Older adults who have epilepsy may fare better than expected in undergoing surgery to relieve seizures, according to a study by doctors in Grand Rapids and Detroit. The findings could have a significant impact on older adults, who are at risk of developing seizures through head trauma, strokes, tumors and Alzheimers, the doctors say. Traditionally, there has been a tendency to exclude older patients from surgery for fear of increased risk of medical or surgical complications, said Dr. Sanjay Patra, a Spectrum Health Medical Group neurosurgeon and lead author of the study. This study provides evidence that surgery may instead be a viable and effective treatment option. The study compares results and complications of 122 surgical patients of Dr. Kost Elisevich, a neurosurgeon, and Dr. Brien Smith, a neurologist, from 1993 to 2008. They led the epilepsy center at Henry Ford Hospital in Detroit for 20 years before moving to Spectrum Health in Grand Rapids in 2011. After surgery, those who became free of disabling seizures were: 58 percent of the under-50 group, 74 percent of those older than 50, and 91 percent of those 60 and older. The older adults might have a high success rate because long-term experience … Continue reading
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