诊断老年患者的青少年肌阵挛癫痫。

Diagnosing juvenile myoclonic epilepsy in an elderly patient.

作者信息

Grünewald R A, Panayiotopoulos C P

机构信息

National Hospital of Neurology and Neurosurgery, Queen Square, London, UK.

出版信息

Seizure. 1994 Sep;3(3):239-41. doi: 10.1016/s1059-1311(05)80195-5.

DOI:10.1016/s1059-1311(05)80195-5

PMID:8000720

Abstract

Juvenile myoclonic epilepsy is a common idiopathic generalized epilepsy with age-related onset of symptoms. We present an unusual case where definitive diagnosis was delayed until the patient was aged 66 years, despite early recognition of the clinical features. Although uncommon in the elderly, JME should be considered in all patients with seizures refractory to treatment.

摘要

青少年肌阵挛癫痫是一种常见的特发性全身性癫痫，症状有与年龄相关的发作。我们报告了一例不寻常的病例，尽管早期就认识到临床特征，但直到患者66岁才做出明确诊断。虽然青少年肌阵挛癫痫在老年人中不常见，但对于所有治疗难治性癫痫发作的患者都应考虑到该病。