以往对癫痫的报道多注重儿童与青少年,而对老年人的晚发性癫痫报道较少。本文就114例老年人晚发性癫痛的发病、临床与治疗总结如下。 1 临床资料 1.1 一般资料:114例病人中,男性98例,女性16例,年龄60～86岁,平均68.8岁,全部病例均经过详细的询问病史,专科医师检查以及脑电图、CT等检查。脑血管病52例(45.6%),其中脑梗塞38例,脑出血14例;脑肿瘤15例(13.1%),脑萎缩12例(10.5%);内分泌及代谢疾病7例(6.1%);颅内感染疾病6例(5.3%);颅脑外伤3例(2.6%);脑囊虫病3例 Past reports of epilepsy focus more on children and adolescents, while the elderly reported fewer epileptic seizures. In this paper, 114 elderly patients with epilepsy onset, clinical and treatment are summarized as follows. 1 Clinical data 1.1 General information: 114 patients, 98 males and 16 females, aged 60 to 86 years, mean 68.8 years old, all cases were examined in detail history, specialist examination and EEG, CT and other tests . There were 52 cases of cerebrovascular disease (45.6%), including 38 cases of cerebral infarction and 14 cases of cerebral hemorrhage; 15 cases of brain tumors (13.1%), 12 cases of brain atrophy (10.5%), 7 cases of endocrine and metabolic diseases 6 cases of intracranial infection (5.3%), 3 cases of traumatic brain injury (2.6%), 3 cases of cysticercosis