ArticleNeuropsychiatric disease and treatment2018
Short duration of focal onset awareness and impaired awareness seizure are characteristic features of epilepsy in elderly patients.
Article in Neuropsychiatric disease and treatment, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- Atrophy and cognitive profiles in older adults with temporal lobe epilepsy are similar to mild cognitive impairment.Brain : a journal of neurology · 2021Article
- Efficacy and Safety of Epilepsy Surgery for Older Adult Patients with Refractory Epilepsy.Therapeutics and clinical risk management · 2020Article
- Temporal Lobe Cavernous Malformation Caused Epileptic Amnesic Episodes and Mild Cognitive Impairment.Frontiers in neurology · 2019Article
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Authors and funding
9 authors.
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Abstract
purposeDiagnosing epilepsy in the elderly population can be difficult due to mimicking symptoms. Furthermore, epileptic symptoms can also be masked by various symptoms. We hypothesized that elderly patients with epilepsy exhibit specific clinical features among the various symptoms. PATIENTS AND
methodsFrom 2009 to 2017, 177 patients who were older than 65 years were referred to our epilepsy center. Out of this group, the onset of symptoms occurred after reaching the age of 50 years in 152 of the patients, who were additionally being treated at our clinic. We divided their symptoms in accordance with their consciousness levels, which were defined as follows: full wakefulness level I, impaired awareness level II, and loss of consciousness level III. We also classified the duration of the symptoms as <10 seconds, ≥10 seconds but <1 minute, ≥1 minute but <5 minutes, ≥5 minutes but <10 minutes, ≥10 minutes but <1 hour, and ≥1 hour.
resultsAmong the 152 patients analyzed (mean age 72.9 years, standard deviation 6.71, range 65-92), 84 patients had epilepsy (epilepsy group) while 68 did not exhibit epilepsy (nonepilepsy group). For the consciousness levels, there were more level I patients in the nonepilepsy vs epilepsy group (
conclusionSymptoms that last <1 minute with awareness and impaired awareness might be epileptic in the elderly population.
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