Epilepsy in older adults

Joseph I. Sirven

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

A 75-year-old female is seen in the emergency department (ED) due to a subacute onset of severe back pain. The pain is centered in the mid-thoracic area of the back without radiation and is easily exacerbated by movement. She is an established patient and has a history of localization-related epilepsy with recurrent focal seizures. The seizures were caused by a previous stroke that occurred almost a decade ago. The typical seizure manifests as a generalized convulsion. In the past, they had been sporadic and had occurred in both the day and nighttime. The patient also reports persistent imbalance and a feeling of chronic dizziness. She has been adherent to her current dosage of phenytoin taken as directed by her neurologist. She is taking 300 mg per day with a recent serum level of 10 mg/dl. The patient had been on a higher dose of phenytoin in the past but complained that she experienced significant problems with her balance. In the ED, following clinical assessment, a radiograph of the thoracic spine was performed. The interpretation suggested a compression deformity in the appropriate area. An MRI is performed and reveals the following (Fig. 18.1):

Original languageEnglish (US)
Title of host publicationEpilepsy Case Studies: Pearls for Patient Care
PublisherSpringer International Publishing
Pages77-80
Number of pages4
ISBN (Print)9783319013664, 3319013653, 9783319013657
DOIs
StatePublished - Nov 1 2013

Fingerprint

Epilepsy
Seizures
Phenytoin
Hospital Emergency Service
Thorax
Partial Epilepsy
Dizziness
Back Pain
Emotions
Spine
Stroke
Radiation
Pain
Serum

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Sirven, J. I. (2013). Epilepsy in older adults. In Epilepsy Case Studies: Pearls for Patient Care (pp. 77-80). Springer International Publishing. https://doi.org/10.1007/978-3-319-01366-4_18

Epilepsy in older adults. / Sirven, Joseph I.

Epilepsy Case Studies: Pearls for Patient Care. Springer International Publishing, 2013. p. 77-80.

Research output: Chapter in Book/Report/Conference proceedingChapter

Sirven, JI 2013, Epilepsy in older adults. in Epilepsy Case Studies: Pearls for Patient Care. Springer International Publishing, pp. 77-80. https://doi.org/10.1007/978-3-319-01366-4_18
Sirven JI. Epilepsy in older adults. In Epilepsy Case Studies: Pearls for Patient Care. Springer International Publishing. 2013. p. 77-80 https://doi.org/10.1007/978-3-319-01366-4_18
Sirven, Joseph I. / Epilepsy in older adults. Epilepsy Case Studies: Pearls for Patient Care. Springer International Publishing, 2013. pp. 77-80
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