[Epilepsy in the aged : Challenges in diagnostics and treatment]. / Altersepilepsie : Herausforderungen in Diagnostik und Therapie.
Z Gerontol Geriatr
; 54(4): 395-408, 2021 Jul.
Article
en De
| MEDLINE
| ID: mdl-33891210
ABSTRACT
Epilepsy is the third most frequent neurological disorder in aged patients after stroke and dementia. The incidence of epilepsy increases with age with the highest rates in patients ≥â¯65 years old. Due to demographic changes the number of aged patients with epilepsy is expected to increase further in the coming years. The leading cause of new onset epilepsy in aged patients is cerebrovascular disease followed by dementia. The recognition of seizures in aged patients is often delayed. Status epilepticus occurs more frequently in aged patients and is associated with a high mortality and morbidity. Antiepileptic drug (AED) treatment of aged patients is complicated by comorbidities and polypharmacy and AEDs with a low interaction profile and high tolerability should be selected. Levetiracetam and lamotrigine are the AEDs of choice due to low interactions and good tolerability.
Palabras clave
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Carbamazepina
/
Epilepsia
Tipo de estudio:
Diagnostic_studies
Límite:
Aged
/
Humans
Idioma:
De
Revista:
Z Gerontol Geriatr
Asunto de la revista:
GERIATRIA
Año:
2021
Tipo del documento:
Article