As the number of older adults continues to increase, the population at risk
for neurologic illnesses also rises. Acute and chronic seizures are common
ly seen in adults older than 60 years; however, no consensus exists on the
best way to diagnose and treat seizures and epilepsy in this age group, Sev
eral new medical and surgical therapies are now available for all epilepsy
patients, some of which may be especially helpful for older patients. This
article reviews the current literature on the diagnosis and management of s
eizures in older adults, Unique aspects of the epidemiology, etiology, diag
nosis, and medical and surgical treatments of acute and chronic seizures in
patients older than 60 years are discussed.