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Related Experiment Videos

Convulsion in the aged.

E Otomo

    Folia Psychiatrica Et Neurologica Japonica
    |January 1, 1981
    PubMed
    Summary
    This summary is machine-generated.

    This study found that 4% of older adults experienced convulsions, with a higher incidence in those with cerebrovascular disorders. Epilepsy was rare, and specific electroencephalographic patterns were uncommon in this age group.

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    Area of Science:

    • Neurology
    • Geriatrics
    • Pathology

    Background:

    • Convulsions and electroencephalographic (EEG) patterns are critical indicators of neurological health, particularly in aging populations.
    • Understanding the incidence and causes of seizures in older adults is essential for effective clinical management and prognosis.

    Purpose of the Study:

    • To investigate the prevalence of convulsions and specific EEG findings in individuals aged 60 and over.
    • To determine the association between cerebrovascular disorders, brain tumors, and convulsive episodes in the elderly.
    • To analyze the incidence of typical spike-and-wave complexes and other EEG abnormalities in this demographic.

    Main Methods:

    • Retrospective analysis of clinical data and autopsy findings from 2,625 subjects aged 60+.

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  • Examination of EEG records from 20,000 individuals.
  • Specific focus on 72 cases with cerebrovascular disorders and 30 cases with brain tumors.
  • Main Results:

    • Convulsions were observed in 4% of the total cohort, with epilepsy noted in 0.076%.
    • A significant increase in convulsion incidence (26.4%) was found in recent cases of cerebrovascular disorders, particularly during acute cerebral apoplexy, with myoclonus being the most common manifestation.
    • Convulsions occurred in 13.3% of patients with brain tumors. Typical spike-and-wave complexes on EEG were rare (<0.005%), and no 6 and 14c/sec positive spikes were identified.

    Conclusions:

    • Cerebrovascular disorders, especially acute cerebral apoplexy, are significant contributors to convulsive seizures in the elderly, often with a poor prognosis.
    • The incidence of epilepsy is low in this age group, and specific EEG abnormalities like typical spike-and-wave complexes are infrequent.
    • Further research into the mechanisms and management of seizures in elderly patients with neurological conditions is warranted.