Adult onset seisures-Epilepsy and Seizures in Older Adults | subsection title | section title | site title

Adult onset seizure disorder is a major public health concern in terms of burden of disease, nature of illness, and its impact on individual, family, and community. This study was done to assess the clinical profile and etiology of adult onset seizures and correlates of clinical and radiological pattern. This was a prospective cross-sectional hospital-based study conducted on cases presenting with adult onset seizures. However, the incidence of generalized seizures showed a falling trend as the age advanced whereas focal seizures increased in incidence with advancing age. It is mandatory to deal carefully with each case of adult onset seizure with a tailor-made approach.

Adult onset seisures

Adult onset seisures

Adult onset seisures

Adult onset seisures

Figure 1. The cause is unknown, but some research shows it may occur due to heart or respiratory conditions. However, the incidence of generalized seizures showed a falling trend as the age advanced whereas focal seizures increased in incidence with advancing age. The Adult onset seisures has another seizure soon after the first one. Address for correspondence: Dr. The person has difficulty breathing or waking after the seizure. Seizures during pregnancy pose dangers to both mother and baby, and certain anti-epileptic medications increase the risk of birth defects. Int J Sci Stud. Adult onset seisures prospective incidence study of epilepsy in a rural community of West-Bengal, India. Table 2 Neuroimaging findings of adult onset seizures.

Essex valley railroad. Types of seizures

However, I have read that even one or two drinks can trigger a seizure in someone who has any history of heavy drinking, as the brain chemistry is all set on withdrawals, even if the person was not considered an alcoholic. No anti-seizure meds Melodiana accordian models prescribed at that time. She seeisures me to the ER, but not See cheerleading coach with student pictures she had Adult onset seisures pull over twice so I could throw up. Conclusions The incidence Adult onset seisures generalized seizures showed a falling trend as the age advances whereas focal seizures show reverse trend with advancing age. Schachter SC. Thank You for your reply! Some children with epilepsy may outgrow the condition with age. The only thing i remember is waking up in the ER with a neck brace and a backboard with my parents next to me. I hate epilepsy as it is but this is not Adult onset seisures any better. Figure 2. Daroff RB, et al. Subscribe to our newsletters. Clinical knset of new onset seizures in adults. Care Seisufes 7 related articles.

Epilepsy is a central nervous system neurological disorder in which brain activity becomes abnormal, causing seizures or periods of unusual behavior, sensations, and sometimes loss of awareness.

  • Tina M.
  • Seizures in adult people take place because of a brain disorder referred as epilepsy, which occurs when specific nerve cells present in the brain misfire.
  • This material must not be used for commercial purposes, or in any hospital or medical facility.
  • Epilepsy is a central nervous system neurological disorder in which brain activity becomes abnormal, causing seizures or periods of unusual behavior, sensations, and sometimes loss of awareness.

Adult onset seizure disorder is a major public health concern in terms of burden of disease, nature of illness, and its impact on individual, family, and community. This study was done to assess the clinical profile and etiology of adult onset seizures and correlates of clinical and radiological pattern.

This was a prospective cross-sectional hospital-based study conducted on cases presenting with adult onset seizures. However, the incidence of generalized seizures showed a falling trend as the age advanced whereas focal seizures increased in incidence with advancing age.

It is mandatory to deal carefully with each case of adult onset seizure with a tailor-made approach. Identification and awareness about the etiological factors and seizure type help in better management of these patients. Primary care physicians play a pivotal role in identifying patients with adult onset seizures and should encourage these patients to undergo neuroimaging so as to arrive at an appropriate etiological diagnosis.

In the face of recent advances in neuroimaging techniques, the future prospective management of adult onset seizures appears bright and convincing.

Seizures beginning in the adult life require special attention as regards to their etiology because these are likely to be due to an identifiable cause. These are mainly due to trauma, central nervous system CNS infections, space-occupying lesions, cerebrovascular accidents CVA , metabolic disorders, and drugs.

In addition, the etiology and clinical profile of seizures in adults necessitate decisions about the initiation and discontinuation of pharmacotherapy that are different from those in younger patients. For evaluation of adults with new onset seizures, magnetic resonance imaging MRI has been shown to be superior to computed tomography CT scan for the detection of cerebral lesions causing seizures; however, CT scan is an appropriate choice in emergency settings.

