Can You Develop Epilepsy Later in Life?

Epilepsy is a neurological condition characterised by recurrent seizures caused by abnormal electrical activity in the brain. A common question many people have is whether epilepsy can develop later in life, especially if they have never experienced seizures before. The answer is yes—epilepsy can develop at any age, including adulthood and older age. Understanding how and why epilepsy may begin later in life is important for recognising symptoms, seeking timely medical advice, and managing the condition effectively. This article explains the development of epilepsy in adulthood, its causes, and what this means for diagnosis and treatment, based on trusted UK health sources.

Epilepsy Can Develop at Any Age

While epilepsy is often diagnosed in childhood, it can develop for the first time in adulthood or later years. In fact, the incidence of epilepsy increases again in people over 60 years old. This later onset reflects changes in brain health and exposure to risk factors that accumulate over time. Recognising that epilepsy is not only a childhood condition helps prompt early investigation when new seizures occur in adults.

Common Causes of Adult-Onset Epilepsy

Epilepsy developing later in life is often linked to identifiable causes. Stroke is a leading cause of adult-onset epilepsy, as it can damage brain tissue and disrupt normal electrical activity. Head injuries from accidents or falls can also provoke seizures. Brain tumours, infections such as meningitis or encephalitis, and neurodegenerative diseases like Alzheimer’s are other common factors. Sometimes, epilepsy begins without a clear cause, termed idiopathic epilepsy.

Symptoms and Warning Signs

The symptoms of epilepsy in adults are similar to those in children, including convulsions, loss of awareness, unusual sensations, or sudden behavioural changes. Adults may experience focal seizures that start in one area of the brain and sometimes spread. Early recognition of these signs and prompt medical assessment are crucial for diagnosis.

Diagnosis and Importance of Early Treatment

If seizures occur for the first time in adulthood, medical evaluation typically includes detailed history, neurological examination, EEG testing, and brain imaging to identify underlying causes. Early diagnosis allows for appropriate treatment with anti-epileptic medication, reducing seizure frequency and improving quality of life. Delays in diagnosis can increase risks such as injury or accidents.

Managing Epilepsy Developed Later in Life

Treatment and management of adult-onset epilepsy follow similar principles as for younger people, including medication, lifestyle modifications, and safety measures. Managing underlying health conditions like stroke or infections also helps control seizures. Support from healthcare professionals is essential for adapting treatment to individual needs.

When to Seek Medical Advice

If you or someone you know experiences unexplained seizures, loss of consciousness, or unusual episodes of altered awareness at any age, it is important to seek prompt medical advice. Early assessment improves treatment outcomes and reduces complications.

Final Thought

Epilepsy can develop later in life, often due to strokes, brain injury, infections, or other neurological conditions. Awareness that epilepsy is not limited to childhood encourages timely diagnosis and effective management for adults experiencing seizures. With appropriate care, adults with new-onset epilepsy can lead active and fulfilling lives.