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Research ArticleORIGINAL ARTICLES
Open Access

Epilepsy in patients 60 years and above

Yahya M. Mousali, Tahir H. Obeid, Hussein A. Al-Gahtani, Mansour A. Al-Janadi, Ahmed A. Attar and Hassnah O. Dammas
Neurosciences Journal January 2009, 14 (1) 53-55;
Yahya M. Mousali
Neurology Section, Department of Medicine, King Khalid National Guard Hospital, PO Box 40923, Jeddah 21511, Kingdom of Saudi Arabia. E-mail: [email protected]
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Tahir H. Obeid
Neurology Section, Department of Medicine, King Khalid National Guard Hospital, PO Box 40923, Jeddah 21511, Kingdom of Saudi Arabia. E-mail: [email protected]
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Hussein A. Al-Gahtani
Neurology Section, Department of Medicine, King Khalid National Guard Hospital, PO Box 40923, Jeddah 21511, Kingdom of Saudi Arabia. E-mail: [email protected]
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Mansour A. Al-Janadi
Neurology Section, Department of Medicine, King Khalid National Guard Hospital, PO Box 40923, Jeddah 21511, Kingdom of Saudi Arabia. E-mail: [email protected]
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Ahmed A. Attar
Neurology Section, Department of Medicine, King Khalid National Guard Hospital, PO Box 40923, Jeddah 21511, Kingdom of Saudi Arabia. E-mail: [email protected]
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Hassnah O. Dammas
Neurology Section, Department of Medicine, King Khalid National Guard Hospital, PO Box 40923, Jeddah 21511, Kingdom of Saudi Arabia. E-mail: [email protected]
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Abstract

OBJECTIVE: To evaluate the clinical characteristics and etiology of epilepsy at age 60 years and above in the Western Region of Saudi Arabia (KSA), as epilepsy is now considered to be the third most frequent neurological problem in the elderly population.

METHODS: We retrospectively reviewed the medical records of patients 60 years and above at King Khalid National Guard Hospital, Jeddah, KSA between 1999 and 2007 with new onset of seizures and diagnosed as suffering from epilepsy. We excluded patients 60 and above with provoked seizures.

RESULTS: Seventy-five patients of late onset epilepsy were studied. Partial seizure (focal) was found in 40 patients (53.3%); generalized tonic clonic seizures in18 patients (24%); unclassified seizure in 13 patients(17.5%); and status epilepticus in 4 patients (5.3%). Stroke was the underlying etiology in 52 patients(69.3%); brain tumor was found in 8 patients(10.7%), trauma in 3 patients (4%), and infection in3 patients (4%). None of the patients had a family history of epilepsy. No cause (idiopathic) was found in 9 (12%) patients.

CONCLUSION: The most common type of epilepsy at age 60 and above in our study is symptomatic epilepsy with stroke as the leading cause. Modifying risk factors for stroke such as: hypertension, diabetes mellitus, and high cholesterol may reduce the incidence of epilepsy in this age group.

  • Copyright: © Neurosciences

Neurosciences is an Open Access journal and articles published are distributed under the terms of the Creative Commons Attribution-NonCommercial License (CC BY-NC). Readers may copy, distribute, and display the work for non-commercial purposes with the proper citation of the original work.

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Neurosciences Journal: 14 (1)
Neurosciences Journal
Vol. 14, Issue 1
1 Jan 2009
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Epilepsy in patients 60 years and above
Yahya M. Mousali, Tahir H. Obeid, Hussein A. Al-Gahtani, Mansour A. Al-Janadi, Ahmed A. Attar, Hassnah O. Dammas
Neurosciences Journal Jan 2009, 14 (1) 53-55;

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Epilepsy in patients 60 years and above
Yahya M. Mousali, Tahir H. Obeid, Hussein A. Al-Gahtani, Mansour A. Al-Janadi, Ahmed A. Attar, Hassnah O. Dammas
Neurosciences Journal Jan 2009, 14 (1) 53-55;
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© 2025 Neurosciences Journal Neurosciences is copyright under the Berne Convention and the International Copyright Convention. All rights reserved. Neurosciences is an Open Access journal and articles published are distributed under the terms of the Creative Commons Attribution-NonCommercial License (CC BY-NC). Readers may copy, distribute, and display the work for non-commercial purposes with the proper citation of the original work. Electronic ISSN 1658-3183. Print ISSN 1319-6138.

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