Magnetic resonance spectroscopy MRS is a valuable tool that can be used to study the metabolic changes seen in epileptogenic zone. In the above scenario, the aim of the study was to assess clinical profile and etiology of adult onset seizures and correlates of clinical and radiological pattern.

This study was conducted in the Department of Medicine of a tertiary care teaching hospital of Punjab, India. It was a prospective cross-sectional study of patients with adult onset seizures admitted in the medical wards or attending the outpatient department.

The study was conducted after obtaining the permission of the Institutional Ethics Committee. The data were collected by the first author as per the detailed questionnaire copy attached. Patients of seizures with age of onset 18 years and above were taken, and seizures were diagnosed according to International League against Epilepsy Commission on Classification and Terminology.

EEG was done in all patients using Medicaid Sleepcare SC machine and recordings were carefully evaluated for any abnormalities. Statistical analysis was performed using GraphPad InStat software version 3. Out of total patients, 17 presented with status epilepticus; 14 with generalized seizures and three with focal seizures with secondary generalization.

In the productive age group of 21—50 years, majority Age-wise analysis of etiology revealed significant findings. Metabolic causes and brain tumors were responsible for causing seizures in minority cases [ Table 1 ]. Among the 23 patients with poststroke seizures, majority Among 18 patients with infarct, great majority EEG was done in all the patients studied.

Forty-four had an abnormal EEG record suggestive of seizure activity whereas the remaining 56 patients had a normal EEG record. Comparing the yield of CT with that of MRI, it was noted that the nature of the focal lesion was better delineated on MRI, giving a better diagnostic yield.

In remaining 53 patients The importance of adult onset seizures stems from its frequent association with secondary causes.

With history, clinical examination, and appropriate investigations, including neuroimaging, if proper analysis of etiology is made, the presenting seizures can be treated accordingly, thus reducing associated morbidity and mortality. Similar findings were reported by Chalasani and Kumar where Male-to-female ratio was 1. Literature reported mild to moderate preponderance of males, as seen in studies by Muralidhar and Venugopal[ 5 ] 2.

Narayanan and Murthy,[ 9 ] Kanitkar et al. With advancing age, prevalence of generalized seizures reduces while focal seizures become the predominant seizure type. Similar finding was reported by Sinha et al. Similar trend was also noted by Sendil et al. Other researchers reported acute stroke as up to half causes of acute symptomatic seizures in the elderly. Kanitkar et al. Sendil et al. Pradeep et al. Quraishi et al. CVA, CNS infections, and idiopathic contributed to major faction of adult onset seizures and their relative contributions depend on age composition of study population, sample size, and endemicity of CNS infections.

On the contrary, Quraishi et al. Hirani and Shrivastva[ 6 ] and Amaravathi et al. Narayanan and Murthy[ 9 ] also observed similar findings. In our study, different etiologies of adult onset seizures were noted according to different age groups.

Stroke becomes a major cause of adult onset seizures after 40 years of age; Brain tumors causing seizures were equally prevalent in younger adults and elderly participants. Chalasani and Kumar[ 4 ] also reported similar findings. Similar analysis of etiology of seizures in different age groups by Quraishi et al. Among the patients having seizures due to stroke, Among the patients having infarct, majority Assis et al.

Less common CNS infections were pyogenic meningitis, brain abscess, and cerebral malaria. Similarly Kanitkar et al. Sinha et al. This study highlights the current scenario of the pattern of adult onset seizures in a tertiary care center. Primary care physicians play a pivotal role in identifying patients with adult onset seizures and should encourage these patients to undergo neuroimaging so as to arrive at an appropriate etiological diagnosis of adult onset seizures.

We had limitations as this was a single-center study with limited sample in resource-poor setting. The incidence of generalized seizures showed a falling trend as the age advances whereas focal seizures show reverse trend with advancing age. Other causes in descending order are idiopathic seizures, CNS infections, metabolic causes, and brain tumors. National Center for Biotechnology Information , U. J Family Med Prim Care. Author information Copyright and License information Disclaimer.

Address for correspondence: Dr. E-mail: moc. This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4. Abstract Introduction: Adult onset seizure disorder is a major public health concern in terms of burden of disease, nature of illness, and its impact on individual, family, and community.

