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[Epileptic seizures and epilepsy in the elderly]
1Schweizerisches Epilepsie-Zentrum, Zürich. g.kraemer@swissepi.ch
Therapeutische Umschau. Revue Therapeutique
|January 31, 2002
Summary
Epilepsy incidence is higher in older adults than in children, with cerebrovascular issues being a common cause. This review details diagnosis and treatment, considering how other diseases affect medication for elderly epilepsy patients.
Area of Science:
- Neurology
- Geriatrics
Context:
- Epileptic seizures are a common neurological issue in the elderly population.
- Incidence rates of epilepsy in individuals over 65 exceed those in childhood and adolescence.
Purpose:
- To review the diagnostic and therapeutic strategies for epilepsy in the elderly.
- To highlight the impact of comorbidities on pharmacotherapy in geriatric epilepsy.
Summary:
- The most frequent seizure types observed are primary focal seizures, often progressing to secondary generalization.
- Common etiologies include cerebrovascular disturbances, brain tumors, head injuries, and degenerative diseases.
- Postictal disturbances, such as Todd's paresis, are frequently encountered.
Impact:
- Provides crucial insights for managing epilepsy in older adults.
- Emphasizes the importance of considering patient-specific factors, like comorbidities, in treatment plans.
- Aims to improve pharmacotherapeutic outcomes for elderly patients with epilepsy.