Population aging is a global phenomenon and Brazil already accounts for 13% of the population, average life expectancy of 75.8 years. THEs projections indicate that by 2060 the population of people aged 65 or over will reach 26.7% of total population. 1 The elderly are affected more often by Geriatric syndromes and chronic degenerative diseases of great impact on quality of life. Neurological disorders such as epilepsy, which will be addressed in this article, is a disorder with major repercussions on the overall health of the individual, whose definition extends beyond the occurrence of at least one spontaneous seizure with neurological manifestations, but also includes the behavioural, psychiatric and cognitivas 2-5 demonstrations. Its incidence is higher in the elderly than in other age group, exceeding 100 cases per 100,000 inhabitants / year. Approximately 25% of new cases occur in individuals 65 years or older, due mainly to degenerative neurological diseases and injuries cerebrovasculares. 3,6-8 Clinical and epidemiological analysis of epilepsy in the elderly is hampered by several factors: lack of epidemiological studies in this age group, heterogeneous characteristics, complexity of distinction between senescence and senility, co morbidities and sub diagnostics. Therefore, with the suspicion of a seizure in the elderly, a careful semiotic analysis is needed, with proper diagnosis and treatment, as the crises increase the risk of falls, injuries, functional impairment and rebound biopsicossocial. 7,9 Treatment directed to the elderly must respect the pharmacokinetics and pharmacodynamics of aging, seizure type, patient profile, adverse effects, interactions, comorbidities and polifarmácia. 9 So perform the workup of this disorder in clinical practice is challenging, as few studies have emphasized the neurobiological and clinical aspects of epilepsy in this age group, making it difficult to definition, preventive and therapeutic strategies that could modify the prognosis clinico. 10 The purpose of the article was to review the literature, the clinical features of epilepsy in the elderly; approach, identification and treatment that should be applied in this population. In addition to spark interest in better understanding the subject. Material and methods This is a review, the past two decades, with searches of journal articles available in the databases PubMed/ Medline, SciELO and LILACS, in English and Portuguese. Also Ministry of Health data were analyzed (MS), Brazilian