Treatment of epilepsy in the elderly
Akamatsu, N.; Tanaka, A.; Toyota, T.; Tsuji, S.
Nihon Rinsho. Japanese Journal of Clinical Medicine 72(5): 859-864
2014
ISSN/ISBN: 0047-1852 PMID: 24912287 Document Number: 678079
As the elderly constitute the most rapidly growing population, epilepsy in this group is an important health issue worldwide. We identified 70 patients who developed epilepsy after the age of 65 years at our institution. Complex partial seizures (CPS) without secondarily generalization were most frequent. The most frequent diagnosis was temporal lobe epilepsy. Etiological diagnosis was possible in nearly 50% patients, including those with cerebrovascular disease. Interictal EEG revealed focal epileptiform discharges in 66.7% of patients. Forty-two patients were on antiepileptic monotherapy and 52 patients had been seizure-free for more than 1 year. Epileptogenecity was relatively low in elderly patients and they responded well to antiepileptic medication.