Study of Seizures in Elderly.

Chezhian, D (2008) Study of Seizures in Elderly. Masters thesis, Madurai Medical College, Madurai.


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Seizures have been recognized since antiquity. One of the earliest descriptions of a secondarily generalized tonic-clonic seizure was recorded over 3000 years ago in Mesopotamia, which was attributed to the god of the moon. Epileptic seizures were described in ancient cultures including those of China, Egypt, and India. The word seizure is derived from Latin word "sacire", meaning, "to take possession of" indicating that the person having a seizure is possessed or atleast out of control. The clinical symptoms in seizures could be motor, sensory, autonomic, or psychic events although in practice, when a patient presents to a health care system with a seizure it is usually a convulsive (motor) seizure, either generalized or focal. Cumulative observations of many clinical investigators, along with adjunctive neurophysiological, imaging and genetic tools created a well-accepted diversity in the etiologies of seizures in various age groups. Interestingly, the highest incidence of seizures occur in early childhood and late adulthood. In older adults and elderly the frequent causes are cerebrovascular disease, brain tumors, alcohol withdrawal, metabolic disorders , degenerative diseases and idiopathic. With aging population growing in our nation, thanks to improved medical infrastructure, a growing number of elderly people will be seeking attention to our health care system. This study is to analyze the seizures occurring in age group more than 50 years. CONCLUSIONS: · Unlike in young, most of the seizures in the age group studied, had their etiologies established. Hence, in a patient with new onset seizures more than 50 years, all efforts to identify the etiology should be made. · Thorough search to rule out metabolic factors as cause of seizures should be an early priority. · CT brain and MRI are indispensable in patients more than 50 years with new onset seizures.

Item Type: Thesis (Masters)
Uncontrolled Keywords: Seizures ; Elderly.
Subjects: MEDICAL > Neurology
Depositing User: Kambaraman B
Date Deposited: 03 Jul 2017 08:20
Last Modified: 03 Jul 2017 08:20

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