Can a seizure condition be genetic in an elderly person?

Question

Hello doctor,

My father is 73 and recently had his first seizure. It has been scary for all of us. Can a seizure condition be genetic in a senior patient at 73, or is it more likely to be related to something new, such as a stroke, medications, or age-related changes in the brain? There is a family history of epilepsy, but he had been fine all his life until now.

Tests are ongoing, and the waiting is stressful. If it is genetic, does that change the treatment or outlook? We are anxious about his safety, driving, independence, and whether this means long-term decline or something that can be controlled well.

Kindly help.

Answer 1

Hello,

Welcome to icliniq.com.

I have read your query and understood your concern.

In case of onset of seizure activity for the first time at the age of 73, it is important to look for other reasons like stroke, age-related brain changes, drug-induced seizures, infections, and metabolic causes, rather than considering a genetic type of epilepsy.

Family history of epilepsy needs to be noted as well, but it is less likely that there will be a purely genetic cause of seizures starting at this age. All the tests, such as brain imaging, blood investigations, and EEG (electroencephalogram) that he is going through are important as these may reveal a treatable cause of his seizures.

Treatment and outlook depend mainly on what those tests show. Many older adults with new-onset seizures respond well to anti-seizure medications and can remain independent.

For now, safety is important. It is recommended that he avoid driving, swimming alone, climbing heights, or using any dangerous equipment until advised by his doctors.

Onset of new seizures does not imply dementia, significant decline in abilities, or loss of independence in most cases. Most of the seizures can be managed effectively after the cause is known and treated. Kindly consult a neurologist for proper management.

Hope I have answered your query. If you have additional questions please ask at iCliniq.

Thank you.