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Epilepsy in the elderly: incidence, social function, and disability.

K Lühdorf, L K Jensen, A M Plesner

    Epilepsia
    |March 1, 1986
    PubMed
    Summary
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    Epilepsy incidence in older adults is 77 per 100,000 annually, with males disproportionately affected. While many manage at home, social factors like dementia impact function, and economic inactivity is high.

    Area of Science:

    • Neurology
    • Epidemiology
    • Geriatrics

    Background:

    • Epilepsy affects older adults, necessitating studies on incidence and impact in this demographic.
    • Understanding the specific challenges faced by elderly epilepsy patients is crucial for public health.

    Purpose of the Study:

    • To determine the incidence of epilepsy in individuals aged 60 and above in an urban setting.
    • To analyze seizure types, social functioning, and economic activity in this population.

    Main Methods:

    • A 5-year prospective study in an urban area.
    • Inclusion of new-onset epilepsy cases in individuals 60+ years.
    • Assessment of seizure types, social function, and economic status.

    Main Results:

    Related Experiment Videos

    • Incidence of definite epilepsy was 77 new cases per 100,000 per year in those 60+.
    • Males had a significantly higher incidence.
    • Generalized and partial seizures were equally common, with most patients experiencing generalization.
    • 152 of 163 new-onset patients managed at home, but 97 needed permanent help.
    • Marital status, dementia, and neurological signs affected social function, not age.
    • New-onset patients and those with pre-existing epilepsy had similar social function.
    • A high rate of economic inactivity was observed in both groups.
    • Lower social class and potential occupational risks were suggested as etiological factors.

    Conclusions:

    • Epilepsy incidence in older adults is significant, with notable gender disparity.
    • Social determinants, particularly dementia, play a role in functional outcomes.
    • Economic inactivity and potential occupational risks warrant further investigation in elderly epilepsy patients.