Epilepsy
Epilepsy is a condition in which
people have epileptic
attacks (also known as seizures).
It is one of the more common neurological conditions, affecting 0.5-1
per cent of the population. Epilepsy
is not a single condition, but a group of conditions with differing
causes, treatments and prognoses.
In epilepsy this order is disrupted
by some neurone discharging signals inappropriately. There may be a kind
of brief electrical "storm" arising from nuerones that are inherently
unstable because of a genetic defect (as in the various types of
inherited epilepsy), or from
neurones made unstable by metabolic abnormalities such as low blood
glucose, or alcohol. Alternatively, the abnormal discharge may come from
a localised area of the
brain (this is the situation in patients with epilepsy
caused by head injury, or brain tumour).

Background
Temporal lobe epilepsy (TLE) was defined in 1985 by the International
League Against Epilepsy (ILAE) as a condition characterized What
Causes Epilepsy?
Epilepsy is a condition in which
people have epileptic attacks (also
known as seizures). It is one of the more common neurological
conditions, affecting 0.5-1 per cent of the population. Epilepsy is not
a single condition, but a group of conditions with differing causes,
treatments and prognoses.
In epilepsy this order is disrupted by some neurone discharging signals
inappropriately. There may be a kind of brief electrical "storm" arising
from nuerones that are inherently unstable because of a genetic defect
(as in the various types of inherited epilepsy), or from neurones made
unstable by metabolic abnormalities such as low blood glucose, or
alcohol. Alternatively, the abnormal discharge may come from a localised
area of the brain (this is the situation in patients with epilepsy
caused by head injury, or brain tumour).
Background
Temporal lobe epilepsy (TLE) was defined in 1985 by the International
League Against Epilepsy (ILAE) as a condition characterized by recurrent
unprovoked seizures originating from the medial or lateral temporal
lobe. The seizures associated with TLE consist of simple partial
seizures without loss of awareness (with or without aura) and complex
partial seizures (ie, with loss of awareness).
The individual loses awareness during a complex partial seizure because
the seizure spreads to involve both temporal lobes, which causes
impairment of memory.
Diagnosis
Epilepsy is diagnosed mainly via interpretation of a patient's medical
history; the patient describes what the seizures were like and, when a
patient can't recall the seizures, witnesses also may be asked to
describe what they saw.
Tests may be done to rule out shortterm causes of seizures, such as
uncontrolled diabetes or infections. A complete neurological exam is
done, including an EEG (electroencephalogram, a machine that records
brain waves picked up by wires taped to the head).
Can Epilepsy be Prevented?
Many cases of epilepsy can be prevented by wearing seatbelts and bicycle
helmets, putting children in car seats, and other measures that prevent
head injury and other trauma. Prescribing medication after first or
second seizures or febrile seizures also may help
prevent epilepsy in some cases.
High-fat diet to control epilepsy?
new study shows strong evidence that a high fat,
low carb diet can help control seizures in children
with stubborn epilepsy that does not respond well to drug therapy.
Infection - epilepsy risk
Exposure to certain maternal infections in the womb increases the odds
of epilepsy in childhood, according to an analysis of data from a Danish
study.
Drug treatment of epilepsy
It is conventional to speak of someone having epilepsy, but it might be
better particularly in relation to promoting better drug treatment if we
were to think in terms of one of the epilepsies. Appropriate management
requires not only that doctors differentiate between epilepsy and other
similar attacks but also that they identify correctly patients' seizure
types and, in some cases, the syndrome (for example, juvenile myoclonic
epilepsy).
Treatment for people with epilepsy aged 13 and over
Epilepsy is a very individual condition and people can have very
different experiences. The majority of people with epilepsy take
anti-epileptic medication to stop or reduce the number of seizures they
have.
by recurrent unprovoked seizures originating from the medial or lateral
temporal lobe. The seizures associated with TLE consist of simple
partial seizures without loss of awareness (with or without aura) and
complex partial seizures (ie, with loss of awareness).
The individual loses awareness during a complex partial seizure because
the seizure spreads to involve both temporal lobes, which causes
impairment of memory.
Diagnosis
Epilepsy is diagnosed mainly via interpretation of a patient's medical
history; the patient describes what the seizures were like and, when a
patient can't recall the seizures, witnesses also may be asked to
describe what they saw.
Tests may be done to rule out shortterm causes of seizures, such as
uncontrolled diabetes or infections. A complete neurological exam is
done, including an EEG (electroencephalogram, a machine that records
brain waves picked up by wires taped to the head).
Can Epilepsy be Prevented?
Many cases of epilepsy can be prevented by wearing seatbelts and bicycle
helmets, putting children in car seats, and other measures that prevent
head injury and other trauma. Prescribing medication after first or
second seizures or febrile seizures also may help
prevent epilepsy in some cases.
High-fat diet to control epilepsy?
new study shows strong evidence that a high fat, low carb diet can help
control seizures in children with stubborn epilepsy that does not
respond well to drug therapy.
Infection - epilepsy risk
Exposure to certain maternal infections in the womb increases the odds
of epilepsy in childhood, according to an analysis of data from a Danish
study.
Drug treatment of epilepsy
It is conventional to speak of someone having epilepsy, but it might be
better particularly in relation to promoting better drug treatment if we
were to think in terms of one of the epilepsies. Appropriate management
requires not only that doctors differentiate between epilepsy and other
similar attacks but also that they identify correctly patients' seizure
types and, in some cases, the syndrome (for example, juvenile myoclonic
epilepsy).
Treatment for people with epilepsy aged 13 and over
Epilepsy is a very individual condition and people can have very
different experiences. The majority of people with epilepsy take
anti-epileptic medication to stop or reduce the number of seizures they
have.
|