EPILEPTIC SEIZURES IN ELDERLY PATIENTS WITH DEMENTIA
EPILEPTIC SEIZURES IN ELDERLY PATIENTS WITH DEMENTIA
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DOI：
10.1111/j.1528-1157.1992.tb02343.x
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发表时间：
1992-07-01
期刊：
影响因子：
5.6
通讯作者：
FENTON, GW
中科院分区：
文献类型：
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作者：
MCAREAVEY, MJ;BALLINGER, BR;FENTON, GW
通过询问工作人员和查阅记录，对邓迪精神科服务机构中所有年龄>55岁的痴呆住院患者进行了癫痫发作情况的调查。在208名患者中，19人（9.1%）有癫痫发作记录。92%的癫痫发作为大发作，发作频率约为每人每年2.3次。癫痫患者明显比痴呆住院患者对照组年轻，在克利夫顿老年人评估程序（CAPE）中认知障碍明显更严重，但在简易精神状态检查表中并非如此。在111起报告的意外事故中，只有5起似乎与癫痫有关。尽管癫痫发作在重度痴呆患者中相对常见，但很少引发严重问题。
All inpatients aged >55 years with dementia in the Dundee Psychiatric Service were surveyed for seizure occurrence by interviewing staff and reviewing records. Of 208 patients, 19 (9.1%) were recorded as having seizures. The seizures were major in 92% and occurred at a rate of approximately 2.3 seizures per patient per year. Patients with epilepsy were significantly younger than a control group of dementia inpatients and were significantly more cognitively impaired on the survey Clifton Assessment Procedure for the Elderly (CAPE), but not on the Mini Mental State Examination. Of 111 reported accidents, only 5 appeared to be associated with epilepsy. Although epileptic seizures are relatively common in patients with severe dementia, they rarely caused severe problems.