67 consecutive, unselected patients with seizure onset after the age of 60 were studied prospectively in a general hospital with only neurosciences facilities for a population of 500,000. Investigations in most cases included CT scan of the brain and EEG. Etiology could be determined in 44 (66%): tumor – 16 (22%), stroke – 15 (22%) and miscellaneous – 13 (20%). Seizures were partial in 45 (67%) and generalized from onset in 22 (33 %). Seizures were exclusively nocturnal in 8 of 23 (35%) cases with unknown etiology.

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