What’s causing these seizures in a cognitively impaired patient?

A confusing imbalance in an aged care resident
Maddison Hollands

John is a 73-year-old male with a four-week history of lethargy and new partial seizures. He is a nursing home resident with dementia, requiring support for daily living activities.

Over the past four weeks, the staff have noticed progressive lethargy; John has also been experiencing up to six partial seizures daily, each lasting around 20 seconds.