Document Detail

Etiology of seizures in the elderly.
MedLine Citation:
PMID:  3720706     Owner:  NLM     Status:  MEDLINE    
Our study covered a 5-year period, and included all patients within a well-defined area who developed seizures after age 60 years. The dominant cause of seizures was a previous stroke, accounting for 32% of all cases. Tumors accounted for 14%, and the cause of seizures remained unknown in 25%. Seizures were recurrent in greater than 80% of patients with first seizure greater than 6 months after stroke. Fifteen of 21 patients with tumors had metastatic tumors. Of the six patients with primary brain tumors, five had malignant gliomas and one had a meningioma. We conclude that epilepsy with onset after age 60 years is more often symptomatic than is epilepsy in younger patients; since seizures were the first sign of a central nervous system (CNS) disease in half of the patients with brain tumors, careful investigation is necessary to reach a correct diagnosis.
K Lühdorf; L K Jensen; A M Plesner
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Epilepsia     Volume:  27     ISSN:  0013-9580     ISO Abbreviation:  Epilepsia     Publication Date:    1986 Jul-Aug
Date Detail:
Created Date:  1986-08-20     Completed Date:  1986-08-20     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  2983306R     Medline TA:  Epilepsia     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  458-63     Citation Subset:  IM    
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MeSH Terms
Age Factors
Brain Diseases / complications
Brain Neoplasms / complications
Epilepsy / etiology*
Metabolic Diseases / complications
Middle Aged
Substance-Related Disorders / complications

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