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Epilepsy

Responding in the right way can reduce the risk of injury.

The more you understand it and realize what you are able to do, the more help you will be and there will be less chance of any accidents happening.

You don’t need to be scared - you just need to remain calm and focused.

It explains the acronym ACTION (Assess, Cushion, Time, Identity, Over, Never) which is provided by the organization Epilepsy Action as an easy way to remember what to do during and after an episode.

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Epilepsy is a chronic disorder that causes unprovoked, recurrent seizures. A seizure is a sudden rush of electrical activity in the brain

There are several reasons you might have a seizure. These include:

  • high fever
  • head trauma
  • very low blood sugar
  • Alcohol withdrawal

Epilepsy is a fairly common neurological disorder that affects 65 million people around the world.

Anyone can develop epilepsy, but it’s more common in young children and older adults. It occurs slightly more in males than in females. Epilepsy can develop at any age.

The disorder can be managed with medications and other strategies.

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Seizures are the main symptom of epilepsy. However, symptoms differ from person to person.

  • It can involve loss of consciousness
  • alterations to sense of taste, smell, sight, hearing, or touch
  • dizziness
  • tingling and twitching of limbs
  • staring blankly
  • unresponsiveness
  • performing repetitive movements
  • cause repetitive movements like lip smacking or blinking.
  • cause muscle stiffness.
  • loss of muscle control and can make you fall down suddenly.
  • repeated, jerky muscle movements of the face, neck, and arms.
  • spontaneous quick twitching of the arms and legs.
  • stiffening of the body
  • shaking
  • loss of bladder or bowel control
  • biting of the tongue
  • loss of consciousness
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For 6 out of 10 people with epilepsy, the cause can’t be determined. A variety of things can lead to seizures.

Possible causes include:

  • traumatic brain injury
  • scarring on the brain after a brain injury (post-traumatic epilepsy)
  • serious illness or very high fever
  • stroke, which is a leading cause of epilepsy in people over age 35
  • other vascular diseases
  • lack of oxygen to the brain
  • brain tumor or cyst
  • dementia or Alzheimer’s disease
  • maternal drug use, prenatal injury, brain malformation, or lack of oxygen at birth
  • infectious diseases such as AIDS and meningitis
  • genetic or developmental disorders or neurological diseases

Heredity plays a role in some types of epilepsy. In the general population, there’s a 1 percent chance of developing epilepsy before 20 years of age. If you have a parent whose epilepsy is linked to genetics that increases your risk to 2 to 5 percent.

Genetics may also make some people more susceptible to seizures from environmental triggers.

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Most people can manage epilepsy. Your treatment plan will be based on severity of symptoms, your health, and how well you respond to therapy.

Anti-epileptic (anticonvulsant, antiseizure) drugs, Vagus nerve stimulator, Ketogenic diet & Brain surgery are the treatment options

Your Physician or NeuroPhysician can prescribe what best suite your needs.

Deep Brain Stimulation. (DBS) is the latest and most advanced treatment option available now. It is a procedure in which electrodes are implanted into your brain. Then a generator is implanted in your chest. The generator sends electrical impulses to the brain to help decrease seizures.

neurosurgery in bangalore

If medication can’t decrease the number of seizures, surgery is often sought.

The most common surgery is a resection. This involves removing the part of the brain where the seizures start. Most often, the temporal lobe is removed in a procedure known as temporal lobectomy. In some cases, this can stop seizure activity.

In some cases, you’ll be kept awake during this surgery. That’s so doctors can talk to you and avoid removing part of the brain that controls important functions such as vision, hearing, speech, or movement.

If the area of the brain is too big or important to remove, there’s another procedure called multiple subpial transection, or disconnection. The surgeon makes cuts in the brain to interrupt the nerve pathway. That keeps seizures from spreading to other areas of the brain.

After surgery, some people are able to cut down on antiseizure medications or even stop taking them.

There are risks to any surgery, which needs to be thoroughly discussed with the Neuro – Surgeon so that an informed decision could be taken.

neurosurgery in bangalore