Assis Telma Rocha de, Bacellar Aroldo, Costa Gersonita, Nascimento Osvaldo J M
Departamento de Neurologia, Hospital São Rafael, Salvador, BA, Brazil.
Departamento de Neurologia, Universidade Federal Fluminense, Rio de Janeiro, RJ, Brazil.
Arq Neuropsiquiatr. 2015 Feb;73(2):83-9. doi: 10.1590/0004-282X20140217.
Epilepsy in the elderly has high incidence and prevalence and is often underecognized.
To describe etiological prevalence of epilepsy and epileptic seizures in elderly inpatients.
Retrospective analysis was performed on elderly patients who had epilepsy or epileptic seizures during hospitalization, from January 2009 to December 2010. One hundred and twenty patients were enrolled. They were divided into two age subgroups (median 75 years) with the purpose to compare etiologies.
The most common etiology was ischemic stroke (36.7%), followed by neoplasias (13.3%), hemorrhagic stroke (11.7%), dementias (11.4%) and metabolic disturbances (5.5%). The analysis of etiological association showed that ischemic stroke was predominant in the younger subgroup (45% vs 30%), and dementias in the older one (18.9% vs 3.8%), but with no statistical significance (p = 0.23).
This study suggests that epilepsy and epileptic seizures in the elderly inpatients have etiological association with stroke, neoplasias and dementias.
老年癫痫发病率和患病率高，且常未得到充分认识。
描述老年住院患者癫痫及癫痫发作的病因患病率。
对2009年1月至2010年12月住院期间患有癫痫或癫痫发作的老年患者进行回顾性分析。共纳入120例患者。将他们分为两个年龄亚组（中位数75岁）以比较病因。
最常见的病因是缺血性卒中（36.7%），其次是肿瘤（13.3%）、出血性卒中（11.7%）、痴呆（11.4%）和代谢紊乱（5.5%）。病因关联分析显示，缺血性卒中在较年轻亚组中占主导（45%对30%），痴呆在较年长亚组中占主导（18.9%对3.8%），但无统计学意义（p = 0.23）。
本研究表明，老年住院患者的癫痫及癫痫发作与卒中、肿瘤和痴呆存在病因关联。
