Seniors & Epilepsy

Did you know that epilepsy is more likely to develop in seniors?
Seizures can be easy to miss.
Here is how to recognize the signs.

Epilepsy is a brain disease where the neurons misfire and cause repeated seizures. About 3.5 million Americans 18 years or older have active epilepsy.   

Nearly 1 million of those adults are aged 55 or older. Epilepsy is more likely to develop in older adults because risk factors for epilepsy are more common as people age:

  • Head injuries.
  • Neurodegenerative disorders (such as Alzheimer’s disease).
  • Alcoholism and other substance abuse.
  • Brain tumors.

About half of older adults who are told they have epilepsy do not know the cause.

How Do I Know If It’s Epilepsy?

It isn’t always easy to tell when you or someone you care for develops epilepsy later in life. That’s because seizures may be hard to recognize in older adults and may go unnoticed. For example, memory problems, confusion, falls, dizziness or sensory changes like numbness are often blamed on “getting older.  However, these can actually be signs of seizures.

There are many different signs of seizures because there are many types of seizures.  In the movies and on TV, a person is often shown falling to the ground, shaking, and becoming unaware of what’s going on around them. That’s one kind of seizure, but it’s not the most common. More often, a person having a seizure may seem confused, stare into space, wander, make unusual movements, or can’t answer questions or talk. When these signs occur more than once and often in the same pattern, they could be signs of seizures.

If an older adult is showing these signs, it is important for them to talk to a healthcare provider. Most adults with epilepsy have good seizure control with medicines.  Epilepsy specialists can help older adults find the right treatment.

How Is Epilepsy Challenging for Older Adults?

Adults who develop epilepsy later in life may have a hard time managing the disorder. Eight in 10 adults aged 65 or older have more than one chronic health condition.  It can be hard to balance epilepsy treatment when taking medicines for other health problems. Many epilepsy medicines also have side effects such as bone loss or dizziness, which can make someone more likely to fall and become injured.

Epilepsy can also affect a person’s daily life if seizures limit their ability to drive or if they live alone. After a lifetime of being independent, losing the ability to drive or take care of themselves can be especially hard for older adults.