Materials and Methods: This was a prospective cross-sectional hospital-based study conducted on cases presenting with adult onset seizures. Conclusions: It is mandatory to deal carefully with each case of adult onset seizure with a tailor-made approach. Keywords: Adult onset, focal seizures, generalized seizures, seizure. Methods This study was conducted in the Department of Medicine of a tertiary care teaching hospital of Punjab, India.

Inclusion criteria Patients of seizures with age of onset 18 years and above were taken, and seizures were diagnosed according to International League against Epilepsy Commission on Classification and Terminology. Table 1 Age-gender distribution of adult onset seizures. Open in a separate window. Figure 1. Distribution of central nervous system infections causing adult onset seizures. Figure 2. Table 2 Neuroimaging findings of adult onset seizures.

Discussion The importance of adult onset seizures stems from its frequent association with secondary causes. Gender Male-to-female ratio was 1. Age-wise distribution of types of seizures With advancing age, prevalence of generalized seizures reduces while focal seizures become the predominant seizure type.

Age-wise distribution of etiology of seizures In our study, different etiologies of adult onset seizures were noted according to different age groups. Distribution of seizures in stroke Among the patients having seizures due to stroke, Strengths of the study This study highlights the current scenario of the pattern of adult onset seizures in a tertiary care center. Limitations of the study We had limitations as this was a single-center study with limited sample in resource-poor setting.

Conclusions The incidence of generalized seizures showed a falling trend as the age advances whereas focal seizures show reverse trend with advancing age. Financial support and sponsorship Nil. Conflicts of interest There are no conflicts of interest. References 1. Daniel HL. In: Harrisons Principles of Internal Medicine. Guidelines for epidemiologic studies on epilepsy. Magnetic resonance spectroscopy in animal models of epilepsy.

Chalasani S, Kumar MR.

It seems, too, that there IS some residual effects of the seizures, in spite of the fact that the doc said they would not last, and the CT and blood work being normal. Medically reviewed by Drugs. Try to get enough sleep at night, manage your stress levels, and follow a healthy lifestyle. The incidence of generalized seizures showed a falling trend as the age advances whereas focal seizures show reverse trend with advancing age. Now I have to start all over, with only 2 days under my belt. Learn how you can maintain your independence when you….

Adult onset seisures

Adult onset seisures

Adult onset seisures

Adult onset seisures

Adult onset seisures

Adult onset seisures. What Causes Sudden Seizures in Adults?

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Seizures can be easy to miss. Learn how to recognize the signs and how you can help. Epilepsy is brain disorder that causes repeated seizures. About 3 million US adults aged 18 years or older have active epilepsy. There are many different signs of seizures because there are many types of seizures.

If an older adult is showing these signs, it is important for them to talk to a health care provider. Find an epilepsy specialist near you at the Epilepsy Foundation website external icon. Adults who develop epilepsy later in life may have a hard time managing the disorder. After a lifetime of being independent, losing the ability to drive or take care of themselves can be especially hard for older adults. Seizure first aid is easy to give and involves keeping the person safe until the seizure stops on its own and knowing when to call for emergency help.

If you work at an adult day care center, senior center, long-term care facility, nursing home, in home health care, or another senior-serving organization, there is special training available. You can get free continuing education credits for participating. Seizures do not usually require emergency medical attention. Skip directly to site content Skip directly to page options Skip directly to A-Z link. Section Navigation. Epilepsy and Seizures in Older Adults. Minus Related Pages.

Caregivers should learn how to recognize seizures in older adults. How Can You Help? Zack MM, Kobau R. National and state estimates of the numbers of adults and children with active epilepsy — United States, DOI: Close to one million U. Epilepsy Behav. Epilepsy in later life. Lancet Neurology. Waterhouse E, Towne A. Seizures in the elderly: Nuances in presentation and treatment. Cleve Clin J Med.

New-onset epilepsy risk factors in older veterans. J Am Geriat Soc. Multiple Chronic Conditions Chartbook.

Accessed April 1, PDF pdf icon [ Do I Call ? The person has difficulty breathing or waking after the seizure. The seizure lasts longer than 5 minutes. The person has another seizure soon after the first one. The person is hurt during the seizure. The seizure happens in water. The person has a health condition like diabetes, heart disease, or is pregnant. To receive email updates about Epilepsy, enter your email address: Email Address.

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Adult onset seisures