65岁以上的人首次发作癫痫少见,仅占所有癫痫病人的2—3％,且有1/3病人表现为部分性发作,其发作原因仍不清楚。作者报道一例嗜酒和苯二氮(艹卓)成瘾的老年女病人,停药后出现一种“非典型性遗忘发作”,五天后出现复杂性部分性癫痫发作。文章提出老年人迟发性部分性癫痫发作与药物依赖有密切关系。 The first episode of epilepsy in people over 65 years old is rare, accounting for only 2-3% of all patients with epilepsy, and one third of patients show partial seizures. The cause of the episode is still unclear. The authors report a case of an elderly female patient addicted to alcohol and benzodiazepine that developed an “atypical amnesia attack” after withdrawal and a complex partial seizure five days later. The article suggests that late-onset seizures in the elderly are closely related to drug dependence.