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Treatment of Neurological Problems
Treatment of Nerve And Muscle Disorders
Treatment of Paralysis
Cerebral Palsy Treatment
Brain Tumor Surgery
Electroconvulsive Therapy (Ect) Treatment
Surgery Of The Facial Nerve
Radiofrequency Neurotomy Procedure
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Assistive Walking Device Training
Vagus Nerve Stimulation ( Epilepsy )
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Hello, I want to know the signs and symptoms of migraine! And the medicines available for it! I have severe headache problem!
Epilepsy is an abnormal medical condition due to abnormal electrical discharge from the brain, which could be due to genetic defects, brain injury,brain infection,brain tumor etc.
Recent study shows, patients with awareness, knowledge and attitude towards the disease had better health related quality of life.
- Do take your medicines at the prescribed times.
- Do make it known to your family members, friends and people who work with you that you are seizure-prone. Tell them what should be done in case you get an attack in their presence. This is nothing to be ashamed of as epilepsy is a medical condition just like high blood pressure. If your child has epilepsy, do inform the teacher and the school authorities about it.
- Do tell your child's teacher what to do if your child has a seizure.
- Do keep an accurate record of your seizures and their frequency. Preferably, maintain a seizure diary.
- Do ask your doctor about medicines for other conditions before taking them.
- Do follow a balanced diet.
- Do exercise regularly but avoid over-exertion.
- Do have good lighting in the room where you watch TV. TV picture flashes can trigger seizures. Good lighting can prevent such attacks.
- Do tell someone if you are going for a swim; swim only if your seizures are under control. Moreover, whenever possible, go swimming with a friend.
- Do talk to your doctor about the pros and cons of using contraceptive pills (medicines used by women to avoid unwanted pregnancy) along with your epilepsy medicines.
- Do wear protective headgear when cycling.
- Do tell your doctor about any ill effects that you experience.
- Do get a good night's sleep daily.
- Do make sure you have enough medicine so that you don't run short, even when you are travelling.
- Do check-in with your doctor regularly.
- Don't stop your treatment unless your doctor tells you to.
- Don't consume caffeine or alcohol excessively.
- Don't take other medicines without checking with your doctor.
- Don't lock the bathroom/toilet door, if possible.
- Don't smoke.
- Don't give others your medicines and don't take anyone else's medicines.
Myths and facts about epilepsy
Is epilepsy a very rare disorder?
No. Epilepsy is not a very rare disorder. Epilepsy affects 50 million people worldwide. In India, epilepsy has been identified as a public health problem.
Epilepsy is a mental illness?
It is not a mental illness but disorder of the brain.
Are people with epilepsy violent or crazy?
No. The belief that people with epilepsy are violent is an unfortunate image that is both wrong and destructive. People with epilepsy have no greater tendency toward severe irritability and aggressive behaviours than other people. However, once the attack is over, they return to normalcy and usually display normal behaviour in between attacks.
Are children with epilepsy dull?
Except for children who are born with obvious mental handicaps, children with epilepsy have normal intelligence and should be encouraged by parents and teachers to attend school and complete their education.
Is epilepsy a curse or wrath of God?
No. Epilepsy has nothing to do with curses, possession or other supernatural processes, such as punishment for past sins.
Does epilepsy spread through touching or coughing?
No, epilepsy does not spread through touching or coughing.
Does the use of an onion, metal, etc., help in terminating an ongoing epileptic attack?
No. Some people think that an epileptic attack can be terminated by making the person smell onions or dirty shoes, or by placing a metal key in the person's hand. These are irrational beliefs.
Are epilepsy medications ineffective?
No. Epilepsy medicines are very essential for the control of epileptic attacks and should not be neglected.
Is marriage a cure for epilepsy?
No. Marriage is an important aspect of life but not a cure for epilepsy.
Epilepsy is hereditary hence unfit to get married?
Epilepsy is not a hereditary disorder, and the tendency of epilepsy being passed is only about 3 %, therefore no bar for marriage.
