Malik Yasir, Dar Javeed Ahmed, Almadani Abubaker Abdul Rahman
Department of Neurology, Rashid Hospital, Dubai, Dubai, United Arab Emirates.
BMJ Case Rep. 2015 Nov 24;2015:bcr2014206136. doi: 10.1136/bcr-2014-206136.
Onset of epilepsy can occur at any age, but it is relatively rare in the elderly. Late onset epilepsy is usually secondary to stroke, tumour, trauma or neurodegenerative disorders. A 62-year-old Indian woman presented with frequent drop attacks sometimes leading to unconsciousness and, rarely, associated with seizure. Her epilepsy work up was unremarkable. As the disease progressed, she was diagnosed as having idiopathic epilepsy, syncope or pseudo-seizure, on different occasions, and was treated at length with no response. Finally, detailed history-taking revealed her as having glossopharyngeal neuralgia leading to syncope and seizures. She subsequently improved. In clinical practice, such rare entities should also be considered for proper management of patients' ailments.
癫痫可在任何年龄发病，但在老年人中相对少见。迟发性癫痫通常继发于中风、肿瘤、创伤或神经退行性疾病。一名62岁的印度女性出现频繁的跌倒发作，有时会导致意识丧失，很少伴有癫痫发作。她的癫痫检查结果无异常。随着病情进展，她在不同情况下被诊断为特发性癫痫、晕厥或假性癫痫，并接受了长期治疗但无反应。最后，详细的病史询问显示她患有舌咽神经痛，导致晕厥和癫痫发作。她随后病情好转。在临床实践中，为了对患者的疾病进行恰当管理，也应考虑到这类罕见病症。
