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Geriatric epilepsy: a review.

K M Sanders¹, G B Murray

¹Department of Psychiatry, Massachusetts General Hospital, Boston 02114.

Journal of Geriatric Psychiatry and Neurology

|April 1, 1991

Summary

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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.

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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.