Hostname: page-component-7479d7b7d-wxhwt Total loading time: 0 Render date: 2024-07-12T03:42:40.324Z Has data issue: false hasContentIssue false
  • English
  • Français

CT Findings in Late-Onset Epilepsy

Published online by Cambridge University Press:  18 September 2015

V. de la Sayette ,
R. Cosgrove ,
D. Melanson  and
R. Ethier
V. de la Sayette
Affiliation:
Departments of Neurology,Neurosurgery and Radiology, Montreal Neurological Hospital, Montreal
R. Cosgrove
Affiliation:
Departments of Neurology,Neurosurgery and Radiology, Montreal Neurological Hospital, Montreal
D. Melanson*
Affiliation:
Departments of Neurology,Neurosurgery and Radiology, Montreal Neurological Hospital, Montreal
R. Ethier
Affiliation:
Departments of Neurology,Neurosurgery and Radiology, Montreal Neurological Hospital, Montreal
*
Montreal Neurological Hospital, 3801 University Street, Montreal, Quebec H3A 2B4
Rights & Permissions [Opens in a new window]

Abstract:

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.

We reviewed the CT findings of 387 patients with new-onset seizures after the age of 50. Seizures were generalized in 212 patients, focal in 160, and indeterminant in 15. CT scanning revealed cerebral atrophy in 113 cases, ischemic lesions in 75, cerebral neoplasms in 20, and no abnormality in 177 cases. Tumours were found in only three patients with generalized seizures, and all three had focal neurological deficits at the time of CT diagnosis, while 17 neoplasms were discovered in patients with a focal seizure disorder. The majority of patients with late-onset epilepsy have a normal CT scan with cerebral atrophy being the most common abnormality detected. Cerebral vascular disease appears to be the most frequently identified cause of late-onset epilepsy, while cerebral neoplasms are uncommon.

Type
Original Articles
Information
Canadian Journal of Neurological Sciences , Volume 14 , Issue 3 , August 1987 , pp. 286 - 289
Copyright
Copyright © Canadian Neurological Sciences Federation 1987

References

REFERENCES

1.Merlis, J-K. Epilepsy of late onset. In: Magnus, O and Corentz, de, Haas, AM,eds. Handbook of clinical neurology. 1974; 25: 264–170.Google Scholar
2.Lemay, M. Radiologic change of the aging brain and skull. AJR 1984; 143: 383–389.CrossRefGoogle ScholarPubMed
3.Gastaut, H, Gastaut, J-L. Computerized transverse axial tomogra-phy in epilepsy. Epilepsia 1976: 17: 325–336.CrossRefGoogle Scholar
4.Bonduelle, M, Tallon, C, Guillard, J. Etude de 61 dossiers d’épilepsie ayant débuté après 60 ans. Sem Hôp Paris 1970; 46: 3141–3444.Google Scholar
5.Carney, LR, Hudgins, RL, Espinosa, RE, Klass, DW. Seizures beginning after the age of 60. Arch Intern Med 1969; 124: 707–709.CrossRefGoogle Scholar
6.Courjon, J, Artru, F, Zeskov, P. A propos des crises dépilepsie apparaissant après 60 ans obsérvees en clientèle de neurologie dans un sèrvice de neurochirurgie. Sem Hôp Paris 1970; 46: 3129–3132.Google Scholar
7.Feuerstein, J, Weber, M, Kurtz, D, Röhmer, F. Etude statistique des crises épileptiques apparaissant après Iߣâge de 60 ans. Sem Hôp Paris 1970; 46: 3125–3128.Google Scholar
8.Gastaut, H. Individualisation des épilepsies dites “bénignes” ou “fonctionnelles” aux diférents âges de la vie. Appréciation des variations correspondantes de la prédisposition épileptique à ces âges. Rev EEG Neurophysiol 1981; 11: 346–366.Google Scholar
9.Gastaut, H, Michel, B, Gastaut, J-L, Cerda, M. A propos dߣune éventuelle épilepsie généralisée secondaire tardive. Apport de la scannographie cérébrale. Rev EEG Neurophysiol 1980; 3: 276–282.Google Scholar
10.Woodstock, S, Cosgrove, JBR. Epilepsy after the age of 50. Neurol 1964; 14: 34–40.CrossRefGoogle Scholar
11.Young, AC, Mohr, PD, Borg Costanzi, J, St. Claire Forbes, W. Is routine computerized axial tomography in epilepsy worth while? Lancet Dec. 1982: 1446–1447.CrossRefGoogle ScholarPubMed
12. Roberts, MA, Godfrey, JW, Cairo, Fl. Epileptic seizures in the elderly. 1. Aetiology and type of seizures. Age ageing 1982; 11: 24–28.CrossRefGoogle ScholarPubMed
13.Shorvon, SD, Gilliatt, RW, Cox, TCS, Yu, YL. Evidence of vascular disease from CT scanning in late onset epilepsy. J Neurol Neurosurg Psychiatry 1984; 47: 225–230.CrossRefGoogle ScholarPubMed
14.Gastaut, J-L, Farnarier, G, Michel, B, Serbanescu, T, Barrat, E, Sambuc, R. Etude corrélative des données EEG et scannographiques au cours du vieillissement cérébral normal et pathologique. Rev EEG Neurophysiol 1980; 3: 228–235.Google Scholar
15.Vercelletto, P, Gastaut, J-L. Les épilepsies débutant après 60 ans. Rev EEG neurophysiol 1981; 2: 537–544.Google Scholar
16.Confavreux, C, Vighetto, A, Boisson, D, Aimard, G, Devic, M. Epilepsie tardive isolée révélatice d’un glioblastome et faux négatifs du scanner. Nouv Presse Med 1981; 10: 2516.Google ScholarPubMed
17.Bancaud, T. L’épilepsie après 60 ans. Expérience d’un service de neurochirurgiefonctionelle. Sem Hôp Paris 1970:46: 3138–3140.Google Scholar
18.Vercelletto, P, Delobel, R. Etude des facteurs ’tiologiques et pronostiques dans les ’pilepsies d’butant après 60 ans. Sem Hôp Paris 1970; 46: 3133–3137.Google Scholar
19.Gupta, K. Epilepsy in the elderly. How far to investigate? Br J Clin Pract 1983: 37: 249–252.CrossRefGoogle ScholarPubMed
20.Hildick-Smith, M. Epilepsy in the elderly. Age aging 1974; 3: 203–208.CrossRefGoogle ScholarPubMed