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[Epilepsy in advanced age].

F Iemolo, B Michel, H Gastaut

    Rivista Di Neurologia
    |November 1, 1981
    PubMed
    Summary
    This summary is machine-generated.

    In elderly epileptic patients, partial seizures are most common. CT-scans helped determine the cause of epilepsy in 63% of cases, revealing secondary generalized epilepsies in 16%.

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    Area of Science:

    • Neurology
    • Geriatrics
    • Epileptology

    Context:

    • Epilepsy in the elderly (65+ years) presents unique diagnostic challenges.
    • Understanding seizure semiology is crucial for accurate classification and management.
    • Cerebral involution can contribute to secondary generalized epilepsies in older adults.

    Purpose:

    • To categorize seizure types in elderly epileptic patients using the international Classification of the epilepsies.
    • To investigate correlations between epilepsy classification and CT-scan findings.
    • To determine the etiological factors of epilepsy in this age group.

    Summary:

    • A study of 174 elderly epileptic patients found partial seizures (74%) to be the most prevalent seizure type.
    • Generalized tonico-clonic seizures were less frequent (9% partial secondarily generalized, 1% primary generalized, 16% secondary generalized).

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  • Computed tomography scans (CT-scan) identified the true etiology in 63% of patients, particularly for secondary generalized epilepsies linked to cerebral involution.

    • Impact:

    • Highlights the high incidence of partial seizures in elderly epilepsy.
    • Emphasizes the diagnostic utility of CT-scans in identifying underlying causes of epilepsy in older adults.
    • Informs clinical practice regarding the specific epilepsy syndromes and etiological factors prevalent in geriatric populations.