Predictors of incident epilepsy in older adults: The Cardiovascular Health Study.

Abstract:

OBJECTIVE:To determine the prevalence, incidence, and predictors of epilepsy among older adults in the Cardiovascular Health Study (CHS). METHODS:We analyzed data prospectively collected in CHS and merged with data from outpatient Medicare administrative claims. We identified cases with epilepsy using self-report, antiepileptic medication, hospitalization discharge ICD-9 codes, and outpatient Medicare ICD-9 codes. We used Cox proportional hazards regression to identify factors independently associated with incident epilepsy. RESULTS:At baseline, 42% of the 5,888 participants were men and 84% were white. At enrollment, 3.7% (215 of 5,888) met the criteria for prevalent epilepsy. During 14 years of follow-up totaling 48,651 person-years, 120 participants met the criteria for incident epilepsy, yielding an incidence rate of 2.47 per 1,000 person-years. The period prevalence of epilepsy by the end of follow-up was 5.7% (335 of 5,888). Epilepsy incidence rates were significantly higher among blacks than nonblacks: 4.44 vs 2.17 per 1,000 person-years (p < 0.001). In multivariable analyses, risk of incident epilepsy was significantly higher among blacks compared to nonblacks (hazard ratio [HR] 4.04, 95% confidence interval [CI] 1.99-8.17), those 75 to 79 compared to those 65 to 69 years of age (HR 2.07, 95% CI 1.21-3.55), and those with history of stroke (HR 3.49, 95% CI 1.37-8.88). CONCLUSIONS:Epilepsy in older adults in the United States was common. Blacks, the very old, and those with history of stroke have a higher risk of incident epilepsy. The association with race remains unexplained.

journal_name

Neurology

journal_title

Neurology

authors

Choi H,Pack A,Elkind MS,Longstreth WT Jr,Ton TG,Onchiri F

doi

10.1212/WNL.0000000000003662

subject

Has Abstract

pub_date

2017-02-28 00:00:00

pages

870-877

issue

9

eissn

0028-3878

issn

1526-632X

pii

WNL.0000000000003662

journal_volume

88

pub_type

杂志文章
  • A CSF biomarker panel for identification of patients with amyotrophic lateral sclerosis.

    abstract:BACKGROUND:Amyotrophic lateral sclerosis (ALS) is a progressive neurodegenerative disease with complicated pathogenesis that poses challenges with respect to diagnosis and monitoring of disease progression. OBJECTIVES:To identify a biomarker panel that elucidates ALS disease pathogenesis, distinguishes patients with A...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/01.wnl.0000333251.36681.a5

    authors: Mitchell RM,Freeman WM,Randazzo WT,Stephens HE,Beard JL,Simmons Z,Connor JR

    更新日期:2009-01-06 00:00:00

  • Ophthalmologic features of Parkinson's disease.

    abstract::Patients with Parkinson's disease (PD) commonly complain of impaired visual function and difficulty reading, despite normal visual acuity. Although previous studies have evaluated contrast sensitivity, color vision, visuospatial processing, visual hallucinations, and ocular movements, none has systematically evaluated...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/01.wnl.0000103444.45882.d8

    authors: Biousse V,Skibell BC,Watts RL,Loupe DN,Drews-Botsch C,Newman NJ

    更新日期:2004-01-27 00:00:00

  • SCN2A mutation associated with neonatal epilepsy, late-onset episodic ataxia, myoclonus, and pain.

    abstract:BACKGROUND:Inherited and de novo mutations in sodium channel genes underlie a variety of channelopathies. Mutations in SCN2A, encoding the brain sodium channel Na(V)1.2, have previously been reported to be associated with benign familial neonatal infantile seizures, febrile seizures plus, and intractable epilepsy of in...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0b013e3181f8812e

    authors: Liao Y,Anttonen AK,Liukkonen E,Gaily E,Maljevic S,Schubert S,Bellan-Koch A,Petrou S,Ahonen VE,Lerche H,Lehesjoki AE

