PT -期刊文章盟路易啤酒AU -渝张盟王妃Sarkis TI -特发性癫痫在老年人中有多常见?一个回顾性研究。(p2.5 - 030) DP - 2019年4月09年TA -神首页经病学第六PG - p2.5 - 030 - 92 IP - 15补充4099 - //www.ez-admanager.com/content/92/15_supplement/p2.5 030. - 030.短4100 - //www.ez-admanager.com/content/92/15_supplement/p2.5 - -全所以Neurology2019 4月09年;92 AB -目的:识别特发性晚发型的流行seizuresBackground:癫痫具有双峰分布与第一个峰值在生命的第一年和第二个峰值发生在65岁。最常见的病因归咎于第二高峰是脑血管疾病有很大一部分没有可识别的原因。当前研究的目的是评估不同病因的迟发型癫痫(LOS)和识别特发性病例的比例。设计/方法:我们进行了回顾性的图表总结覆盖10年间(2005 - 2015)的布莱根妇女医院的门诊和住院记录和福克纳医院使用研究病人数据注册表工具。搜索是局限于受试者65岁以上ICD诊断代码符合癫痫或瞬态改变的意识。受试者包括如果发病的年龄≥60和有足够的数据有关的环境和工作发作。肿瘤病因被分为脑血管,有毒/代谢、外伤、感染和特发性。结果:共有10090个图表综述了十年。 Of the charts analyzed, 6,550 were excluded due to insufficient information (1,826), non-epileptic events (3573), or onset <60 (1,151). Of the remaining 3540 subjects, 40.4% of seizures were due to cerebrovascular disease, 22.6% neoplastic, 18.9% idiopathic, 6.7% toxic/metabolic, 4.6% traumatic, , 3% infectious, 3% due to miscellaneous etiologies, and 1% were unprovoked seizures in the setting of a known dementia.Conclusions: In a retrospective review of outpatient and inpatient records of subjects with LOS, 40% were due to cerebrovascular disease while 19 % did not have a clear etiology. Given the aging of the population and the increase in prevalence of LOS further research is needed to better characterize this patient population.Disclosure: Dr. Beers has nothing to disclose. Dr. Zhang has nothing to disclose. Dr. Sarkis has received personal compensation for consulting, serving on a scientific advisory board, speaking, or other activities with Sleepmed . Dr. Sarkis has received research support from Biogen, Empatica and UCB.

map