[Late occurrence of first epileptic seizures: a 42-case series]

Late occurrence of epilepsy is common in tropical areas. This report describes a series of 42 cases of late epilepsy collected over a three-year period. Findings were consistent with the literature: highest incidence in young age groups, predominance of partial symptomatic epilepsy, and wide spectrum of etiologies. The most frequent etiology was tumoral disease followed by vascular and infectious disease. Brain CT scan and electro-encephalography were highly useful for identification of clinical and etiological entities.