Sundaram M B
Section of Neurology, University Hospital, Saskatoon, Sask., Canada.
Neuroepidemiology. 1989;8(5):234-8. doi: 10.1159/000110188.
67 consecutive, unselected patients with seizure onset after the age of 60 were studied prospectively in a general hospital with only neurosciences facilities for a population of 500,000. Investigations in most cases included CT scan of the brain and EEG. Etiology could be determined in 44 (66%): tumor- 16 (22%), stroke - 15 (22%) and miscellaneous - 13 (20%). Seizures were partial in 45 (67%) and generalized from onset in 22 (33%). Seizures were exclusively nocturnal in 8 of 23 (35%) cases with unknown etiology.
在一家仅设有神经科学科室、服务人口为50万的综合医院,对67例60岁以后起病的未经挑选的癫痫患者进行了前瞻性研究。多数病例的检查包括脑部CT扫描和脑电图检查。44例(66%)可确定病因:肿瘤16例(22%),中风15例(22%),其他13例(20%)。45例(67%)为部分性发作,22例(33%)起病即为全身性发作。在病因不明的23例患者中,8例(35%)癫痫仅在夜间发作。