    更新日期:2010-10-19 00:00:00

  • Chronic headache: New advances in treatment strategies.

    abstract::Chronic daily headache (CDH) affects approximately 4 to 5% of the population and encompasses a number of different diagnoses, including transformed migraine, chronic tension-type headache (TTH), new-onset daily persistent headache, and hemicrania continua. Although the pathophysiology of CDH is still poorly understood...

    journal_title:Neurology

    pub_type: 杂志文章,评审

    doi:10.1212/wnl.59.5_suppl_2.s8

    authors: Lake AE 3rd,Saper JR

    更新日期:2002-09-10 00:00:00

  • Sensory Guillain-Barré syndrome.

    abstract:OBJECTIVE:To report eight cases of sensory Guillain-Barré syndrome (GBS). BACKGROUND:The concept of sensory equivalent to ascending paralysis of GBS was raised in 1958, and the diagnostic criteria for a sensory loss and areflexia variant of GBS were proposed in 1981. However, clinical cases meeting these criteria have...

    journal_title:Neurology

    pub_type: 杂志文章,评审

    doi:10.1212/wnl.56.1.82

    authors: Oh SJ,LaGanke C,Claussen GC

    更新日期:2001-01-09 00:00:00

  • Meningeal involvement in Wegener's granulomatosis confirmed and monitored by positive circulating antineutrophil cytoplasm in cerebrospinal fluid.

    abstract::MRI and CSF investigations revealed meningeal involvement in a 29-year-old patient with biopsy-confirmed Wegener's granulomatosis. The intracranial manifestation of Wegener's granulomatosis was supported by the detection of pathologic circulating antineutrophil cytoplasm (c-ANCA) in the CSF. We monitored disease activ...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.48.1.263

    authors: Spranger M,Schwab S,Meinck HM,Tischendorf M,Sis J,Breitbart A,Andrassy K

    更新日期:1997-01-01 00:00:00

  • Evaluation of essential tremor with multi-voxel magnetic resonance spectroscopy.

    abstract::The pathologic substrate of essential tremor (ET) remains unknown. The authors studied 10 patients with ET and 10 volunteers using a multislice MR spectroscopy imaging sequence. Left and right cerebellar hemisphere NAA/CR and NAA/Cho ratios were significantly smaller in the ET patients than healthy subjects. The autho...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/01.wnl.0000065885.15875.0d

    authors: Pagan FL,Butman JA,Dambrosia JM,Hallett M

    更新日期:2003-04-22 00:00:00

  • Mechanism of action of dopaminergic agents in Parkinson's disease.

    abstract::As the substantia nigra degenerates in Parkinson's disease (PD), the nigrostriatal pathway is disrupted, reducing striatal dopamine and producing PD symptoms. Although dopamine does not readily cross the blood-brain barrier, its precursor, levodopa, does. Levodopa is absorbed in the small bowel and is rapidly cataboli...

    journal_title:Neurology

    pub_type: 杂志文章,评审

    doi:10.1212/wnl.50.6_suppl_6.s11

    authors: Koller WC,Rueda MG

    更新日期:1998-06-01 00:00:00

  • Surgery for intracerebral hemorrhage.

    abstract::Intracerebral hemorrhage (ICH) represents 8 to 15% of all strokes in the United States and 20 to 30% of all strokes in Japan and China. Although ICH represents a relatively small fraction of total strokes, it is a formidable disease, with a 30-day mortality rate two- to sixfold higher than that for ischemic stroke. Fu...

    journal_title:Neurology

    pub_type: 杂志文章,评审

    doi:10.1212/wnl.51.3_suppl_3.s69

    authors: Fayad PB,Awad IA

    更新日期:1998-09-01 00:00:00

  • Neurologic sequelae of chronic solvent vapor abuse.

