Epilepsy

Epilepsy Treatment in Haryana

Epilepsy can be understood as a central nervous system disorder in which brain activity becomes abnormal, thus causing frequent seizures. Though symptoms might vary widely, anyone can develop epilepsy. Though there is the possibility of it occurring at any age, most commonly it either begins in childhood or affects those that are over sixty.

Symptoms of Epilepsy:

Since epilepsy is caused by abnormal activity in the brain, it can affect any process that is coordinated by your brain. Seizures usually affect people in different ways, depending on the part of the brain that is involved. Generally, some of the warning signs that can appear before a seizure are
    • Temporary confusion
    • Staring deep into a blank space 
    • Feeling your muscles become stiff
    • Various strange sensations, such as a rising feeling in the stomach, tingling sensations or unusual smells or tastes
    • Uncontrollable jerking movements of the arms and legs
    • These can also include psychological symptoms such as fear and anxiety 
Symptoms vary depending on the type of seizure but in most cases, a person with epilepsy will have the same type of seizure most of the time.

Types of Seizures:

Doctors tend to classify seizures into two distinctive types, namely:
    • Focal seizures
    • Generalised seizures

Focal Seizures:

When seizures are resulting from just one affected area of your brain that is impacted by abnormal activity, it is called a Focal Seizure. Focal seizures can be classified into two categories:
Focal Onset Aware Seizure: This refers to seizures where the patient is awake and aware during the seizure. Healthcare providers once called this a simple partial seizure. The symptoms of this seizure include :
    • Changes in the way you perceive your senses, such as how things taste, smell or sound.
    • Changes in your emotions, like feeling a sudden high or a low
    • Uncontrollable muscle jerking, usually in your arms or legs
    • Seeing flashing lights
    • Feeling dizziness and having a tingling sensation.
Focal Onset Impaired Awareness Seizure: This refers to seizures where the patient becomes confused or loses awareness or consciousness during the seizure. This seizure type used to be called a complex partial seizure. While experiencing this kind of seizure, the patient can feel like they’re in a dream or they might not respond normally to their environment and perform repetitive gestures. Symptoms of this seizure may include:
    •  Having a blank stare or staring into space 
    • Constant repetitive movements like eye blinking, lip-smacking, chewing or hand rubbing or other peculiar finger motions

Generalised Seizures:

Generalised seizures, also known as generalised onset seizures, are seizures that are affected by a widespread network of cells that cover all the areas of your brain in a general sense. In total, there are six types of generalised seizures, they are
    • Absence Seizures: Absence seizures, which were previously known as petit mal seizures, typically tend to occur in children. Its symptoms include staring into space with or without subtle body movements such as eye blinking or lip smacking, chewing or hand motions and rubbing fingers. Usually, they last between 5-10 seconds. These seizures may occur in clusters, happening as often as 100 times per day and cause a brief loss of awareness.
    • Tonic Seizures: Tonic seizures can cause stiff muscles and can affect your state of consciousness. These seizures usually affect muscles in your back, arms and legs and they can cause you to collapse.
    • Atonic Seizures: Atonic seizures, also known as drop seizures, are related to loss of muscle control. Atonic means “without tone” and it means your muscles will become weak or you will lose control of your muscles during the seizure. Since this most often affects the legs, it often causes you to suddenly collapse or fall.
    • Clonic Seizures: Clonic seizures are associated with repeated or rhythmic, jerking muscle movements. These seizures typically affect the neck, face and arms and can last for minutes. Your muscles can be caught jerking continuously for minutes or your muscles can stiffen and be followed by a series of muscle jerk movements over a short time,
    • Myoclonic Seizures: Myoclonic seizures usually come as sudden brief jerks or twitches. They generally tend to affect the upper body, arms and legs and last for only a couple of seconds.
    • Tonic-clonic Seizures: Tonic-clonic seizures, which were previously known as grand mal seizures, are the most dramatic type of epileptic seizure there is. They are a combination of muscle stiffness and repeated muscle jerking. They can lead to an abrupt loss of consciousness and they are usually characterised by body stiffening, twitching and shaking. The patient can sometimes lose control of their bladder or start biting their tongue and start drooling.

