PT - JOURNAL ARTICLE AU - Sayantani Ghosh AU - Lara E. Jehi TI - New-onset epilepsy in the elderly: Challenges for the internist AID - 10.3949/ccjm.81a.13148 DP - 2014 Aug 01 TA - Cleveland Clinic Journal of Medicine PG - 490--498 VI - 81 IP - 8 4099 - http://www.ccjm.org/content/81/8/490.short 4100 - http://www.ccjm.org/content/81/8/490.full SO - Cleve Clin J Med2014 Aug 01; 81 AB - New-onset epilepsy in the elderly is difficult to diagnose, owing to atypical presentation, concomitant cognitive impairment, similarities with other common disorders, and nonspecific changes on electroencephalography (EEG). Its management is also challenging because of its deranging physiology, comorbidities, and polypharmacy. Antiepileptic drugs must be carefully chosen and closely monitored. Support of the patient and caregiver is key.