The case of a patient of 80 years old with epilepsy and neurocognitive disorders

Eliza Oleksy, Paulina Kasperska, Remigiusz Sokołowski, Anna Ziółkowska, Karolina Klimkiewicz-Wszelaki, Walery Zukow, Kornelia Kędziora-Kornatowska

Abstract


Background. Epilepsy is a very widespread disease in the world. It is one of the most common neurological diseases of old age. However, older age is also associated with multi-morbidity and cognitive decline. This will result in a decrease or loss of the possibility of being independent of other people in the scope of basic everyday activities such as: moving, nutrition, sphincter control and maintaining personal hygiene. Disorders occurring in such a wide range in people with dementia often translate into disability in everyday life. Improving the quality of life of patients consists primarily in maintaining autonomy in self-service for as long as possible. Therefore, one of the most important elements of improving the quality of life of an elderly person is the early detection of neurocognitive disorders, rehabilitation of the patient and performing prescribed screening tests.
Case report. A 80- year-old patient admitted to the Clinic of Geriatric in urgent matter due to dizziness and falls. Patient living with family, dependent in daily life, financially self-sustaining. Patient takes medicines from different groups due to multiple diseases. Patient's symptoms: dizziness and frequent falls. Because of the last complain, consulted in the department of emergency medicine, head tomography was conducted. The test showed no signs of fresh bleeding. The patient suffers from epilepsy. Patient has condition after treatment of subdural hematoma, in the state after heart attacks in 2001, 2003, 2004. In 2003 coronary angioplasty was performed. Patient is also suffering from hypertension, type 2 diabetes and chronic kidney disease. No use of drugs, alcohol and cigarettes.
Result. The risk of functional limitations increases with the number of diseases present and is particularly large in people over 80 years of age. Multiple diseases is a serious problem in rehabilitation, therefore geriatric rehabilitation should be carried out on many levels. A comprehensive geriatric assessment helps diagnose the problem and develop a plan to improve the patient's quality of life. In addition, vitamin supplementation should be implemented in the elderly. Also medications used by the elderly and behavioral changes should be controlled. Patients should follow the recommendations of health care workers and attend both laboratory and neuropsychological monitoring tests.

Keywords


epilepsy; neurocognitive disorders; multiple diseases; overall geriatric assessment; older age; case study

Full Text:

PDF

References


Joint Epilepsy Council., Epilepsy prevalence, incidence and other statistics. UK and Ireland: Joint Epilepsy Council; 2011.

D. Ryglewicz., Padaczka u osób starszych [Epilepsy in the elderly]. Polski Przegląd Neurologiczny 2010; 6 (4): 190–195 (in Polish).

Olafsson E., Ludvigsson P., Gudmundsson G., et al., Incidence of unprovoked seizures and epilepsy in Iceland and assessment of the epilepsy syndrome classification: a prospective study. Lancet Neurol. 2005; 4: 627– –634.

Cloyd J., Hauser W., Towne A., et al., Epidemiological and medical aspects of epilepsy in elderly. Epilepsy Res. 2006; 68 (supl. 1): 39–48.

World Health Organization: Dementia – public health priority. WHO Library Cataloguing-in-Publication, United Kingdom; 2012.

Barcikowska M., Otępienie w podeszłym wieku [Elderly dementia] W: Grodzicki T., Kocemba J., Skalska A. (red.). Geriatria z elementami gerontologii ogólnej. Wydawnictwo Via Medica, Gdańsk 2006: 98 – 107 (in Polish).

Białachowska A., Niesprawność funkcjonalna w umiarkowanym otępieniu w przebiegu choroby Alzheimera [Functional disability in moderate dementia in the course of Alzheimer's disease]. Geriatria. 2010; 4: 5 – 9 (in Polish)

Folstein M.F., Folstein S.E., McHugh P.R. Mini-mental state. A practical method for grading the cognitive state of the patient for the clinician. J Psychiatr Res. 1975; 12: 189 – 198.

Sobów T., Zaburzenia psychiczne wywołane organicznym uszkodzeniem ośrodkowego układu nerwowego" (otępienia, organiczne zburzenia psychiczne) [Mental disorders caused by organic damage to the central nervous system (dementia, organic mental disturbance)], Psychiatria, Red. Jarema M., Wydawnictwo PZWL, Warszawa 2011, 324-325 (in Polish).

Crum R.M., Anthony J.C., Bassett S.S., Folstein M.F. Population-based norms for mini-mental state examination by age and educational level. JAMA. 1993; 269: 2386-2391.

Ouchi Y., Akanuma K., Meguro M., Kasai M., Ishii H., Meguro K., Impaired instrumental activities of daily living affect conversion from mild cognitive impairment to dementia: the Osaki-Tajiri Project. Psychogeriatrics. 2012; 12: 34 – 42.

Chiara C., Giovanni A., Giovanni P., et al., Nonconvulsive Seizures and Dementia: A Case Report., International Journal of Alzheimer’s Disease, 2011; Volume 2011, 4 pages.

Stephen L. J., Brodie M. J., Epilepsy in elderly people., Lancet, 2000; vol. 355, no. 9213, pp. 1441–1446.

Scarmeas N., Honig L. S., Choi H., et al., Seizures in Alzheimer disease: who, when, and how common?; Archives of Neurology, 2009; vol. 66, no. 8, pp. 992–997.