    abstract::Neurologic abnormalities were seen in 13 of 20 patients with a history of chronic solvent vapor (primarily toluene) abuse for 2 or more years. The patients were evaluated after an abstinence period of at least 4 weeks, to avoid neurologic effects of acute intoxication. Neurologic signs included cognitive (60%), pyrami...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.36.5.698

    authors: Hormes JT,Filley CM,Rosenberg NL

    更新日期:1986-05-01 00:00:00

  • Improvement of multifocal motor neuropathy during long-term weekly treatment with human immunoglobulin.

    abstract::In multifocal motor neuropathy (MMN), little is known of the long-term effect of human immunoglobulin (HIG) infusions as a maintenance therapy. We report a patient who improved after an initial HIG infusion of 2 g/kg and continued to improve both clinically and electrophysiologically during maintenance HIG treatment c...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.45.5.987

    authors: Van den Berg LH,Franssen H,Wokke JH

    更新日期:1995-05-01 00:00:00

  • Petasites hybridus root (butterbur) is an effective preventive treatment for migraine.

    abstract:OBJECTIVE:To evaluate the clinical efficacy of a standardized special root extract from the plant Petasites hybridus as a preventive therapy for migraine. METHODS:This is a three-arm, parallel-group, randomized trial comparing Petasites extract 75 mg bid, Petasites extract 50 mg bid, or placebo bid in 245 patients wit...

    journal_title:Neurology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1212/01.wnl.0000147290.68260.11

    authors: Lipton RB,Göbel H,Einhäupl KM,Wilks K,Mauskop A

    更新日期:2004-12-28 00:00:00

  • Varicella-zoster virus DNA in CSF and arteries in delayed contralateral hemiplegia: evidence for viral invasion of cerebral arteries.

    abstract::A 78-year-old woman presented with a right basal ganglia infarct 6 weeks after a left herpes zoster ophthalmicus. MR angiography showed focal segmental stenosis of the proximal segments of the anterior, middle, and posterior cerebral arteries. Varicella DNA was detected in the CSF by polymerase chain reaction (PCR). T...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.47.2.569

    authors: Melanson M,Chalk C,Georgevich L,Fett K,Lapierre Y,Duong H,Richardson J,Marineau C,Rouleau GA

    更新日期:1996-08-01 00:00:00

  • Racial differences in recurrent ischemic stroke risk and recurrent stroke case fatality.

    abstract:OBJECTIVE:To determine black-white differences in 1-year recurrent stroke and 30-day case fatality after a recurrent stroke in older US adults. METHODS:We conducted a retrospective cohort study using a 5% random sample of Medicare beneficiaries with fee-for-service health insurance coverage who were hospitalized for i...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0000000000006467

    authors: Albright KC,Huang L,Blackburn J,Howard G,Mullen M,Bittner V,Muntner P,Howard V

    更新日期:2018-11-06 00:00:00

  • A double-blind, placebo-controlled trial of high doses of gangliosides in amyotrophic lateral sclerosis.

    abstract::We performed a 3-month, double-blind, placebo-controlled trial of 300 mg of gangliosides (Cronassial) in 40 outpatients with amyotrophic lateral sclerosis (ALS). We evaluated drug effect through physical examinations and symptom scales. Though this dosage had no major toxic effect, Cronassial treatment did not signifi...

    journal_title:Neurology

    pub_type: 临床试验,杂志文章

    doi:10.1212/wnl.39.12.1635

    authors: Lacomblez L,Bouche P,Bensimon G,Meininger V

    更新日期:1989-12-01 00:00:00

  • Glycine and experimental spinal spasticity.

    abstract::Spasticity may result in part from segmental spinal disinhibition. We determined the content and specific activity of glycine (the putative neurotransmitter thought to mediate spinal postsynaptic inhibition) and serine (the probable precursor of glycine) in feline spastic spinal cord following the intra-aortic adminis...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.29.2.262

    authors: Hall PV,Smith JE,Lane J,Mote T,Campbell R

    更新日期:1979-02-01 00:00:00

  • Does hypothermia influence the predictive value of bilateral absent N20 after cardiac arrest?

