Epilepsy with onset at over 50 years of age: clinical and electroencephalographic characteristics

Epilepsy in older individuals has an elevated incidence. The objective of the present work was to evaluate the clinical, EEG and brain imaging aspects in patients showing late-onset epilepsy. Fifty-five patients with late-onset epilepsy (older than 50 years) were evaluated. They were composed of two...

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Main Authors: Glória Maria Almeida Souza Tedrus, Lineu Corrêa Fonseca, Elizardo Nogueira Junior, Daniele Pazetto
Format: Article
Language:English
Published: Thieme Revinter Publicações 2012-10-01
Series:Arquivos de Neuro-Psiquiatria
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Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2012001000006&lng=en&tlng=en
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author Glória Maria Almeida Souza Tedrus
Lineu Corrêa Fonseca
Elizardo Nogueira Junior
Daniele Pazetto
author_facet Glória Maria Almeida Souza Tedrus
Lineu Corrêa Fonseca
Elizardo Nogueira Junior
Daniele Pazetto
author_sort Glória Maria Almeida Souza Tedrus
collection DOAJ
description Epilepsy in older individuals has an elevated incidence. The objective of the present work was to evaluate the clinical, EEG and brain imaging aspects in patients showing late-onset epilepsy. Fifty-five patients with late-onset epilepsy (older than 50 years) were evaluated. They were composed of two groups according to the onset age of the epilepsy seizure (ES): 51-60 (G51-60) and over 60 (G60+) years. Focal ES predominated although they were less frequent in G60+. The occurrence of status epilepticus was high and more frequent in G60+ whereas seizures in series predominated in G51-60. Symptomatic epilepsy was more frequent and the vascular etiology predominated. Epileptiform activity was associated with a greater number of ES, and background activity abnormalities were more frequent in G60+. In conclusion, epilepsy with onset at over 50 was predominantly focal and symptomatic, with a high occurrence of status epilepticus and of seizures in series.
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publishDate 2012-10-01
publisher Thieme Revinter Publicações
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series Arquivos de Neuro-Psiquiatria
spelling doaj-art-0c2db3f42b9b46819c2a7dc841760a8a2025-08-20T03:17:13ZengThieme Revinter PublicaçõesArquivos de Neuro-Psiquiatria1678-42272012-10-01701078078510.1590/S0004-282X2012001000006S0004-282X2012001000006Epilepsy with onset at over 50 years of age: clinical and electroencephalographic characteristicsGlória Maria Almeida Souza Tedrus0Lineu Corrêa Fonseca1Elizardo Nogueira Junior2Daniele Pazetto3Pontifícia Universidade Católica de CampinasPontifícia Universidade Católica de CampinasPontifícia Universidade Católica de CampinasPontifícia Universidade Católica de CampinasEpilepsy in older individuals has an elevated incidence. The objective of the present work was to evaluate the clinical, EEG and brain imaging aspects in patients showing late-onset epilepsy. Fifty-five patients with late-onset epilepsy (older than 50 years) were evaluated. They were composed of two groups according to the onset age of the epilepsy seizure (ES): 51-60 (G51-60) and over 60 (G60+) years. Focal ES predominated although they were less frequent in G60+. The occurrence of status epilepticus was high and more frequent in G60+ whereas seizures in series predominated in G51-60. Symptomatic epilepsy was more frequent and the vascular etiology predominated. Epileptiform activity was associated with a greater number of ES, and background activity abnormalities were more frequent in G60+. In conclusion, epilepsy with onset at over 50 was predominantly focal and symptomatic, with a high occurrence of status epilepticus and of seizures in series.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2012001000006&lng=en&tlng=enepilepsiaidosocrises epilépticaseletroencefalografia
spellingShingle Glória Maria Almeida Souza Tedrus
Lineu Corrêa Fonseca
Elizardo Nogueira Junior
Daniele Pazetto
Epilepsy with onset at over 50 years of age: clinical and electroencephalographic characteristics
Arquivos de Neuro-Psiquiatria
epilepsia
idoso
crises epilépticas
eletroencefalografia
title Epilepsy with onset at over 50 years of age: clinical and electroencephalographic characteristics
title_full Epilepsy with onset at over 50 years of age: clinical and electroencephalographic characteristics
title_fullStr Epilepsy with onset at over 50 years of age: clinical and electroencephalographic characteristics
title_full_unstemmed Epilepsy with onset at over 50 years of age: clinical and electroencephalographic characteristics
title_short Epilepsy with onset at over 50 years of age: clinical and electroencephalographic characteristics
title_sort epilepsy with onset at over 50 years of age clinical and electroencephalographic characteristics
topic epilepsia
idoso
crises epilépticas
eletroencefalografia
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2012001000006&lng=en&tlng=en
work_keys_str_mv AT gloriamariaalmeidasouzatedrus epilepsywithonsetatover50yearsofageclinicalandelectroencephalographiccharacteristics
AT lineucorreafonseca epilepsywithonsetatover50yearsofageclinicalandelectroencephalographiccharacteristics
AT elizardonogueirajunior epilepsywithonsetatover50yearsofageclinicalandelectroencephalographiccharacteristics
AT danielepazetto epilepsywithonsetatover50yearsofageclinicalandelectroencephalographiccharacteristics