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Management of Seizures in the Elderly

  • Neurology of Aging (KS Marder, Section Editor)
  • Published:
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Abstract

Contrary to what most physicians believe, seizures begin most commonly in the older age group (early childhood is the next most common time). In older patients, detailed history may be even more important to differentiate seizures from other transient neurological complaints often seen at that age. Electroencephalography and magnetic resonance imaging of the brain can also be helpful in the diagnosis. As there are now numerous antiepileptic drugs to choose from, potential adverse effects and drug interactions, as well as efficacy, are particularly important in older patients. This review will outline the diagnosis and causes of seizures in the elderly, as well as the clinical trials and side effect profiles that will help guide management decisions in this age group.

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Cynthia M. Correll declares that she has no conflict of interest.

Carl W. Bazil has received financial research support from Lundbeck and Eisai.

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This article does not contain any studies with human or animal subjects performed by any of the authors.

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  1. Columbia Comprehensive Epilepsy Center, Columbia University College of Physicians and Surgeons, 710 W. 168th Street, New York, NY, 10032, USA

    Cynthia M. Correll & Carl W. Bazil

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Correll, C.M., Bazil, C.W. Management of Seizures in the Elderly. Curr Geri Rep 3, 73–82 (2014). https://doi.org/10.1007/s13670-014-0078-5

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