Spécificités des crises d’épilepsie chez le sujet âgé : proposition d’un score électro-radioclinique d’orientation |
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Authors: | S Dupont M Verny L Cartz-Piver A Benetos C Marchal |
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Institution: | a Unité d’épileptologie, clinique Paul-Castaigne, hôpital Pitié-Salpêtrière, AP-HP, université Pierre-et-Marie-Curie, 47-83, boulevard de l’Hôpital, 75013 Paris, France b Service de gériatrie, hôpital Pitié-Salpêtrière, Paris, France c Service de gériatrie, CHU de Bordeaux, Bordeaux, France d Service de neurologie, CMRR du Limousin, Limoges, France e Service de gériatrie, CHU de Lille, Lille, France f Service de gériatrie, CHU de Nancy, Nancy, France g Unité d’épileptologie, CHU de Nancy, Nancy, France h Unité d’épileptologie, CHU de Bordeaux, Bordeaux, France i Unité d’épileptologie, CHU de Lille, Lille, France |
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Abstract: | Diagnosis of epileptic seizure may be difficult in older patients because seizure manifestations are often unusual: confusion, paresis… and because there are multiple differential diagnoses (syncope, transient ischemic attack, transient global amnesia…). To promote and facilitate the diagnosis of seizures in the elderly, neurologists and gerontologists must work together and focus their strategy on two points: firstly, the knowledge of the specific presentation of seizures in elderly patients, and secondly, the adoption of a reasoning based on seizures and not epileptic syndromes. A multidisciplinary group worked on epilepsy of the elderly to elaborate an electro-clinical score which aims to help establish the diagnosis of epilepsy in elderly patients in different clinical settings. This electro-clinical score is based on a systematic review of scientific literature and the recommendations are explicitly linked to supporting evidence. Further, clinical validation of the electro-clinical score is required. |
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Keywords: | É pilepsie Sujet â gé Orientation diagnostique Score é lectro-radioclinique |
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