Caracterização da epilepsia com início após os 60 anos de idade

Abstract

Introduction: Despite its high incidence, the characteristics of epilepsy in elderly patients have not yet been widely studied. The clinical presentation of the disease is mostly atypical and findings from complementary examinations provide little help with diagnosis. Few reports have characterized this group of individuals. Objective: To describe the characteristics of patients with epilepsy with onset after 60 years of age. Method: A descriptive study of a case series was designed. For this purpose, 50 patients diagnosed with epilepsy with onset after 60 years of age, treated at the outpatient epilepsy clinic of the Hospital da Restauração (Recife-PE), were consecutively assessed. Results: The 50 patients included in the study had an average age of 75.3 (±13) years, 30 (60.0%) were female and 20 (40.0%) were male. The average age at the first seizure episode was 72.5 (±11.5) years. Focal epilepsy seizures were the most predominant (83.8%). The occurrence of status epilepticus was low in this group (4.0%). Symptomatic epilepsy was the most frequent type, and most of the causes were of vascular etiology (43.0%). Carbamazepine was most commonly used for treatment, and the patients responded well to low-dose monotherapy. Electroencephalograms displayed normal results in many cases (50.0%), and neuroimaging showed nonspecific findings for most individuals (83.0%). Conclusion: Epilepsy in elderly patients is predominantly focal and symptomatic, with a low occurrence of status epilepticus and good therapeutic response. The encephalogram and neuroimaging results are frequently nonspecific.

Contribuições Da Ginástica Laboral Para Trabalhadores Nas Empresas

“…Os processos neurológicos estão ligados ao sistema sensorial e motor de ordem superior, relacionados à atenção em dupla tarefa, cognição e respostas às circunstâncias do ambiente. Dessa forma, os idosos com problemas cognitivos podem apresentar déficits da mobilidade, lentidão na execução dos movimentos, alterações comportamentais e menores tempos de reação frente aos desequilíbrios, aumentando a chance de possíveis quedas(CRUZ et al, 2015;BRUSCKY et al, 2016).Para um bom controle do equilíbrio, é necessária a manutenção do centro de gravidade em relação à base de sustentação durante as posturas estáticas e dinâmicas. Além disso, são necessáriascontribuições dos sistemas vestibular, proprioceptivo e visual.…”