Navigation Links
Epilepsy in the elderly
Date:3/13/2009

It is more difficult to recognize and treat epilepsy in old than in young patients. In the new edition of Deutsches rzteblatt International (Dtsch Arztebl Int 2009; 106[9]: 135󈞖), Konrad J. Werhahn of the Epilepsy Center of Johannes Gutenberg University in Mainz, Germany, presents the clinical characteristics of the disease and the therapeutic options.

It is often not possible to recognize epileptic seizures unambiguously in older patients; they may be identified as confusion of unclear etiology, memory disturbance, or giddiness. Aura is a typical symptom in young patients, but is rare in old patients. Moreover, confusion after a seizure may last much longer in older patients with epilepsy, giving the impression of dementia or stroke.

Drug treatment of old patients with epilepsy is complicated. There has not yet been enough research on changes in drug distribution and decreased elimination through the liver and kidneys in epilepsy in the elderly. For this reason, many therapeutic decisions are based on experience with young epileptics, together with the knowledge of the general principles of pharmacotherapy in age. As old patients often require different drugs for a variety of diseases, drug interactions may occur. Moreover, older patients react more sensitively to drug side effects. The author discusses conventional antiepileptics, together with their side effects and interactions. Nevertheless, many questions cannot be answered with the current state of knowledge and the available studies.


'/>"/>

Contact: Elke Bartholomus, M.A.
bartholomaeus@aerzteblatt.de
49-223-470-11133
Deutsches Aerzteblatt International
Source:Eurekalert

Page: 1

Related medicine news :

