What is epilepsy?
Epilepsy is a neurological condition, which affects the nervous
system. Epilepsy is also known as a seizure disorder.
It is usually diagnosed after a person has had at least two
seizures that were not caused by some known medical condition
like alcohol withdrawal or extremely low blood sugar.
The seizures in epilepsy may be related to a brain injury
or a family tendency, but most of the time the cause is unknown.
The word "epilepsy" does not indicate anything about
the cause of the person's seizures, what type they are, or
how severe they are.
What is a seizure?
A seizure is a sudden surge of electrical activity in the
brain that usually affects how a person feels or acts for
a short time. Seizures are not a disease in themselves. Instead,
they are a symptom of many different disorders that can affect
the brain. Some seizures can hardly be noticed, while Dubai
Conference are totally disabling.
The seizures in epilepsy may be related to a brain injury
or a family tendency, but often the cause is completely unknown.
The word "epilepsy" does not indicate anything about
the cause or severity of the person's seizures
Symptoms of a seizure
A
seizure is usually defined as a sudden alteration of behavior
due to a temporary change in the electrical functioning of
the brain, in particular the outside rim of the brain called
the cortex. Below you will find some of the symptoms
people with
epilepsy may experience before, during and after a seizure.
Seizures can take on many different forms and seizures affect
different people in different ways. It is not implied that
every person with seizures will experience every symptom described
below.
Who gets epilepsy?
Epilepsy can develop in any person at any age. 0.5% to 2%
of people will develop epilepsy during their lifetime. People
with certain conditions may be at greater risk About 2.5 million
Americans have been treated for epilepsy in the past 5 years.
That's 8 or 9 out of every 1,000 people. In other words, out
of 60,000 people filling a big stadium, about 500 have epilepsy.
More men than women have epilepsy.
What causes epilepsy?
There is a fine balance in the brain between factors that
begin electrical activity and factors that restrict it, and
there are also systems that limit the spread of electrical
activity. During a seizure, these limits break down, and abnormal
electrical discharges can occur and spread to whole groups
of neighboring cells at once. This linkage of electrical discharges
creates a "storm" of electrical activity in the
brain. This is a seizure. When a person has had at least two
of these seizures, that's called epilepsy.
How does epilepsy begin?
The reasons why epilepsy begins are different for people
of different ages. But what's true for every age is that the
cause is unknown for about half of everyone with epilepsy.
Children may be born with a defect in the structure of their
brain, or they may suffer a head injury or infection that
causes their epilepsy. Severe head injury is the most common
known cause in young adults. In middle age, strokes, tumors,
and injuries are more frequent. In people over 65, stroke
is the most common known cause, followed by degenerative conditions
such as Alzheimer's disease.
Is there any treatment?
Once epilepsy is diagnosed, it is important to begin treatment
as soon as possible. For about 80 percent of those diagnosed
with epilepsy, seizures can be controlled with modern medicines
and surgical techniques. Some antiepileptic drugs can interfere
with the effectiveness of oral contraceptives. In 1997, the
FDA approved the vagus nerve stimulator for use in people
with seizures that are not well-controlled by medication.
What is the prognosis?
Most people with epilepsy lead outwardly normal lives. While
epilepsy cannot currently be cured, for some people it does
eventually go away. Most seizures do not cause brain damage.
It is not uncommon for people with epilepsy, especially children,
to develop behavioral and emotional problems, sometimes the
consequence of embarrassment and frustration or bullying, teasing,
or avoidance in school and other social setting. For many people
with epilepsy, the risk of seizures restricts their independence
(some states refuse drivers licenses to people with epilepsy)
and recreational activities. People with epilepsy are at special
risk for two life-threatening conditions: status epileptics
and sudden unexplained death. Most women with epilepsy can become
pregnant, but they should discuss their epilepsy and the medications
they are taking with their doctors. Women with epilepsy have
a 90 percent or better chance of having a normal, healthy baby.
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