Causes of Epilepsy:

Epilepsy is a very mysterious condition and in most cases, it’s hard to pinpoint what causes epilepsy in a person but certain factors can increase your chances of being affected by it:
Genetics: Some types of epilepsy tend to run within families and are passed down from generation to generation. These genes typically increase the chances of epilepsy, with many other factors influencing the state of your condition.
Immune Disorders: Certain conditions that cause your immune system to attack your brain cells, such as autoimmune diseases can cause epilepsy.
Metabolic Disorders: Having metabolic disorders also increases your risk of epilepsy.
Head injuries: Head Injuries from accidents such as a vehicular accident or an injury resulting from a strong or fatal blow to the head can also cause epilepsy.
Brain Infections: Brain infections such as brain abscess, meningitis, encephalitis and neurocysticercosis can also be accompanied by epilepsy in some cases.

Diagnosis for Epilepsy:

Diagnosing epilepsy is usually quite a comprehensive process. Since experiencing seizures alone doesn’t indicate epilepsy, to diagnose you, your physician might take into consideration certain factors and medical history and run some tests to confirm it.

Characteristics of a Seizure:

To prepare an individualised treatment plan, your physician might quiz you on the following factors;
    • Medical and family history
    • Other pre-existing conditions such as metabolism or immune disorders
    • Muscle jerks
    • Muscle stiffness
    • Changes in breathing
    • Changes in skin colour 
    • State of your consciousness

Tests for Diagnosing Epilepsy:

      • Electroencephalography (EEG): This is the test that measures the electrical activity in your brain. It comes in handy when diagnosing epilepsy because certain abnormal electrical patterns are related to seizures.
      • Brain Scans: Tests that generate detailed images of your brain such as an MRI or a CT scan are used to look for such things as tumours, infections or blood vessel abnormalities.

Treatment for Epilepsy:

Treating epilepsy usually involves regular intake of medicines and strict management of your diet intake and routine. In case of a more complicated situation, your physician might recommend surgery or the use of certain devices to treat it well. In general, your epilepsy treatment might comprise of this:
Anti-Seizure Medications: Anti-seizure medication usually works for about 60% to 70% of people with epilepsy. The prescription will usually be individualised, with your physician prescribing one or more medications, doses of medications or combinations of medications depending on what works best for you.
Usually, these factors are taken into consideration:
      •  The kind of seizures you have
      •  Any medical conditions you might have.
      •  The potential of how your other medications might react                                      
      •  Side effects of the anti-seizure drug you might experience
      •  Your age                           
      •  Affordability
      •  Tests that generate detailed images of your brain such as an MRI or a CT scan are used to look for such things as tumours, infections or blood vessel abnormalities.
Diet Therapy: Diets such as the Ketogenic diet and the modified Atkins diet, which are high in fat, moderate in protein and low in carbohydrates are usually recommended for people with epilepsy. This is mostly recommended for children and patients who aren’t in dire need of surgery.
Surgery & Devices: Your physician might move forward with surgery if your epilepsy cannot be treated through medication and diet, especially if your seizures are severe and debilitating. Some neuromodulating devices can also be used to regulate your seizures depending on the frequency and severity of your seizures.

Living With Epilepsy:

Living with epilepsy can be a daunting task. Given that it’s an unpredictable and dangerous condition, certain precautions and measures are needed in place for a person to be able to adjust to it. To begin with, a person with epilepsy must learn how to manage their seizures when it strikes:
      • Medication should be taken regularly and accurately, with the person sticking to prescribed timings and dosages. In case you end up missing a dose, call your physician right away 
      • Get an adequate amount of sleep
      • Engage in regular exercise
      • Avoid excessive alcohol consumption
      • Indentify&avoid seizure triggers
      • Eat a regular and balanced diet
      •  Schedule regular health check-ups and maintain regular contact with your physician so it’ll be much easier to keep up with the state of your condition
With just the right amount of care and regular consultations with your dedicated physician, epilepsy can be managed well at your own gradual pace.