在常规临床实践中,老年人患有全般性的管理和结果
MarieElena Byrnes1, Majed Alzahrany2, Vineet Punia1
1Epilepsy Center, Neurological Institute, Cleveland Clinic, Cleveland, Ohio, USA.
Epilepsia open
|December 27, 2024
概括
在老年人中,泛性不常见,通常需要长期服用抗发作药物 (ASM). 虽然发作缓解是常见的,但的解决是罕见的,特别是对于那些具有特定EEG模式或发作类型的人来说.
科学领域:
- 神经学 神经学
- 的研究研究.
- 老年医学 老年医学
背景情况:
- 一般性通常在年轻人中被诊断出来.
- 在老年人中,普遍性的病例很少被报告.
- 有限的数据存在于这种人口中的的管理和结果.
研究的目的:
- 分析50岁及以上个体普遍性的管理策略和临床结果.
- 在这个未经研究的人群中确定与活跃相关的因素.
主要方法:
- 回顾性单中心队列研究.
- 包括151名年龄≥50岁的患者,他们有电图证实了泛性.
- 对史,治疗和随访数据的分析.
主要成果:
- 57%的患者在最后一次随访前一年经历了活跃发作,尽管之前有缓解期.
- 大多数患者平均需要两种抗发作药物 (ASM).
- 活动性与多尖,肌性史和发育迟缓有关;家族病史是保护性的.
结论:
- 患有普遍性的老年人经常实现发作缓解,但完全解决的可能性很低.
- 某些临床和EEG特征预示着在这个年龄组中会更持久.
- 长期使用ASM治疗通常是必要的,以控制一般性的老年患者的发作.
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