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Elder Epilepsy Hidden Danger
Dr. David J. Demko, Editor and Gerontologist
AgeVenture News Service - 01/07/04
National Council on Aging The greatest number of newly diagnosed cases of epilepsy each year occurs, not among young people, but among the elderly, the nation's fastest-growing age-group. In response, the National Council on the Aging (NCOA), the Epilepsy Foundation and UCB Pharma Inc have launched an initiative to raise awareness about the increasing incidence of epilepsy in the nation's older population. The groups will address the challenges of treating elderly patients with epilepsy and improving their quality of life.

“Few realize that epilepsy can develop as people age,” said NCOA President James P. Firman. He also noted that within 30 years, one out of every five Americans will be 65 or older, increasing the importance of managing health risks for the elderly.

“Epilepsy can be difficult to recognize in elderly people because it’s not just falling down on the floor and convulsing,” said Eric Hargas, Epilepsy Foundation. "Symptoms of epilepsy can be very subtle like hearing unusual sounds, blurred vision, or sudden anxiety.”

According to the Epilepsy Foundation, the symptoms of Generalized Tonic-Clonic (Grand Mal) are:
  • Sudden cry, fall or slump, or loss of consciousness.
  • Body becomes stiff, then starts to jerk as muscles alternately contract and relax voluntarily.
  • Breathing is shallow, or temporarily suspended. Skin takes on a bluish tone.
  • Possible loss of bladder or bowel control due to involuntary muscle spasms.
  • Lasts about two minutes (although may last longer).
  • Muscle spasms slowly subside.
  • Breathing resumes, but may seem labored and noisy.
  • Slow return to full consciousness. If you witness these syptoms in an elder, the Epilepsy Foundation recommends that the bystander
    1. Look for EPILEPSY, SEIZURE DISORDER, or other medical I.D.
    2. Loosen anything tight around the neck.
    3. Turn the person on one side to keep airway clear and prevent choking.
    4. Check time elapse since seizure began.
    5. Call for emergency help.
    For more information on signs of epilepsy and how to help, visit "epilepsyfoundation.org" on the Internet.

    The disorder often develops as a result of common health problems in the elderly including stroke, certain types of cancers or heart diseases. Once diagnosed, physicians then face the challenge of simultaneously treating patients for epilepsy and other conditions. “It’s important for all epilepsy patients to find a therapy that provides seizure freedom without side effects,” said Eugene Ramsay M.D., University of Miami School of Medicine. “Seniors are often treating multiple health problems, so it is especially important to be aware of potential drug-drug interactions.”

    One recent study, presented at the American Epilepsy Society, reported that a new antiepileptic drug was highly effective in preventing seizures without interacting with other medications taken by the elder patient. Control of seizures and reducing drug few side effects helps the elderly to enjoy a better quality of life.

    Founded in 1950, NCOA promotes vital aging by developing new knowledge, testing creative ideas, and translating research into effective programs that help community service organizations serve seniors. For more information on NCOA, visit "www.ncoa.org" on the Internet.
    Graphic Credit: National Council on the Aging, Washington,DC.
    Dr. David J. Demko reports on lifestyle issues and trends in Aging America.
    Submit reader comments to: demko@demko.com
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    AgeVenture News Service, 19432 Preserve Drive, Boca Raton, FL 33428 USA
    Dr. David J. Demko, gerontologist and editor-in-chief
    Voice-mail: 561-482-6271. E-mail: demko@demko.com