Epilepsy is the third most common neurological condition in older people, following dementia and stroke [1–5]. The annual incidence of epilepsy rises from 85.9 per 100 000 people in those aged over 65 to more than 135 per 100 000 people in those over 80. The true incidence rates are likely to be conservative, given that the diagnosis can often be challenging [6,7]. Approximately 30% of older patients diagnosed with epilepsy do not have this diagnosis, although the true extent of this remains unclear [8].

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