What Is The Most Common Cause Of Epilepsy – Epilepsy is a neurological disorder that affects the electrical network of the human brain. These problems send abnormal signals to the rest of the body, and the result is what we know as a seizure. About 3.4 million people in the United States live with this condition, which is more people living with epilepsy than autism spectrum disorders, Parkinson’s disease, multiple sclerosis, and cerebral palsy combined. together, according to the Epilepsy Foundation.
Despite being a common disease, there are many misconceptions about epilepsy. For example, it doesn’t always involve catching bad breaths. Most epileptic seizures are mild and last only seconds. With medication or surgery, the disease can be effectively treated.
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What Is The Most Common Cause Of Epilepsy
“It’s important for people to know that there are many types of epilepsy, especially in children,” said Dr. Alison May, a pediatric neurologist with the Epilepsy Monitoring Program at NewYork-Presbyterian Lawrence Hospital. “Many people think of epilepsy as just one specific type, where children have convulsions and severe disabilities. But the condition is very different, and families need to know that epilepsy is not Life style of arrest with disability.
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“There shouldn’t be a stigma around epilepsy,” said Dr. David Chuang, an assistant attending neurologist with NewYork-Presbyterian/Weill Cornell Medical Center. “Most people manage their epilepsy with anti-seizure medications and can lead a normal life.”
We spoke with Dr. Chuang, who is an assistant professor of medicine at Weill Cornell Medicine, and Dr. May, who is an assistant professor of neurology at Columbia University Vagelos College of Physicians and Surgeons, to learn more. about living with epilepsy and how it affects parents and children.
An epileptic seizure depends on the abnormal electrical activity of the neurons in your brain, says Dr. Chuang. A person will have different symptoms depending on where this abnormal electrical activity starts in the brain, and if it spreads to other areas of the brain.
It can be confined to one part of the brain, or it can be widespread, Dr. May said. A seizure is considered a generalized seizure if the entire brain is involved, or it can be a partial seizure, where a part of the brain is activated.
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No. Cancer is a way of getting caught, with a high risk of getting undiagnosed, said Dr. Chuang. There are other conditions that can cause seizures, such as hypoglycemia (low blood sugar) or alcohol withdrawal. If these are the causes of the seizures, that person will not be classified as having epilepsy, because in those cases, those things are irritating and you need to correct the underlying condition.
There is no type of seizure, explains Dr. Chuang. They can vary from a strange feeling, such as experiencing a strange taste, a feeling of déjà vu, or a feeling of indifference, to the extreme shocks you see in the movies. or TV shows. They can last from a few seconds to a few minutes. Some people with epilepsy may have one once a year, but others may have several seizures a day.
As with epilepsy, the seizures continue in humans, and their symptoms are similar, Dr. Chuang said. For example, if a person constantly notices a different smell or the type of coughing, then it is on the radar as epilepsy that needs to be checked by a doctor.
The gold standard for making a diagnosis of epilepsy is to capture the actual seizure on the video electroencephalogram (EEG). This is a procedure where doctors videotape a patient while looking at the electrical activity in the brain so they can try to capture the video recording and correlate that with the activity of the patient’s brain. However, it can be difficult to detect seizures on an EEG, says Dr. Chuang. Other supportive tests that can help make a diagnosis are taking a careful history of the patient to see if what they’ve had is related to seizures, or the use of magnetic resonance imaging (MRI) to see if there are abnormalities in the brain that can cause it.
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Once epilepsy is diagnosed and the doctor knows if it is specific or a general condition, then they can decide which treatment is the best option.
The symptoms and how epilepsy is diagnosed are similar in adults and children, but with a few major differences, said Dr. May. Some children may be unable to explain what is happening, where they feel something – they don’t have the words to express it. In that case, the provider will ask the parents a lot of questions, because a diagnosis will depend on the care reports and what they observe. Caregivers can be asked to send videos so their doctor can see what’s going on.
If a child is found to be withdrawn and does not respond to being called or touched, or has a delay or retardation in a child’s development, or has learning difficulties never been there before, he can. signal that something is happening in the brain. If there are concerns, parents should talk to their pediatrician and get a referral to a neurologist. It’s easy to get a referral, and there’s no problem getting an EEG to see if your child is struggling with seizures.
There are many reasons. For adults, Dr. Chuang says, epilepsy is caused by brain injury — whether it’s from a stroke, brain tumor, headache, stroke, or internal bleeding. of the brain such as a ruptured aneurysm or subarachnoid hemorrhage. There are also many adults who develop epilepsy due to underdevelopment of the brain that may not lead to symptoms for most of their lives but will develop epilepsy in adulthood. It is common for the cause of epilepsy to be unknown.
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In children, Dr. May adds, there are age-related diseases that are more likely to cause epilepsy, such as genetic changes or a hypoxic ischemic injury to the brain. Hypoxic ischemic stroke is similar to a stroke but occurs during birth, where the baby loses oxygen to their brain. Diseases caused by cortical dysplasia, a developmental anomaly in which part of the brain does not form, are more common in children than in adults.
Almost all people, children and adults, diagnosed with epilepsy start an anti-seizure medication. If the first drug doesn’t work, your doctor can add a second or third drug, but if those don’t work then epilepsy can be considered, if the patient is fit . With epilepsy surgery, doctors first find the part of the brain where the seizures are coming from, and if they can do so without adverse effects, they will remove that part of the brain, explains Dr. Chuang.
If medications do not work and the patient is not a candidate for surgery, another option is neurostimulation. This involves placing a device under the skin on the person’s chest to stimulate the vagus nerve (a nerve that runs from the brain to the chest), or in the brain, to send a electronic signals to help control seizures.
Generally, people with epilepsy end up taking their medication for the rest of their lives, Dr. Chuang said. Some people stop having seizures when they take medication after epilepsy surgery, and there are people who stop taking their medication because they have been seizure-free for a long time, and after stopping the drug they will naturally remain in the seizure. -free.
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Yes. Some cases of epilepsy can develop in childhood, explains Dr. May. This is different from what is found in adults. Some children may develop the disease at a young age and may develop it as they get older, usually in the teenage years. The goal is always to achieve what Dr. May calls “seizure-free,” meaning no seizures, and then, based on a thorough evaluation, determine if the child can come to his drugs. If a child has a normal EEG, normal MRI and normal development, he is a good candidate to try to remove the drug when they have two years of seizure freedom. Doctors don’t really know why children grow out of their epilepsy, but scientists are researching this to learn more.
Cancer can be a dangerous symptom, said Dr. Chuang. If left untreated, a person cannot do many things on their own, such as take a shower or drive a car, because they do not know when they will have it. the disease. However, people with well-controlled epilepsy, whether through medication or surgery, can lead a normal life. May 14, 2019
Each year, approximately 150,000 Americans are diagnosed with this central nervous system disease that causes seizures. During a lifetime, 1 in 26 US people will be diagnosed with the disease.
Diseases can cause different symptoms, depending on the time