Epilepsy is quite possibly the most widely recognized and most impairing neurological disorder around the world. It can influence any age group, from babies to the elderly. Epilepsy can altogether affect the personal quality of life. The seizures that happen with epilepsy, combined with conditions that accompany it like sadness and learning disability, may fundamentally affect school and occupation necessities. Many individuals with the condition of epilepsy can lead a normal life. However, patients who have had epilepsy for quite a while or whose epilepsy is hard to control are at higher risk for joblessness. They may also require help with their day-to-day life activities. Indeed, even common things, for example, driving probably won't be allowed for a while in case you have epilepsy.
The good news is if epilepsy is diagnosed early and treated properly, the prognosis can be great, with the patient getting rid of seizures and getting back to a normal quality of life.
Symptoms of Epilepsy
Individuals with epilepsy have seizures. While they can occur at any point of the day, they will, in general, happen all the more regularly around evening time or when somebody is very exhausted, restless, or ill. The erratic seizures can vary significantly. A few seizures might be dramatic, all-out spasms of the arms and legs, with loss of consciousness, frothing at the mouth, and loss of bladder/bowel control. These are frequently alluded to as "tonic-clonic seizures."
Others are more inconspicuous and may go undetected in any event, for quite a while. Indications of these "focal seizures" (formerly known as partial seizures) include gazing at nothing in particular, eye-blinking, or smacking of the lips. This is accompanied by a short state of confusion for a couple of moments or minutes or brief jerking of the muscles. Some people may display strange behaviors, like strolling around in circles, accelerating their legs as though on a bike, or having compulsive outbursts. It is quite common for younger people and grown-ups with epilepsy to have significant memory issues.
The Seriousness of the Disease
Epilepsy is a serious illness that can prompt critical disability. At times, a long seizure can cause death, as can complications identified with the seizures. Some people with epilepsy experience what is called Sudden Unexpected Death in Epilepsy (SUDEP) which, as the name infers, is death from epilepsy without other evident reason, for example, a heart condition. A few forms of epilepsy are moderately benign. Childhood absence epilepsy affects young youngsters who sometimes have hundreds of brief seizures each day. They are characterized by brief arrest of activity and improve significantly in the wake of administering appropriate drugs. These kids will, in the end, outgrow the seizures.
By and large, for most of the patients with epilepsy, seizures can be constrained by a couple of suitably chosen and dosed meds. In some cases, they may be weaned off after a while without seizures. A few epilepsies, notwithstanding, are exceptionally hard to treat and may require lifelong blends of various drugs or epilepsy surgery.
What causes epilepsy?
Epilepsy can be brought about by a variety of abnormalities that badly affect the development of the mind. Those may include scars in the brain (particularly temporal lobe and related structures) from earlier diseases, injury or long seizures, cerebrum tumors, or stroke, as some of the examples. A few forms of epilepsies are hereditary, because of a mutation in a particular gene whose function is firmly associated with signal transmission in synapses. These types of epilepsy will in general start in early life and are often hard to treat.
How is epilepsy treated?
There are several options for treating epilepsy. Every individual needs to be assessed by an epileptologist so that the best treatment can be determined. Treatment choices include:
Medications for epilepsy
Epilepsy is treated with anti-epileptic medications (AEDs). Basic meds incorporate, for instance, Carbamazepine, Levetiracetam, and Lamotrigine, yet there are more than 20 of them available. Here and there a blend of more than one drug is needed to achieve seizure control.
AEDs can have side effects, like drowsiness, sleepiness, weight reduction/weight gain, renal stones, rash, and others. These results can adversely affect the personal quality of life and should be carefully assessed and thought about when settling on treatment decisions. At the point when side effects are severe, a doctor may suggest the drug be discontinued.
Surgery for epilepsy
At the point when prescriptions fail to treat the seizures, there are surgical alternatives accessible. One alternative that might be considered early is the expulsion of the piece of the cerebrum presumed to be the cause of seizures. The careful choices require a thorough assessment before surgery. The assessment and the surgery itself are performed in specialized care centers that have a comprehensive epilepsy program.
The workup that prompts epilepsy surgery is accomplished by a group of epileptologists (nervous system specialists who specialize in treating epilepsy), neurosurgeons, neuroradiologists, neuropsychologists, and specialized attendants. It might incorporate brain imaging methods and admission to the hospital for long-term electroencephalogram (EEG) monitoring. This is first performed with electrodes on the scalp, however, it might be on the brain surface or inside the brain. This is known as invasive EEG monitoring. All of these studies are done to find the part of the brain where seizures are coming from so that part can be securely taken out.
Devices Implanted to Treat Epilepsy
The individuals who are not good candidates for surgery might be assessed for implantation of devices, for example, a vagus nerve stimulator, a deep brain, or a responsive nerve stimulator.
Nutrition for epilepsy
A few patients may benefit from explicit weight control plans, for example, the ketogenic diet or modified Atkins diet. Some particular types of epilepsy in kids, where seizures are inconsistent and don't affect the performance in school or the youngster's development, may not need treatment.
Febrile seizures are a unique class of seizures. These happen in otherwise healthy youngsters who have a fever related to a presumed viral disease like roseola or the flu. The age for this kind of seizure regularly goes from five months to five years, but most often ages two and three.
Children with febrile seizures don't have epilepsy, yet some of them may foster it further down the road. This is particularly evident, for instance, in those who experience long febrile seizures, have clusters of these seizures, or whose body shakes just on one side. These are designated "complex" febrile seizures, and the general risk of developing epilepsy is 10%, which is around multiple times more prominent than everyone. Youngsters with febrile seizures don't need to be treated with daily AEDs, however, the family and school need to carry what is known as a "salvage drug" like rectal Diazepam. This drug can be given to the child to stop a seizure on the off chance that it is lasting more than three to five minutes.
How Divoti can Help?
If your kid or a loved one is suffering from epilepsy, our range of medical jewelry could help. Wearing Medical jewelry is critical for individuals with epilepsy. This permits emergency healthcare providers to quickly identify an individual with epilepsy and reach out to his/her emergency contacts. Various seizure alert devices are available on our website. These range from conventional metal wristbands to soft, silicone bracelets. Some people also like to wear dog tag-style necklaces that read "epilepsy." These accessories are available with us on Divoti and they may help significantly in guiding emergency personnel to a wallet card that shows an individual's medication list.