H. Meierkord and M. Holtkamp.; Non-convulsive status epilepticus in adults: clinical forms and treatment.; Lancet Neurology, 2007; vol. 6, no. 4, pp. 329–339.

Białkowska J., Mroczkowska D., Specyfika rehabilitacji pacjentów geriatrycznych z wielochorobowością – opis przypadku 82-letniego pacjenta [Specyfika rehabilitacji pacjentów geriatrycznych z wielochorobowością – opis przypadku 82-letniego pacjenta], Geriatria, 2014; 8: 196-200 (in Polish)




DOI: http://dx.doi.org/10.5281/zenodo.3381667

Refbacks

  • There are currently no refbacks.




Copyright (c) 2019 © The Author(s)

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

Journal of Education, Health and Sport formerly Journal of Health Sciences

Declaration on the original version.

Editors indicates that the main version of the magazine is to issue a "electronic".

The journal has had 5 points in Ministry of Science and Higher Education parametric evaluation. § 8. 2) and § 12. 1. 2) 22.02.2019.

1223 Journal of Education, Health and Sport eISSN 2391-8306 7

ISSN 2391-8306 formerly ISSN: 1429-9623 / 2300-665X

Archives 2011 - 2014

PBN 2011 - 2014

https://pbn.nauka.gov.pl/sedno-webapp/search?search&searchCategory=WORK&filter.inJournal=36616

POL-index 2011 - 2014

https://pbn.nauka.gov.pl/polindex-webapp/browse/journal/journal-32a319c5-a850-4f44-ba70-1418a6087655

BASE 2011 - 2014

https://www.base-search.net/Search/Results?lookfor=Journal+of+Health+Sciences+%28Radom%29&type=all&oaboost=1&ling=1&name=&thes=&refid=dcrespl&newsearch=1

http://elibrary.ru/contents.asp?titleid=37467

http://journal.rsw.edu.pl/index.php/JHS/issue/archive

Indexed in Bases, Bazy indeksacyjne: ERIH Plus, Worldcat, PBN/POL-Index, ICI Journals Master List, Directory of Open Access Journals (DOAJ), ZBD, Ulrich's periodicals, Google Scholar, Polska Bibliografia Lekarska

US NLM = 101679844

101679844 - NLM Catalog Result - NCBI

https://www.ncbi.nlm.nih.gov/nlmcatalog/101679844

Find a library that holds this journal: http://worldcat.org/issn/23918306

Journal Language(s): English 

PBN Poland

https://pbn.nauka.gov.pl/sedno-webapp/journals/49068

POL-index

https://pbn.nauka.gov.pl/polindex-webapp/browse/journal/journal-c39c8169-88d2-45db-9e7f-d948ce9981c4

BASE

https://www.base-search.net/Search/Results?join=AND&bool0[]=AND&lookfor0[]=2391-8306&type0[]=all&page=11&l=pl&oaboost=1&refid=dcpagepl

Redaction, Publisher and Editorial Office

Instytut Kultury Fizycznej Uniwersytet Kazimierza Wielkiego w Bydgoszczy, Institute of Physical Education Kazimierz Wielki University in Bydgoszcz, Poland 85-091 Bydgoszcz ul. Sportowa 2  www.ukw.edu.pl Copyright by Instytut Kultury Fizycznej UKW w Bydgoszczy http://ojs.ukw.edu.pl/index.php/johs  Open Access ISSN 2391-8306 formerly ISSN: 1429-9623 / 2300-665X

The journal has been approved for inclusion in ERIH PLUS.

The ERIH PLUS listing of the journal is available at https://dbh.nsd.uib.no/publiseringskanaler/erihplus/periodical/info?id=485984

SIC Science citation index (calculated on the basis of TCI and Page Rank) 0

Russian Impact factor 0.16

Indexed in Index Copernicus Journals Master List.

http://journals.indexcopernicus.com/Journal+of+Education+Health+and+Sport,p24782242,3.html

ICV 2018 = 95.95 ICV 2017 = 91.30 ICV 2016 = 84.69 ICV 2015 = 93.34 ICV 2014 = 89.51 Standardized Value: 8.27 ICV 2013: 7.32 ICV 2012: 6.41 ICV 20115.48

The InfoBase Index IBI Factor for the year 2015 is 3.56 in InfoBase Index.com.

Website: www.infobaseindex.com

Universal Impact Factor 1.78 for year 2012. (http://www.uifactor.org/AppliedJournals.aspx)

Indexed in Polish Scholarly Bibliography (PBN) (PBN Polska Bibliografia Naukowa) (https://pbn.nauka.gov.pl/journals/36616)

is a portal of the Polish Ministry of Science and Higher Education, collecting information on publications of Polish scientists and on Polish and foreign scholarly journals. Polish Scholarly Bibliograhpy is a part of POL-on - System of Information on Higher Education. It is operated by the Interdisciplinary Centre for Mathematical and Computational Modelling, University of Warsaw.

Indexed in Russian Sciences Index Российский индекс научного цитирования (РИНЦ) http://elibrary.ru/contents.asp?titleid=37467

Indexed in Arianta Polish scientific and professional electronic journals Aneta Drabek i Arkadiusz Pulikowski

(http://www1.bg.us.edu.pl/bazy/czasopisma/czasop_full.asp?id=3595)