|
|
| Epilepsy in older people
Summary
Globally, as populations age there will be challenges and opportunities to deliveroptimal health care to senior citizens. Epilepsy, a condition characterised by spontaneousrecurrent seizures, is common in older adults (aged >65 years) and yet has receivedcomparatively little attention in this age group. In this Review, we evaluate theunderlying causes of epilepsy in older people, explore difficulties in establishinga diagnosis of epilepsy in this population, discuss appropriate antiseizure medications,and evaluate potential surgical treatment options. We consider cognitive, psychological,and psychosocial comorbidities and the effect that epilepsy might have on an olderperson's broader social or care network in high-income versus middle-income and low-incomecountries. We emphasise the need for clinical trials to be more inclusive of olderpeople with epilepsy to help inform therapeutic decision making and discuss whethermeasures to improve vascular risk factors might be an important strategy to reducethe probability of developing epilepsy. https://www.thelancet.com/journals/lancet/...c9-b7e14e5b6583
|
| | |
