 47.5%的患者经历了发作复发,先前的中风史和使用芬伊托因或克洛巴赞是显著的危险因素.
结论:
- 这项研究提供了非常老年人 (85岁以上) 晚发性发作的有价值的特征.
- 确定的复发风险因素包括先前的中风和特定的抗药物.
- 及时和适当的管理对于改善这一群体的结果至关重要.
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