Abstract

Many older adults taking antiseizure medication have a diagnosis of seizure disorders that are not supported by objective diagnostic evidence. These “seizure disorders” are the result of years of misdiagnosis and a belief that the benefits of medication outweigh the potential for a seizure event. However, as the adverse effects of antiseizure medications increase with age and raise the risk of debilitating injury, re-evaluation of patients should be performed to ensure appropriate management. This article provides a foundation for geriatrics providers to appropriately manage misdiagnosed seizures as well as true seizures in older adults. Specific considerations for professionals working in long-term care are included.

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