Kipervasser S, Neufeld M Y
Department of Neurology, Tel Aviv Sourasky Medical Center, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Acta Neurol Scand. 2007 Oct;116(4):221-5. doi: 10.1111/j.1600-0404.2007.00888.x.
To determine the importance of video-EEG monitoring (VEM) in elderly patients with various paroxysmal events.
We retrospectively identified 16 subjects > or = 60 years old out of 834 (1.9%; 7 females, mean age 67.8 +/- 7.7 years), who were admitted to the Video-EEG Unit between 1997 and 2005 and compared data between those with and without epileptic events.
Epilepsy was confirmed in six patients, psychogenic non-epileptic seizures (NES) were diagnosed in seven, one patient had NES and epilepsy whereas the recorded events were non-conclusive in two. NES patients had a higher predisposition to psychiatric disturbances (P<0.02). Following VEM and management alteration, the frequency of monthly events decreased significantly for the cohort as a whole (P<0.001). VEM directly influenced the diagnosis, treatment and outcome of 14 of 16 (88%) patients.
Video-EEM plays a vital role in the evaluation of paroxysmal events in the elderly, but is vastly underutilized in this population group.
确定视频脑电图监测（VEM）在患有各种阵发性事件的老年患者中的重要性。
我们回顾性地从834名患者中确定了16名年龄≥60岁的受试者（占1.9%；7名女性，平均年龄67.8±7.7岁），这些患者在1997年至2005年间被收治入视频脑电图室，并比较了有癫痫事件和无癫痫事件患者的数据。
6名患者确诊为癫痫，7名被诊断为精神性非癫痫发作（NES），1名患者既有NES又有癫痫，而2名患者记录的事件无定论。NES患者更容易出现精神障碍（P<0.02）。经过VEM及治疗调整后，整个队列每月事件的频率显著降低（P<0.001）。VEM直接影响了16名患者中14名（88%）的诊断、治疗和结局。
视频脑电图在评估老年人阵发性事件中起着至关重要的作用，但在这一人群中其应用严重不足。
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