Etiological prevalence of epilepsy and epileptic seizures in hospitalized elderly in a Brazilian tertiary center - Salvador - Brazil

Arquivos de neuro-psiquiatria
Telma Rocha de AssisOsvaldo J M Nascimento

Abstract

Epilepsy in the elderly has high incidence and prevalence and is often underecognized. To describe etiological prevalence of epilepsy and epileptic seizures in elderly inpatients. Retrospective analysis was performed on elderly patients who had epilepsy or epileptic seizures during hospitalization, from January 2009 to December 2010. One hundred and twenty patients were enrolled. They were divided into two age subgroups (median 75 years) with the purpose to compare etiologies. The most common etiology was ischemic stroke (36.7%), followed by neoplasias (13.3%), hemorrhagic stroke (11.7%), dementias (11.4%) and metabolic disturbances (5.5%). The analysis of etiological association showed that ischemic stroke was predominant in the younger subgroup (45% vs 30%), and dementias in the older one (18.9% vs 3.8%), but with no statistical significance (p = 0.23). This study suggests that epilepsy and epileptic seizures in the elderly inpatients have etiological association with stroke, neoplasias and dementias.

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Citations

Jul 22, 2015·Expert Review of Neurotherapeutics·Huan LiaoXuefeng Wang
Nov 24, 2016·Acta neurologica Belgica·Archana Verma, Alok Kumar
Dec 10, 2015·Epilepsia·Colin B JosephsonSamuel Wiebe
Apr 16, 2020·Revista gaúcha de enfermagem·Edson Fernando Muller GuzzoMárcia Koja Breigeiron
Dec 3, 2020·Arquivos de neuro-psiquiatria·Aroldo BacellarOsvaldo José Moreira do Nascimento
Mar 20, 2021·Journal of the American Geriatrics Society·Ying XuRuth Peters
Sep 3, 2021·Stroke; a Journal of Cerebral Circulation·Heléne E K SundelinJonas F Ludvigsson
Mar 3, 2020·Lancet·Arjune SenJosemir W Sander

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