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Clifford Schold, MD; Philip R. Yarnell, MD; Michael P. Earnest, MD

JAMA. 1977;238(11):1177-1178.

Abstract
Among 50 previously well patients, aged 69 years or older, who had a first seizure, a cause could be identified in only 25 (50%). Cerebrovascular disease accounted for the seizures in 30% of the total group. Only one tumor was found. Treatable causes were found in 20%. In 25 patients (50%), a cause could not be identified. A total of 56% of the patients had focal motor seizures, and in 44%, the seizures were generalized. A definite cause could be established in 57% of those with focal seizure and in 41% of those with generalized seizures. These results are compared with previous surveys of adult-onset epilepsy and indicate a somewhat different etiologic distribution in elderly patients.

(JAMA 238:1177-1178, 1977)

Author Affiliations
From the Department of Neurology, University of Colorado Medical Center, Denver.

Footnotes
Reprint requests to Department of Neurology, Denver General Hospital, W Eighth Ave and Cherokee St, Denver, CO 80204 (Dr Schold).

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