Seizures in Seniors
Posted On April 6, 2020
Epilepsy foundation excellent resource
- Should a first seizure in Senior be treated?
- Alcohol withdraw, required treatment for withdraw
- Long term anticonvulsant may not be needed
- For NONwithdraw seizure
- 2 year seizure recurrent risk 23-71%
- higher if abnormal neuro exam or remote brain insult, including stroke
- Treatment reduce recurrence by 50%
- Choice of AED for seniors
- Consider Levetiracetam 500 – 1000 mg bid
- Oxycarbazepine – avoid use with diuretic
- Gabapetin
- Epilepsy.com – table
- Alcohol withdraw, required treatment for withdraw