Iemolo F, Michel B, Gastaut H
Riv Neurol. 1981 Nov-Dec;51(6):330-43.
A study was performed on 174 epileptic patients aged of 65 years and over. This semeiology of seizures of 156 patients can be categorized according to the international Classification of the epilepsies. Correlations were made between epilepsy form and scan. We had found that majority (74%) of the patients manifested parital seizures either with elementary or a complex symptomatology. The generalized tonico-clonic seizures of the aged were less frequent: 9% consisted of partial seizures secondarily generalized, 1% of Grand Mal primary generalized epilepsies and 16% of secondary generalized epilepsies due to a cerebral involution which can be only detectable with CT-scan. By means of CT-scan we were able to define the true etiology in 63% of our patients.
对174名65岁及以上的癫痫患者进行了一项研究。156名患者的癫痫发作症状学可根据国际癫痫分类进行分类。对癫痫类型与扫描结果进行了相关性分析。我们发现，大多数（74%）患者表现为伴有简单或复杂症状的局灶性发作。老年人的全身强直阵挛发作较少见：9%为继发性全身性局灶性发作，1%为原发性全身性大发作癫痫，16%为由于脑萎缩导致的继发性全身性癫痫，脑萎缩只能通过CT扫描检测到。通过CT扫描，我们能够确定63%患者的真正病因。
