title: New-onset epilepsy in the elderly: challenges for the internist.
abstract: New-onset epilepsy in the elderly is difficult to diagnose, owing to atypical presentation, concomitant cognitive impairment, similarities with other common disorders, and nonspecific changes on electroencephalography (EEG). Its management is also challenging because of its deranging physiology, comorbidities, and polypharmacy. Antiepileptic drugs must be carefully chosen and closely monitored. Support of the patient and caregiver is key.
authors.affiliation: Clinical Observer, Epilepsy Center, Cleveland Clinic.
authors.forename: Sayantani
authors.initials: S
authors.lastname: Ghosh
authors.affiliation: Director, Clinical Research, Epilepsy Center, Cleveland Clinic; Associate Director, Clinical Research Unit, Cleveland Clinic; Assistant Professor of Medicine, Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, Cleveland, OH jehil@ccf.org.
authors.forename: Lara E
authors.initials: LE
authors.lastname: Jehi
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D019468:Disease Management; D004569:Electroencephalography / Q000379:methods*; D004827:Epilepsy / Q000175:diagnosis* / Q000628:therapy*; D006801:Humans