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Geriatric epilepsy: a review
1Department of Psychiatry, Massachusetts General Hospital, Boston 02114.
Journal of Geriatric Psychiatry and Neurology
|April 1, 1991
Summary
The aging population is experiencing a rise in new epilepsy cases, primarily simple and complex partial seizures. Understanding the causes of epilepsy in older adults is crucial for effective management.
Area of Science:
- Neurology
- Epidemiology
- Geriatrics
Background:
- The global population is aging, with individuals over 60 projected to exceed 20% of the total population.
- Recent epidemiological data indicate a significant increase in the incidence of new-onset epilepsy among the elderly population.
Observation:
- The majority of new epilepsy cases in older adults present as simple or complex partial seizures, accounting for up to 80% of diagnoses.
- This demographic shift necessitates a closer examination of epilepsy in aging individuals.
Findings:
- This review synthesizes current literature on the rising incidence of partial seizures in the aging population.
- It explores established etiologies contributing to new-onset epilepsy in this age group.
- Five case studies illustrating complex partial seizures in older patients are presented.
Implications:
- Highlights the need for increased awareness and diagnostic focus on epilepsy in the elderly.
- Emphasizes the importance of identifying specific etiologies for targeted treatment strategies.
- Informs clinical practice and future research directions for managing epilepsy in aging populations.