    abstract:BACKGROUND:Bilateral absent N20 responses of median nerve somatosensory evoked potentials (SEPs) reliably predict poor prognosis after cardiac arrest. However, the studies supporting this fact were carried out before hypothermia was established as standard treatment. Recent evidence suggests that hypothermia treatment ...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0b013e3181d5a631

    authors: Leithner C,Ploner CJ,Hasper D,Storm C

    更新日期:2010-03-23 00:00:00

  • Gender, cognitive decline, and risk of AD in older persons.

    abstract:BACKGROUND:Cross-sectional studies suggest gender differences in cognitive function and risk of AD in older persons. However, longitudinal studies comparing change in cognitive function and risk of AD in men and women have had mixed results. The authors investigated gender differences in rate of decline for different c...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/01.wnl.0000065892.67099.2a

    authors: Barnes LL,Wilson RS,Schneider JA,Bienias JL,Evans DA,Bennett DA

    更新日期:2003-06-10 00:00:00

  • A PET study of photophobia during spontaneous migraine attacks.

    abstract:BACKGROUND:Photophobia is an abnormal sensitivity to light experienced by migraineurs during attacks. The pathophysiology of photophobia is poorly understood. Nevertheless, 2 facts appear to have a link with photophobia: visual cortex hyperexcitability on the one hand and interactions between visual pathway and trigemi...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0b013e3182074a57

    authors: Denuelle M,Boulloche N,Payoux P,Fabre N,Trotter Y,Géraud G

    更新日期:2011-01-18 00:00:00

  • Autoantibodies in postinfectious acute cerebellar ataxia.

    abstract::The authors found serum immunoglobulin M (IgM) autoantibody in a patient with typical acute cerebellar ataxia (ACA) and identified the antigen molecule as triosephosphate isomerase (TPI). TPI antigenicity to the patient's antibody was the highest in the cerebellar tissue. Eight of 23 patients with ACA had increased Ig...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/01.wnl.0000178802.38268.1e

    authors: Uchibori A,Sakuta M,Kusunoki S,Chiba A

    更新日期:2005-10-11 00:00:00

  • Quantitative MRI in hypomyelinating disorders: Correlation with motor handicap.

    abstract:OBJECTIVE:To assess the correlation of tissue parameters estimated by quantitative magnetic resonance (MR) techniques and motor handicap in patients with hypomyelination. METHODS:Twenty-eight patients with different causes of hypomyelination (12 males, 16 females; mean age 10 years) and 61 controls (33 males, 28 femal...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0000000000003000

    authors: Steenweg ME,Wolf NI,van Wieringen WN,Barkhof F,van der Knaap MS,Pouwels PJ

    更新日期:2016-08-23 00:00:00

  • Relationship between mesial temporal seizure focus and elevated serum prolactin in temporal lobe epilepsy.

    abstract::We evaluated the relationship between mesial temporal seizure focus and serum prolactin (PRL) in patients before and after they underwent anterior temporal lobectomy (ATL) for medically intractable temporal lobe epilepsy (TLE). These patients had a confirmed unilateral epileptogenic focus in mesial temporal structures...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.49.2.528

    authors: Lin YY,Su MS,Yiu CH,Shih YH,Yen DJ,Kwan SY,Wu ZA,Chan SH

    更新日期:1997-08-01 00:00:00

  • Brain mechanisms of successful compensation during learning in Alzheimer disease.

    abstract:OBJECTIVE:To determine whether patients with Alzheimer disease (AD) compensate for neuropathologic changes when performing a mnemonic task by recruiting 1) the same brain regions as age-matched, healthy controls, but to a greater extent; 2) additional brain regions not activated by controls; or 3) both. METHODS:Twelve...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/01.wnl.0000237534.31734.1b

    authors: Gould RL,Arroyo B,Brown RG,Owen AM,Bullmore ET,Howard RJ

    更新日期:2006-09-26 00:00:00

  • Gamma-hydroxybutyrate in experimental myoclonus.

