Understanding Epilepsy

A Comprehensive Guide to Seizure Disorders

Neurology

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Last updated: Mar 24, 2025

What is Epilepsy?

Epilepsy is a chronic neurological disorder characterized by recurrent, unprovoked seizures. These seizures occur due to sudden, abnormal electrical activity in the brain.

Types of Seizures

Focal Seizures

  • Simple focal seizures: Affect a small part of the brain without loss of consciousness
  • Complex focal seizures: Involve altered awareness

Generalized Seizures

  • Absence seizures: Brief lapses in awareness
  • Tonic-clonic seizures: Involve whole-body convulsions
  • Myoclonic seizures: Brief, shock-like jerks

Common Causes

  • Brain injury or trauma
  • Brain tumors
  • Genetic factors
  • Developmental disorders
  • Infections affecting the brain
  • Stroke

Diagnosis

  • Medical history review
  • Neurological examination
  • EEG (electroencephalogram)
  • Brain imaging (MRI/CT)

Treatment Options

Medications

  • Anti-epileptic drugs (AEDs)
  • Regular monitoring of medication levels
  • Possible side effect management

Other Treatments

  1. Vagus nerve stimulation
  2. Ketogenic diet
  3. Surgery in select cases

Living with Epilepsy

Safety Measures

  • Avoid driving until medically cleared
  • Take medications as prescribed
  • Maintain regular sleep patterns
  • Avoid known triggers

Emergency Response

  • When to seek immediate help
    • Seizures lasting > 5 minutes
    • Multiple seizures without recovery
    • Injury during seizure

Support and Resources

  • Epilepsy support groups
  • Regular medical follow-up
  • Lifestyle modifications
  • Educational resources

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