Elders with epilepsy

Seizures and epilepsy are increasingly common in the growing numbers of elders worldwide. Provoked seizures need to be distinguished from epilepsy, as evaluation and management differ. Seizures in older adults are frequently under-recognized and have presentations that may be mistaken for other causes of altered mental status, such as dementia, transient ischemic attack, syncope, or stroke. Considering the medications taken for common comorbidities in elders, the pharmacokinetic profile of the newer antiepileptic medications (AEDs) has distinct advantages. After appropriate recognition, evaluation, and treatment, the prognosis of epilepsy in elders is good, with improved seizure control along with maintenance of functional status and quality of life.