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  <title>Older-onset epilepsy</title>
  <description>Sheila Shepley (nurse practitioner, Walton Centre NHS Foundation Trust) speaks with Rita Som (editor, British Journal of Neuroscience Nursing) about epilepsy that first presents in later life. This podcast episode is intended for UK healthcare professionals interested in epilepsy. It aims to improve understanding by highlighting why diagnosis can be challenging, how causes and seizure types differ from younger populations; and what special considerations are required when managing treatment, risk and longer-term support in older adults. This educational episode was initiated and funded by Neuraxpharm UK Ltd. The date of recording was February 2026. Job code NXUK/E/0326/15. The views expressed are those of Sheila Shepley.   Bibliography  1.&amp;amp;nbsp;&amp;amp;nbsp;&amp;amp;nbsp;&amp;amp;nbsp;&amp;amp;nbsp;&amp;amp;nbsp;&amp;amp;nbsp;&amp;amp;nbsp;&amp;amp;nbsp;&amp;amp;nbsp;&amp;amp;nbsp;&amp;amp;nbsp;&amp;amp;nbsp; Wigglesworth S, Neligan A, Dickson JM et al. The incidence and prevalence of epilepsy in the United Kingdom 2013-2018: a retrospective cohort study of UK primary care data. Seizure. 2023;105:37–42. https://doi.org/10.1016/j.seizure.2023.01.003  2.&amp;amp;nbsp;&amp;amp;nbsp;&amp;amp;nbsp;&amp;amp;nbsp;&amp;amp;nbsp;&amp;amp;nbsp;&amp;amp;nbsp;&amp;amp;nbsp;&amp;amp;nbsp;&amp;amp;nbsp;&amp;amp;nbsp;&amp;amp;nbsp;&amp;amp;nbsp; Assis TR, Bacellar A, Costa G, Nascimento OJ.  Etiological prevalence of epilepsy and epileptic seizures in hospitalized elderly in a Brazilian tertiary center – Salvador – Brazil. Arq Neuropsiquiatr. 2015;73(2):83–89. https://doi.org/10.1590/0004-282X20140217  3.&amp;amp;nbsp;&amp;amp;nbsp;&amp;amp;nbsp;&amp;amp;nbsp;&amp;amp;nbsp;&amp;amp;nbsp;&amp;amp;nbsp;&amp;amp;nbsp;&amp;amp;nbsp;&amp;amp;nbsp;&amp;amp;nbsp;&amp;amp;nbsp;&amp;amp;nbsp; Legriel S, Brophy GM. Managing status epilepticus in the older adult. J Clin Med. 2016;5(5):53. https://doi.org/10.3390/jcm5050053 &amp;amp;nbsp;  4.&amp;amp;nbsp;&amp;amp;nbsp;&amp;amp;nbsp;&amp;amp;nbsp;&amp;amp;nbsp;&amp;amp;nbsp;&amp;amp;nbsp;&amp;amp;nbsp;&amp;amp;nbsp;&amp;amp;nbsp;&amp;amp;nbsp;&amp;amp;nbsp;&amp;amp;nbsp; Cheng S. Non-convulsive status epilepticus in the elderly. Epileptic Disord. 2014;16(4):385–394. https://doi.org/10.1684/epd.2014.0709  5.&amp;amp;nbsp;&amp;amp;nbsp;&amp;amp;nbsp;&amp;amp;nbsp;&amp;amp;nbsp;&amp;amp;nbsp;&amp;amp;nbsp;&amp;amp;nbsp;&amp;amp;nbsp;&amp;amp;nbsp;&amp;amp;nbsp;&amp;amp;nbsp;&amp;amp;nbsp; Manacheril R, Faheem U, Labiner D, Drake K, Chong J. psychosocial impact of epilepsy in older adults. Healthcare (Basel). 2015;3(4):1271–1283. https://doi.org/10.3390/healthcare3041271  6.&amp;amp;nbsp;&amp;amp;nbsp;&amp;amp;nbsp;&amp;amp;nbsp;&amp;amp;nbsp;&amp;amp;nbsp;&amp;amp;nbsp;&amp;amp;nbsp;&amp;amp;nbsp;&amp;amp;nbsp;&amp;amp;nbsp;&amp;amp;nbsp;&amp;amp;nbsp; Wojewodka G, McKinlay A, Ridsdale L. Best care for older people with epilepsy: a scoping review. Seizure. 2021;85:70–89. https://doi.org/10.1016/j.seizure.2020.12.007 &amp;amp;nbsp; </description>
  <author_name>The BJN Podcast</author_name>
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