| | | | | occur; can be followed by generalised seizure |
| Epilepsy is a common chronic neurological disorder | | | | How Is Epilepsy Treated? |
| that is characterized by recurrent unprovoked | | | | Drug Therapy |
| seizures.[1][2] These seizures are transient signs and | | | | Many drugs are available to treat epilepsy, several of |
| or symptoms due to abnormal, excessive or | | | | which have only recently been released. |
| synchronous neuronal activity in the brain.[3] About | | | | Older, classic medications used to treat epilepsy |
| 50 million people worldwide have epilepsy at any one | | | | include: |
| time.[4] Epilepsy is usually controlled, but not cured, | | | | Dilantin or Phenytek |
| with medication, although surgery may be considered | | | | Phenobarbital |
| in difficult cases. Not all epilepsy syndromes are | | | | Tegretol or Carbatrol |
| lifelong – some forms are confined to particular | | | | Vagus nerve stimulation -- This procedure involves |
| stages of childhood. | | | | minor surgery and is a relatively new treatment that |
| What Causes Epilepsy? | | | | helps prevent or lessen the severity of seizures. An |
| This is a tricky question with no clear-cut answer. | | | | electrical stimulator is placed beneath the skin of the |
| Often doctors can't pinpoint exactly what causes | | | | upper chest. The stimulator, which emits electrical |
| epilepsy in a particular individual. But scientists do | | | | impulses, is connected to an electrode that is |
| know that these are some of the things that can | | | | attached to a nerve in the neck through a small |
| make a person more likely to develop epilepsy: | | | | incision. A patient with a vagus nerve stimulator |
| A brain injury, such as from a car crash or bike | | | | continues to take medication but sometimes can |
| accident | | | | reduce the amount or number of medications. |
| An infection or illness that affected the developing | | | | Surgery |
| brain of a fetus during pregnancy | | | | Surgery is an option for a small number of patients |
| Epilepsy can arise as a result of many different | | | | whose epilepsy cannot be controlled with medication. |
| conditions that affect the brain. Examples of these | | | | A good candidate for surgery has seizures that |
| conditions include stroke (resulting from a blockage of | | | | always begin in the same cerebral location, which can |
| the blood supply to parts of the brain), complications | | | | be removed (resected) without creating deficits. |
| during childbirth, infections (such as meningitis, | | | | Neurosurgeons generally avoid performing surgery in |
| encephalitis, cysticercosis, or brain abscess), head | | | | areas of the brain responsible for speech, hearing, |
| trauma, and certain genetic disorders. | | | | and other important functions. |
| Epilepsy Symptoms | | | | What is the prognosis? |
| Eyes are generally open. | | | | Most people with epilepsy lead outwardly normal lives. |
| The person may not appear to be breathing. The | | | | While epilepsy cannot currently be cured, for some |
| person is often breathing deeply after an episode. | | | | people it does eventually go away. Most seizures do |
| The return to consciousness is gradual and should | | | | not cause brain damage. It is not uncommon for |
| occur within a few moments. | | | | people with epilepsy, especially children, to develop |
| Simple partial - person fully aware; abnormal twitching | | | | behavioral and emotional problems, sometimes the |
| movement of part of the body, for example, head, | | | | consequence of embarrassment and frustration or |
| eyes, hand or arm, or tingling sensation; person may | | | | bullying, teasing, or avoidance in school and other |
| sense odd smells, sounds or tastes | | | | social setting. For many people with epilepsy, the risk |
| Complex partial - person experiences odd tastes or | | | | of seizures restricts their independence (some states |
| smells or déjà-vu; dream-like state follows; during | | | | refuse drivers licenses to people with epilepsy) and |
| an attack, lip smacking, grimacing or fidgeting may | | | | recreational activities. |