New-onset epilepsy in the elderly: Challenges for the internist

被引:35
|
作者
Ghosh, Sayantani [1 ]
Jehi, Lara E. [1 ,2 ,3 ]
机构
[1] Cleveland Clin, Epilepsy Ctr, Cleveland, OH 44195 USA
[2] Cleveland Clin, Clin Res Unit, Cleveland, OH 44195 USA
[3] Case Western Reserve Univ, Lerner Coll Med, Cleveland Clin, Cleveland, OH 44106 USA
关键词
NONCONVULSIVE STATUS EPILEPTICUS; NURSING-HOME RESIDENTS; ANTIEPILEPTIC DRUG-USE; ALZHEIMERS-DISEASE; ACUTE STROKE; SEIZURES; POPULATION; MINNESOTA; ROCHESTER; ETIOLOGY;
D O I
10.3949/ccjm.81a.13148
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
New-onset epilepsy in the elderly is difficult to diagnose, owing to atypical presentation, concomitant cognitive impairment, similarities with other common disorders, and nonspecific changes on electroencephalography (EEG). Its management is also challenging because of its deranging physiology, comorbidities, and polypharmacy. Antiepileptic drugs must be carefully chosen and closely monitored. Support of the patient and caregiver is key.
引用
收藏
页码:490 / 498
页数:9
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