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What could be the reason for sudden seizures in the elderly?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I am an 86-year-old healthy male. I have experienced sudden seizures. What is the reason behind it?

I have attached my MRI brain with this.

Please review and suggest.

Thank you.

Answered by Dr. Vivek Chail

Education:

MBBS

Professional Bio:

Dr. Vivek Chail is a General Practitioner and Family Physician committed to delivering holistic and comprehensive healthcare for individuals and families. He provides preventive, diagnostic, and therapeutic care for a wide spectrum of medical conditions. He provides patient education and lifestyle counseling for long-term health and wellness. He is well-versed in chronic disease management for conditions like diabetes, hypertension, asthma, and thyroid disorders. He is an expert in the diagnosis and management of acute and chronic illnesses across all age groups.

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome to icliniq.com.

I understand your concern.

I have read through your query and reports (the attachment was removed to protect the patient's identity) in detail. Please find my observations below.

There are mild age-related changes like prominent markings on the surface of the brain, prominent ventricles, which are fluid spaces, and periventricular hyperintensities. This is expected at the age of 86.

There are a few small hyperintensities on T2 and FLAIR (fluid-attenuated inversion recovery) in the white matter, which are probably due to small vessel ischemic changes andares acceptable at this age.

Mild bilateral maxillary sinusitis is noted. This is not related to the seizures and is an incidental finding. There is no tumor or bleeding in the brain. There is no obvious acute infarct.

Cerebrovascular disease, infections, primary neurodegenerative disorders, brain tumors, traumatic head injury, stroke, and acute metabolic disturbance are the most common causes of seizures in the elderly,rly and no specific cause has been found in this scan.

Sometimes, in early scans can be normal. It is important to know if the patient has any medical condition (though it is mentias oned normal health) and whether any abnormal laboratory tests have been found.

Seizures can happen due to sudden abnormal electrical activity in the brain. Keeping in mind the seizures, it will help to do an electroencephalography (EEG) to know the probable site of abnormal brain waves that triggered the seizure.

I hope this helps.

Thank you.

Medically reviewed by Dr. Sneha Kannan
Published At November 24, 2015
Reviewed At May 22, 2026

Education:

MBBS

Professional Bio:

Dr. Vivek Chail is a General Practitioner and Family Physician committed to delivering holistic and comprehensive healthcare for individuals and families. He provides preventive, diagnostic, and therapeutic care for a wide spectrum of medical conditions. He provides patient education and lifestyle counseling for long-term health and wellness. He is well-versed in chronic disease management for conditions like diabetes, hypertension, asthma, and thyroid disorders. He is an expert in the diagnosis and management of acute and chronic illnesses across all age groups.

This doctor is not available for online consultations on the platform anymore.

Education:

BDS

Professional Bio:

Dr. Sneha Kannan is a skilled Dental Surgeon with expertise in providing general dental care, including scaling, fillings, and preventive treatments. She does oral surgery procedures such as extractions and minor surgical interventions. She does procedures in restorative dentistry, including crowns, bridges, and dentures. She is an expert in doing endodontic treatments such as root canal therapy. She is well-versed in doing procedures in cosmetic dentistry, including teeth whitening and smile correction. She can provide pediatric dental care for children’s oral health and preventive treatments. She promotes oral hygiene awareness and preventive dental practices.  

This doctor is not available for online consultations on the platform anymore.

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Sudden Seizures in the Elderly?

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Education:

MBBS

Professional Bio:

Dr. Vivek Chail is a General Practitioner and Family Physician committed to delivering holistic and comprehensive healthcare for individuals and families. He provides preventive, diagnostic, and therapeutic care for a wide spectrum of medical conditions. He provides patient education and lifestyle counseling for long-term health and wellness. He is well-versed in chronic disease management for conditions like diabetes, hypertension, asthma, and thyroid disorders. He is an expert in the diagnosis and management of acute and chronic illnesses across all age groups.

This doctor is not available for online consultations on the platform anymore.

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