What is Epilepsy and Its Causes and Treatment

Epilepsy is a condition in which people have epilepticdoes not respond well to drug therapy.
attacks (also known as seizures). It is one of the moreInfection - epilepsy risk
common neurological conditions, affecting 0.5-1 perExposure to certain maternal infections in the womb
cent of the population. Epilepsy is not a single condition,increases the odds of epilepsy in childhood, according
but a group of conditions with differing causes,to an analysis of data from a Danish study.
treatments and prognoses.Drug treatment of epilepsy
In epilepsy this order is disrupted by some neuroneIt is conventional to speak of someone having epilepsy,
discharging signals inappropriately. There may be a kindbut it might be better particularly in relation to promoting
of brief electrical "storm" arising from nuerones thatbetter drug treatment if we were to think in terms of
are inherently unstable because of a genetic defectone of the epilepsies. Appropriate management
(as in the various types of inherited epilepsy), or fromrequires not only that doctors differentiate between
neurones made unstable by metabolic abnormalitiesepilepsy and other similar attacks but also that they
such as low blood glucose, or alcohol. Alternatively, theidentify correctly patients' seizure types and, in some
abnormal discharge may come from a localised areacases, the syndrome (for example, juvenile myoclonic
of the brain (this is the situation in patients with epilepsyepilepsy).
caused by head injury, or brain tumour).Treatment for people with epilepsy aged 13 and over
BackgroundEpilepsy is a very individual condition and people can
Temporal lobe epilepsy (TLE) was defined in 1985 byhave very different experiences. The majority of
the International League Against Epilepsy (ILAE) as apeople with epilepsy take anti-epileptic medication to
condition characterized What Causes Epilepsy?stop or reduce the number of seizures they have.by
Epilepsy is a condition in which people have epilepticrecurrent unprovoked seizures originating from the
attacks (also known as seizures). It is one of the moremedial or lateral temporal lobe. The seizures
common neurological conditions, affecting 0.5-1 perassociated with TLE consist of simple partial seizures
cent of the population. Epilepsy is not a single condition,without loss of awareness (with or without aura) and
but a group of conditions with differing causes,complex partial seizures (ie, with loss of awareness).
treatments and prognoses.The individual loses awareness during a complex
In epilepsy this order is disrupted by some neuronepartial seizure because the seizure spreads to involve
discharging signals inappropriately. There may be a kindboth temporal lobes, which causes impairment of
of brief electrical "storm" arising from nuerones thatmemory.
are inherently unstable because of a genetic defectDiagnosis
(as in the various types of inherited epilepsy), or fromEpilepsy is diagnosed mainly via interpretation of a
neurones made unstable by metabolic abnormalitiespatient's medical history; the patient describes what the
such as low blood glucose, or alcohol. Alternatively, theseizures were like and, when a patient can't recall the
abnormal discharge may come from a localised areaseizures, witnesses also may be asked to describe
of the brain (this is the situation in patients with epilepsywhat they saw.
caused by head injury, or brain tumour).Tests may be done to rule out shortterm causes of
Backgroundseizures, such as uncontrolled diabetes or infections. A
Temporal lobe epilepsy (TLE) was defined in 1985 bycomplete neurological exam is done, including an EEG
the International League Against Epilepsy (ILAE) as a(electroencephalogram, a machine that records brain
condition characterized by recurrent unprovokedwaves picked up by wires taped to the head).
seizures originating from the medial or lateral temporalCan Epilepsy be Prevented?
lobe. The seizures associated with TLE consist ofMany cases of epilepsy can be prevented by wearing
simple partial seizures without loss of awareness (withseatbelts and bicycle helmets, putting children in car
or without aura) and complex partial seizures (ie, withseats, and other measures that prevent head injury
loss of awareness).and other trauma. Prescribing medication after first or
The individual loses awareness during a complexsecond seizures or febrile seizures also may
partial seizure because the seizure spreads to involvehelpprevent epilepsy in some cases.
both temporal lobes, which causes impairment ofHigh-fat diet to control epilepsy?new study shows
memory.strong evidence that a high fat, low carb diet can help
Diagnosiscontrol seizures in children with stubborn epilepsy that
Epilepsy is diagnosed mainly via interpretation of adoes not respond well to drug therapy.
patient's medical history; the patient describes what theInfection - epilepsy risk
seizures were like and, when a patient can't recall theExposure to certain maternal infections in the womb
seizures, witnesses also may be asked to describeincreases the odds of epilepsy in childhood, according
what they saw.to an analysis of data from a Danish study.
Tests may be done to rule out shortterm causes ofDrug treatment of epilepsy
seizures, such as uncontrolled diabetes or infections. AIt is conventional to speak of someone having epilepsy,
complete neurological exam is done, including an EEGbut it might be better particularly in relation to promoting
(electroencephalogram, a machine that records brainbetter drug treatment if we were to think in terms of
waves picked up by wires taped to the head).one of the epilepsies. Appropriate management
Can Epilepsy be Prevented?requires not only that doctors differentiate between
Many cases of epilepsy can be prevented by wearingepilepsy and other similar attacks but also that they
seatbelts and bicycle helmets, putting children in caridentify correctly patients' seizure types and, in some
seats, and other measures that prevent head injurycases, the syndrome (for example, juvenile myoclonic
and other trauma. Prescribing medication after first orepilepsy).
second seizures or febrile seizures also mayTreatment for people with epilepsy aged 13 and over
helpprevent epilepsy in some cases.Epilepsy is a very individual condition and people can
High-fat diet to control epilepsy?new study showshave very different experiences. The majority of
strong evidence that a high fat, low carb diet can helppeople with epilepsy take anti-epileptic medication to
control seizures in children with stubborn epilepsy thatstop or reduce the number of seizures they have.