Epilepsy is an important factor of neurologic morbidity in the elderly population. The incidence is higher in the age group over 65 years than in children and adolescents. Cerebrovascular disturbances are the most frequent cause of seizures in the elderly. The so-called idiopathic epilepsies on the other hand are rather rare. The frequent co-morbidity and co-medications have to be taken in consideration when evaluating and treating such patients. There is a number of efficacious antiepileptic drugs at disposition. The selection of the drugs and their dosage have to be adapted to the needs of the particular age group.