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- $Unique_ID{BRK00047}
- $Pretitle{}
- $Title{Spells or Seizures?}
- $Subject{seizure age epileptics Nervous System Spells Seizures elderly aging
- syncope Cerebrovascular brain tumor stroke strokes anticonvulsant geriatrics
- epilepsy Spell anticonvulsants geriatric old older convulsions convulsion
- convulse convulses convulsing epileptic}
- $Volume{F-1}
- $Log{}
-
- Copyright (c) 1991-92,1993 Tribune Media Services, Inc.
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- Spells or Seizures?
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-
- QUESTION: My 70-year-old father has begun having spells. It's pretty
- frightening, as he never suffered with them before. We would feel better if
- we knew more. What causes them?
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-
- ANSWER: "The child is father of the man," and we seem to be on a track toward
- childhood physiologically in our life process. Spells or seizures occur as
- frequently in the population over 60 as they do in infants under 1 year. Of
- course, the causes are different. Seizures in the elderly population spring
- from ailments of aging: an increased tendency toward stroke and other
- vascular accidents; an inability to maintain normal bodily stability; brain
- tumors; infections; and the increased dependency on medication coupled with a
- greater sensitivity to drugs. First let's zero in on the exact type of
- seizure your dad is experiencing. If they are very frequent, your father
- might have epilepsy, if they involve a complete stoppage of blood supply to
- the brain, they are called syncope in medicine. Barring these two
- possibilities, the common spells of the elderly involve either a part of the
- brain, partial seizures involve no loss of consciousness. Generalized
- seizures can begin with a partial seizure that becomes generalized. As we
- discussed earlier, the cause of the seizure must be discovered.
- Cerebrovascular disease, brain tumor, infection may be the cause. A drug
- reaction, alcohol or drug withdrawal may also be at fault. The causes can be
- determined only through extensive testing, including EEG. If a cause can be
- found in your father's case, then treatment is geared to that cause. If the
- cause is discovered to be brain tumor or stroke, then the seizures will
- reoccur and not only the cause must be treated, but also the seizures
- themselves. A good anticonvulsant drug is usually recommended for stopping
- the seizures, and usually the success rate is good. So your father should be
- under the care of a physician, knowledgeable in geriatrics, who will treat
- both the cause of the seizure and the seizure itself.
-
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-
- The material contained here is "FOR INFORMATION ONLY" and should not replace
- the counsel and advice of your personal physician. Promptly consulting your
- doctor is the best path to a quick and successful resolution of any medical
- problem.
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-