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  Česky / Czech version Čes. a slov. Neurol. Neurochir., 62/95, 1999, No. 5, p. 259–263.
 
Epilepsy in Elderly Patients 
Hovorka J., Fremundová P., Janicadisová M., Ševčíková J. 

 


Summary:

       A population of 6084 patients, aged over 60, hospitalized at the department of general internal medicine was studied. An average prevalence of unprovoked epileptic seizures 12.6 and age-specific prevalence of unprovoked epileptic seizures was found: 9.9 (age 60–69), 12 (age 70–79), 15.8 (over 80). Most of our patients suffered from partial and secondarily generalized tonic-clonic seizures (GTCS, SGTCS), or partial seizures (PS) only. There was one patient with non-convulsive status-epilepticus (NCSE) and neuro-psychiatric clinical symptomatology only, and with rapid improvement after anticonvulsive therapy. 36 % of the patients suffered from vascular epilepsy, 6,4 % suffered from tumoral epilepsy and in 22 % the seizures persisted before the age of 60. The population of our hospitalized patients had a high prevalence of epilepsy, and high proportion of potential risk factors for „cryptogenic“ cerebral damage. The prevalence increased with advancing age of the patients.

        Key words: epilepsy, elderly, prevalence
       

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