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[So-called late epilepsy (author's transl)].
Wiener Klinische Wochenschrift
|November 10, 1978
Summary
Late-onset epilepsy in 411 adults over 25 revealed a male predominance, with most seizures occurring between 30-40 years. Chronic alcoholism and vascular diseases were common causes, highlighting key factors for differential diagnosis.
Area of Science:
- Neurology
- Epileptology
Context:
- Investigated 411 adult patients experiencing epileptic seizures after age 25.
- Focused on aetiology, seizure types, frequency, and demographic distribution.
Purpose:
- To analyze the characteristics of late-onset epilepsy.
- To identify significant factors for differential diagnosis in this patient group.
Summary:
- A prevalence of male patients (67%) was observed, with onset mainly between 30-40 years (65%).
- Generalized grand mal seizures were most common (68%), followed by partial and complex partial seizures.
- Key aetiologies included chronic alcoholism (31%), vascular diseases (17%), and tumors (12%), with idiopathic epilepsy being rare (4%).
- Unknown aetiology was noted in 15% of cases.
Impact:
- EEG findings, age distribution, and seizure types are significant for differential diagnosis in late-onset epilepsy.
- Findings provide a comparative basis for understanding late-onset epilepsy characteristics.