Clinical profile and outcome of elderly patients with epilepsy in a Neurology tertiary care centre in Eastern India
Journal Title: Journal of the Indian Medical Association - Year 2017, Vol 115, Issue 12
Abstract
Elderly population (age 60 years or above), is the most rapidly growing population in the world and incidence of epilepsy is highest in the elderly. Epilepsy is an important health issue in this group. We conducted this study to identify characteristics and treatment outcome of epilepsy among elderly patients. We prospectively enrolled patients diagnosed with epilepsy with age of onset 60 years or older. Clinical data were collected and patients were followed-up for three months. Sixty six patients were included. Most frequent were focal seizures (72.72%), and localization related epilepsy was the most common type (n=57, 86.36%). Etiological diagnosis was possible in about 70% patients. Cerebrovascular disease (including hemorrhage and infarction) was the commonest cause of epilepsy. Interictal EEG showed epileptiform discharges in only 8 patients (12%). Most of the patients responded to monotherapy (80.3%). Levetiracetam (n=35, 53%) and Phenytoin (n=33, 50%) are the two most common AED taken by the patients. Most epilepsy in our population was focal onset mostly as a complication of cerebrovascular diseases. The overall effectiveness of AEDs treatment in elderly was satisfactory with most being stable on monotherapy.
Authors and Affiliations
Alak Pandit, Adreesh Mukherjee, Meghraj Singh Patel, Goutam Gangopadhyay, Biman Kanti Ray
Keywords
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