目的分析和总结老年性癫癎的临床特征、脑电图特点及临床意义。方法对92例60岁后发病的老年性癫癎患者的临床、脑电图及神经影像学资料等进行分析。结果 92例患者中,复杂部分性发作是最常见的发作类型。82例为症状性癫癎,10例为隐源性癫癎。脑血管病、脑肿瘤、代谢中毒性疾病、颅内感染、脑外伤等是常见病因。脑电图异常以局灶性慢波最常见。56例随访患者中,47例发作控制良好。结论老年人群是癫癎的高发人群,正确认识临床特征和脑电图特点是诊断治疗的关键。 Objective To analyze and summarize the clinical features, characteristics and clinical significance of senile epilepsy. Methods The clinical, electroencephalographic and neuroimaging data of 92 elderly patients with senile epilepsy after 60 years of age were analyzed. Results Of the 92 patients, complicated partial seizures were the most common type of seizure. 82 cases of symptomatic epilepsy, 10 cases of cryptogenic epilepsy. Cerebrovascular disease, brain tumor, metabolic toxic disease, intracranial infection, traumatic brain injury are common causes. EEG abnormal focal slow wave most common. Of the 56 follow-up patients, 47 had well-controlled seizures. Conclusion The elderly population is a high incidence of epilepsy. Correct understanding of the clinical features and EEG features is the key to diagnosis and treatment.