Geriatric Epilepsy

Epilepsy is the most common severe nerve disorder in the elderly after stroke and dementia. Older patients most often have focal seizures. Diagnosis can be challenging because of several patient-related, physician-related and investigation-related factors. Treatment is complicated by the presence of physiological changes related to aging, co-morbidities and cognitive problems as well as concerns regarding drug interactions and medication adherence. Seizures can be controlled in most patients with low doses of a single anti-epileptic drug (AED). Elderly patients are more likely to respond to AEDs and at lower doses than required in younger patients.

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