[Epilepsy in the Elderly Population: Clinical Practice and Recent Updates].

Area of Science:

• Geriatric Medicine
• Neurology
• Public Health

Background:

• The global population is aging rapidly, leading to an increased prevalence of chronic conditions like epilepsy in older adults.
• Epilepsy affects all age groups but shows peaks in children and the elderly, necessitating specialized attention for geriatric populations.

Approach:

• This review synthesizes current clinical practices and recent advancements in understanding and managing epilepsy in elderly individuals.
• It emphasizes the distinct clinical presentations and diagnostic considerations for epilepsy in this demographic.

Key Points:

• Elderly-onset epilepsy often presents with subtle seizure symptoms and requires careful interpretation of electroencephalography (EEG) findings.
• Differential diagnoses are broad, and common etiologies include dementia and cerebrovascular disease.
• Pharmacological treatment is the mainstay, with seizures often well-controlled, but psychosocial aspects like driving restrictions and stigma are significant.

Conclusions:

• Clinicians must be aware of the unique aspects of epilepsy in the elderly to provide effective care.
• Addressing both medical and psychosocial challenges is essential for improving the quality of life for older adults with epilepsy.