1. Head Injury While Young Ups Epilepsy Risk
2. Video: Celebrities and Professional Athletes Invite the Public to Join them at the Third Annual National Walk for Epilepsy on March 28, in Washington, D.C.
3. Controversial medication may decrease spasms for infants with epilepsy
4. Gene Discovered for Most Common Form of Epilepsy
5. Study: Adding Vimpat significantly reduces partial-onset seizures in adults with epilepsy
6. Evolution and epilepsy
7. Study yields clues about the evolution of epilepsy
8. Despite Availability of Generic Equivalents, Two-Thirds of Neurologists Will Continue to Prescribe Branded Anti-Epileptic Drugs to Epilepsy Patients
9. FDA Adds Suicide Warning to Epilepsy Drugs
10. Seizure Meds Can Be Safely Withdrawn From Kids With Epilepsy
11. Mayo Clinic finds it generally safe to withdraw anti-seizure medication in children with epilepsy
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:9/19/2014)... using intact cells to treat and cure disease ... it is hindered by the inability of doctors and ... of these cells in patients without resorting to invasive ... September 17 in the online journal Magnetic Resonance ... San Diego School of Medicine, University of Pittsburgh and ...
(Date:9/19/2014)... published today in the online journal PLoS Outbreaks ... West Africa by the end of the month if ... State University and Harvard University researchers also discovered through ... significantly increased in August in Liberia and Guinea, around ... place, indicating that the mass quarantine efforts may have ...
(Date:9/19/2014)... Fla. Researchers at Jacksonville,s campus of Mayo Clinic ... they say contributes to both overproduction of toxic protein ... as well as loss of communication between neurons ... Their study, in the online issue of ... specific defect with drugs "may rejuvenate or rescue this ...
(Date:9/19/2014)... Sept. 19, 2014 (HealthDay News) -- When it comes ... in the United States, while the District of Columbia ... the past decade, deaths from gun-related violence -- including ... the United States, the study revealed. Hawaii,s rate was ... of the spectrum, the District of Columbia had the ...
(Date:9/19/2014)... (Sept. 19, 2014) Shahram Majidi, M.D., a ... the George Washington University School of Medicine and ... American Heart Association to study the presence of ... intracerebral hemorrhage (ICH). , "According to epidemiological studies, ... of all strokes, but is the least treatable ...
Breaking Medicine News(10 mins):Health News:A better way to track emerging cell therapies using MRIs 2Health News:Research predicts possible 6,800 new Ebola cases this month 2Health News:Mayo researchers reveal pathway that contributes to Alzheimer's disease 2Health News:U.S. Gun Deaths Lowest in Hawaii, Highest in D.C. 2Health News:GW researcher receives grant to study brain swelling following bleeding in the brain 2
... Stem cell research holds promise for improving the quality of ... develop into any tissue in the human body. However, basic ... researchers are leading the way to inventive solutions. ... and safe therapeutic tool, we have to find strategies to ...
... cafeterias and other food-service providers? A new study from North ... cameras in commercial kitchens to see how precisely food handlers ... more often than previously thought. "Meals prepared outside the ... food poisoning outbreaks, making them a vital focus area for ...
... U.S. Food and Drug Administration,s abilities to discover potential ... illness are hampered by impediments to efficient use of ... and using information on risks, says a new report ... To more proactively tackle food safety problems, ...
... is influenced by our personality traits, according to new research ... published yesterday (7 June 2010) in the Proceedings of ... higher levels of neuroticism and more extravert men, are likely ... societies with traditionally high birth rates. The study ...
... extra sleep over an extended period of time improves ... abstract that will be presented Tuesday, June 8, 2010, ... annual meeting of the Associated Professional Sleep Societies LLC. ... significantly after seven to eight weeks of sleep extension. ...
... for patients in just the first six months after they ... in Canada, according to a study presented today at the ... Ischemic Stroke (BURST) study found that the direct and indirect ... in the six-month period following a new stroke. There are ...
Cached Medicine News:Health News:A launchpad for stem cell research 2Health News:Video study finds risky food-safety behavior more common than thought 2Health News:Video study finds risky food-safety behavior more common than thought 3Health News:FDA should adopt risk-based approach to food safety 2Health News:FDA should adopt risk-based approach to food safety 3Health News:Research shows personality can predict fertility 2Health News:Getting extra sleep improves the athletic performance of collegiate football players 2Health News:Cost of caring for stroke patients double that of earlier estimates 2Health News:Cost of caring for stroke patients double that of earlier estimates 3
(Date:9/19/2014)... Sept. 19, 2014  For Cloud Pharmaceuticals, Inc., ... and development, partnering is an integral part of ... design new drugs and identify early stage, preclinical, ... further their development. The company also partners with ... this business model, Cloud Pharmaceuticals will be participating ...
(Date:9/19/2014)... Mich. , Sept. 19, 2014  Diplomat, the ... of David Dreyer to the Board of ... independent director and will also serve as chair of ... almost 30 years of accounting, financial, compliance and operating ... Mr. Dreyer has served as chief financial officer, chief ...
(Date:9/19/2014)... -- Alere Inc. (NYSE: ALR ), a global ... in support of President Barack Obama,s Executive ... leader in rapid diagnostics for infectious disease, we commend ... the serious threat of antibiotic resistance. We look forward ... to promote the development of rapid point-of-care tests that, ...
Breaking Medicine Technology:Cloud Pharmaceuticals Announces Partnering Sessions and Presentation Schedule 2David Dreyer Appointed to Diplomat Board of Directors 2Alere Applauds President's Executive Order Combating Antibiotic-Resistant Bacteria 2
... These objectives provide incredible image flatness over ... correction of chromatic aberration throughout the entire,visible ... for routine laboratory work but for photomicrography. ... series have more contrast than the DLL ...
... for this class of objectives. Correction ... with performance similar to the CFI Plan ... for spherical aberration and provide image flatness ... The DL phase contrast objectives in this ...
These objectives have more contrast than the DLL objectives for enhanced contrast with tissue culture specimens. These objectives are designed for use on inverted microscopes and therefore their mark...
... scientist who wants a fully automated, computer-controlled ... high precision Z-focus automated microscope featuring a ... possible to expand the infinity space to ... A five-way automated light path with ...
Medicine Products: