Epilepsy
Epilepsy is a brain disorder
in which a person has repeated seizures (convulsions) over time. Seizures are
episodes of disturbed brain activity that cause changes in attention or
behavior.
Causes of
Epilepsy
We know epilepsy can
be passed on genetically, but we don't really understand what's different in
the brain of a person with an inherited form of epilepsy. We also don't fully understand what happens to
the brain during a seizure. Many people find that particular events tend to
trigger seizures. These include:
·
alcohol, cocaine and
some other drugs
·
exposure to flashing
or strobe lights
·
hormonal changes
·
hyperventilation
·
insufficient sleep
Symptoms
Symptoms vary from person to person. Some people may have simple
staring spells, while others have violent shaking and loss of alertness. The
type of seizure depends on the part of the brain affected and cause of
epilepsy.
Most of the time, the seizure is similar to the previous one.
Some people with epilepsy have a strange sensation (such as tingling, smelling
an odor that isn't actually there, or emotional changes) before each seizure.
This is called an aura.
Treatment
Treatment for epilepsy may involve surgery or medication.
If epilepsy seizures are due to a tumor, abnormal blood vessels,
or bleeding in the brain, surgery to treat these disorders may make the
seizures stop.
Medication to prevent seizures, called anticonvulsants, may
reduce the number of future seizures.
·
These drugs are taken by mouth. Which type you are prescribed
depends on the type of seizures you have.
·
Your dosage may need to be changed from time to time. You may
need regular blood tests to check for side effects.
·
Always take your medication on time and as directed. Missing a
dose can cause you to have a seizure. Never not stop taking or change
medications without talking to your doctor first.
·
Many epilepsy medications cause birth defects. Women wishing to
become pregnant should tell the doctor in advance in order to adjust
medications.
Epilepsy that does not get better after two or three
anti-seizure drugs have been tried is called "medically refractory
epilepsy."
·
Surgery to remove the abnormal brain cells causing the seizures
may be helpful for some patients.
·
Surgery to place a vagus nerve stimulator (VNS) may be
recommended. This device is similar to a heart pacemaker. It can help reduce
the number of seizures.
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