- Section 1 Ageing population and policy
- Section 2 Key concepts in care of older adults
- Section 3 Principles and organization of care
- Section 4 Age-related biological changes, altered physiology, and vulnerability to diseases and chronic conditions
- Section 5 Geriatric syndromes in clinical practice
- Section 6 Nutrition and metabolism
- Section 7 Mobility disorders: prevention, impact, and compensation
- Section 8 Infections in older adults: epidemiology, pathophysiology, diagnosis, and management
- Section 9 Cancer: epidemiology, pathophysiology, diagnosis, and management
- Section 10 Vascular diseases: epidemiology, pathophysiology, diagnosis, and management
- Section 11 Neurological disorders: epidemiology, pathophysiology, diagnosis, and management
- Chapter 111 Examining the nervous system of an older patient
- Chapter 112 Peripheral neuropathies and motor neuron disorders
- Chapter 113 Headaches and facial pain
- Chapter 114 Traumatic brain injury and subdural haematoma
- Chapter 115 Seizure disorders and management
- Chapter 116 Parkinsonism, Parkinson’s disease, and related conditions
- Chapter 117 Stroke: epidemiology of different types of strokes
- Chapter 118 Primary and secondary prevention of stroke
- Chapter 119 Management of acute stroke within the stroke pathway and stroke clinics
- Chapter 120 Neurological rehabilitation
- Section 12 Cognitive decline and dementia in older adults: epidemiology, pathophysiology, diagnosis, and management
- Section 13 Mental health of older adults
- Section 14 Management of common medical conditions: epidemiology, pathophysiology, diagnosis, and management
- Section 15 Palliative medicine and end-of-life care
- Section 16 Healthy ageing
(p. 891) Seizure disorders and management
- Chapter:
- (p. 891) Seizure disorders and management
- Author(s):
Steven C. Schachter
- DOI:
- 10.1093/med/9780198701590.003.0115
Epilepsy is common and in developed countries with ageing populations, the highest incidence and prevalence of epilepsy is in older people. The classification of seizure types is based on the patient’s or an observer’s description of the seizure. Most new-onset seizures in elderly persons arise from a focal area of the brain, often causing vague and non-specific symptoms or observable behaviours such as motionless staring, blackouts, delirium, disorientation, or limb jerking. The goals of treatment are to fully control seizures without bothersome side effects. Antiepileptic drugs (AEDs) are the mainstay of therapy; selecting an AED is based on a number of factors. Therapy should be initiated with a low dose and slowly titrated as needed. This chapter reviews the epidemiology, clinical evaluation, and treatment considerations for new-onset epilepsy in older people.
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- Section 1 Ageing population and policy
- Section 2 Key concepts in care of older adults
- Section 3 Principles and organization of care
- Section 4 Age-related biological changes, altered physiology, and vulnerability to diseases and chronic conditions
- Section 5 Geriatric syndromes in clinical practice
- Section 6 Nutrition and metabolism
- Section 7 Mobility disorders: prevention, impact, and compensation
- Section 8 Infections in older adults: epidemiology, pathophysiology, diagnosis, and management
- Section 9 Cancer: epidemiology, pathophysiology, diagnosis, and management
- Section 10 Vascular diseases: epidemiology, pathophysiology, diagnosis, and management
- Section 11 Neurological disorders: epidemiology, pathophysiology, diagnosis, and management
- Chapter 111 Examining the nervous system of an older patient
- Chapter 112 Peripheral neuropathies and motor neuron disorders
- Chapter 113 Headaches and facial pain
- Chapter 114 Traumatic brain injury and subdural haematoma
- Chapter 115 Seizure disorders and management
- Chapter 116 Parkinsonism, Parkinson’s disease, and related conditions
- Chapter 117 Stroke: epidemiology of different types of strokes
- Chapter 118 Primary and secondary prevention of stroke
- Chapter 119 Management of acute stroke within the stroke pathway and stroke clinics
- Chapter 120 Neurological rehabilitation
- Section 12 Cognitive decline and dementia in older adults: epidemiology, pathophysiology, diagnosis, and management
- Section 13 Mental health of older adults
- Section 14 Management of common medical conditions: epidemiology, pathophysiology, diagnosis, and management
- Section 15 Palliative medicine and end-of-life care
- Section 16 Healthy ageing