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Traditionally, epilepsy has been thought of as a condition of the
young, however, recent research has revealed that epilepsy is increasingly
common in over 60 and particularly in people over 80 years of age.
A quarter of all new cases of epilepsy occurs in people over the
age of 60 and the proportion is rising. |
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25% of people newly diagnosed
are over 60. |
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1 in 20 people who have a
stroke will develop some form of epilepsy, usually within the first
few months of the stroke. |
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9 in 10 people who develop
epilepsy in later life are found to have a physical cause in the
brain for the seizures, which can be picked up by MRI scanning. |
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Seizures and drug side-effects
can be difficult to identify in someone who already has other medical
conditions which are commonly experienced by this age group. |
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Anti-epileptic drugs can
sometimes interact with medication taken for other medical problems.
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Diagnostic tests such as
EEG, CT and MRI are equally important for anyone but are unfortunately
less likely to be carried out in persons over the age of 60. |
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Having epilepsy does not
imply that someone has, or will go on to develop psychiatric problems
or dementia. |
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The vast majority
of people with epilepsy in this age group do not have seizures as
they are controlled by anti-epileptic medication. |
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Generally
the aspirations of people with epilepsy are the same, whatever their
age; for those who develop epilepsy in later life, four important
issues have been identified:
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Aim for no seizures - up
to 80% of people achieve complete control of their seizures with
anti-epileptic medication, so the prognosis is good.
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Aim for no side-effects -
there are possible side-effects associated with all medications,
but the risk of these effects can be reduced by prescribing, where
possible, a single anti epileptic drug to control the seizures.
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Aim for no drug interactions
- by informing the prescribing doctor of any other medication that
is being taken regularly, many possible interactions can be avoided.
It is, however, still important to keep watching for any side-effects
which may indicate an interaction and report these to the doctor. |
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Aim
to lead a normal life - if seizures are not controlled, risks can
be minimised by making minor lifestyle adjustments. |