    abstract::In Swiss mice, muscimol (3 mg per kilogram, intraperitoneally) caused myoclonic jerks of the hindquarters. These jerks were strong, repetitive, more or less regular, and of high frequency (peak response, 76 per minute). Pretreatment with sodium gamma-hydroxybutyrate (50 to 200 mg per kilogram) caused a dose-dependent ...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.32.4.434

    authors: Menon MK

    更新日期:1982-04-01 00:00:00

  • Sensory neuronopathy and Sjögren's syndrome: clinical and immunologic study of two patients.

    abstract::In two patients, a sensory neuronopathy was the initial presentation of Sjögren's syndrome. There was no systemic or peripheral nerve vasculitis. Immunochemical studies failed to demonstrate specific antibodies against the nervous system. These features suggest that the damage to the sensory neurons might not be media...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.38.10.1637

    authors: Graus F,Pou A,Kanterewicz E,Anderson NE

    更新日期:1988-10-01 00:00:00

  • Arterial wall properties in carotid artery dissection: an ultrasound study.

    abstract:BACKGROUND:Cervical artery dissection is often attributed to an underlying arteriopathy related to a generalized extracellular matrix defect. OBJECTIVE:The authors compared the hemodynamic and morphologic properties of the carotid artery, as assessed noninvasively by ultrasonography, in patients with spontaneous inter...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.55.5.663

    authors: Guillon B,Tzourio C,Biousse V,Adraï V,Bousser MG,Touboul PJ

    更新日期:2000-09-12 00:00:00

  • Distinguishing between extrinsic and intrinsic tongue muscle weakness in unilateral hypoglossal palsy.

    abstract::A 53-year-old man presented with multiple right cranial nerve palsies that included the tongue. When the tongue was protruded, it deviated to the right. However, when the tongue was not protruded, he could readily turn the tip of the tongue to the left, but not to the right. Protrusion of the tongue requires the actio...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.34.10.1367

    authors: Riggs JE

    更新日期:1984-10-01 00:00:00

  • Environmental risk factors for REM sleep behavior disorder: a multicenter case-control study.

    abstract:OBJECTIVE:Idiopathic REM sleep behavior disorder is a parasomnia characterized by dream enactment and is commonly a prediagnostic sign of parkinsonism and dementia. Since risk factors have not been defined, we initiated a multicenter case-control study to assess environmental and lifestyle risk factors for REM sleep be...

    journal_title:Neurology

    pub_type: 杂志文章,多中心研究

    doi:10.1212/WNL.0b013e31825dd383

    authors: Postuma RB,Montplaisir JY,Pelletier A,Dauvilliers Y,Oertel W,Iranzo A,Ferini-Strambi L,Arnulf I,Hogl B,Manni R,Miyamoto T,Mayer G,Stiasny-Kolster K,Puligheddu M,Ju Y,Jennum P,Sonka K,Santamaria J,Fantini ML,Zucconi

    更新日期:2012-07-31 00:00:00

  • Ocular fundus photography of patients with focal neurologic deficits in an emergency department.

    abstract:OBJECTIVES:We evaluated the frequency and predictive value of ocular fundus abnormalities among patients who presented to the emergency department (ED) with focal neurologic deficits to determine the utility of these findings in the evaluation of patients with suspected TIA and stroke. METHODS:In this cross-sectional ...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0000000000001759

    authors: Vuong LN,Thulasi P,Biousse V,Garza P,Wright DW,Newman NJ,Bruce BB

    更新日期:2015-07-21 00:00:00

  • Creutzfeldt-Jakob disease: familial clustering among Libyan-born Israelis.

    abstract::Creutzfeldt-Jakob disease was studied among Libyan-born Israelis, in whom the disease appears with unusual frequency. Interviews with relatives of deceased victims revealed statistically significant clustering within families. The results suggest either a common source of exposure or a genetic influence on susceptibil...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.29.2.225

    authors: Neugut RH,Neugut AI,Kahana E,Stein Z,Alter M

    更新日期:1979-02-01 00:00:00