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Late onset epilepsy
Author(s) -
Ahuja G. K.,
Mohanta Ajay
Publication year - 1982
Publication title -
acta neurologica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.967
H-Index - 95
eISSN - 1600-0404
pISSN - 0001-6314
DOI - 10.1111/j.1600-0404.1982.tb04519.x
Subject(s) - epilepsy , medicine , lesion , abnormality , atrophy , electroencephalography , central nervous system disease , pediatrics , pathology , radiology , surgery , psychiatry
253 cases of late onset epilepsy were studied prospectively. 27 cases (10.7%) had space‐occupying lesion, 19 cases (7.5%) had cerebrovascular disease, 13 cases (5.1 %) cerebral cysticercosis and 4 cases (1.6 %) had diffuse cerebral atrophy. No cause could be detected in 190 cases (75.1 %). Analysis of clinical data and radiological studies showed that a majority (85 %) of patients with ‘tumour’who presented with epilepsy had focal neurological deficit and/or papilloedema. Focal slow‐wave abnormality in EEG also gave an indication of an organic lesion. Patients who had epilepsy for more than 1 year, infrequent attacks and partial complex seizures, were less likely to have a tumour. The role of careful clinical examination is stressed.