Epilepsy in elderly people

The prevalence and incidence of epilepsy are highest in later life with aro und 25% of new cases occurring in elderly people, many of whom will have co ncomitant neurodegenerative, cerebrovascular, or neoplastic disease. Diffic ulties accepting the diagnosis are frequently compounded by its unpredictab le nature. Those affected commonly lose confidence and independence. Seizur es in older people can result in physical injury, adding to low morale. Com plete control is achievable in around 70% of patients with antiepileptic dr ug treatment. Optimum management requires rapid investigation, accurate dia gnosis, effective treatment, sympathetic education, and assured support. Th e emergence of seizure disorders in old age places an increasing burden on health-care facilities and costs. A coordinated programme among health-care workers is advised to maintain the independence and improve the quality of life of this vulnerable patient population.