59y, first seizure

No minor seizures ever, there was no identifiable precipitate for this seizure. Why do you think this patient had a seizure for the first time at 59 years? TCS, without warning

Referential

Ref:

Below, polyspikes appear earliest at FP2

Ditto

Ditto

Ref

Ref

MRI: a few punctate white matter lesions, not juxta cortical.

Extreme late onset of genetic generalized epilepsy in older adults and the elderly: A cohort study and literature review