Women suffering from epilepsy cannot have children?
Epilepsy or anti-epileptic drugs cannot affect fertility, even during pregnancy, women can take their medicines under their doctor’s supervision.
Is life of a person with epilepsy miserable?
No. Life of a person with epilepsy can be very manageable and very similar to life of people without epilepsy provided you have a positive approach towards life.
Is epilepsy a hindrance in leading a happy and successful life?
No. People with epilepsy can live a happy and successful life. With the advent of newer medicines, availability of medical care and increased awareness of the condition, it has become possible for a person with epilepsy to lead a good life. There are many famous poets, writers and sportsmen with epilepsy who have excelled in their respective fields.
Special Precautions in Children with Epilepsy
Computerized and Lights:
Up to 5% of children with epilepsy have photosensitive epilepsy. Computers and TVs with a flat screen do not flicker and, so, are less likely to trigger seizures than screens that flicker. However, flashing lights/ flickering screen can act as trigger in photosensitive epilepsy patients.
Exams and Tests:
For Children who are likely to have seizures in stressful situations or at certain times of the day, this may affect how they perform in exams or tests. Tiredness, memory or concentration problems may also affect exams or tests. Tiredness, memory or concentration problems may also affect exams.
Physical Activities and Lessons:
Safety is important for all children, especially during physical activities and lessons, such as when studying science. Epilepsy does not need to stop a child from doing an activity as long as he or she is safe.
This must be allowed only in the presence of trusted lifeguards. It is essential that the swimming coach and the lifeguards fully understand a child’s epilepsy so they can quickly see if the child is having a seizure in the water.
Migraine headache is characterized by a severe headache usually affecting one side of the head. There are other symptoms along with headache like nausea/vomiting, sensitivity to light and sound. Some patients experience neurological phenomena like changes in vision, temporary loss of sensation and altered sensation, a phenomenon known as an aura (flashes of light, zigzag patterns, bright spots, tingling in the arms and the legs). Migraine headache can last for 2 to 3 days.
Symptoms: The symptoms depend on the stage of a migraine attack. The stages of a migraine attack can be:
- Prodrome, Aura, Headache or attack, and Postdrome.
- Prodorme: One to two days prior to the migraine attack, patient may experience;
- Mood swings.
- Cravings for food.
- Increased yawning.
- Stiff neck.
- Constipation and frequent thirst and urination.
In case of an aura (during or before a migraine), there may be visual, motor, speech, and sensory illusions and disturbances such as,
- Loss of vision.
- A strange sensation of needles pricking an arm or a leg.
- One side of the body becomes weak and numb.
- There are visual illusions such as the appearance of flashes of light, zigzag patterns, bright spots.
- There is a problem in hearing and speaking.
- In some cases, there may be a hemiplegic migraine (the limb becomes weak).
During a Migraine Attack (lasts for 4 to 72 hours), there may be
- A throbbing pain on either one or both sides of the head
- Blurred vision, light-headedness.
- Nausea and vomiting
- Sensitivity to light and sound
- Sensitivity to touch and smell (though rare)
In Postdrome (after a migraine), there can be
- Mood swings.
- A person may be sensitive to light and sound.
- Dizziness and weakness
- Extreme fatigue
An amalgamation of environmental and genetic factors may be responsible for a migraine. Trigger varies for each patient:
- Stress and extreme physical exertion
- Alcohol and caffeinated drinks and beverages
- Salty and processed foods
- Altered sleeping habits
- Hormonal alterations in women (Constant fluctuation in the level of oestrogen)
- Oral contraceptives and certain vasodilators (nitroglycerin)
- Preservatives like MSG (monosodium glutamate) and Aspartame (sweetener)
- Sunshine, certain odours, travel, etc can trigger migraine.
Treatment and Prevention:
- Medicines under supervision to abort an attack of migraine and special drugs to stop attacks.
- Lifestyle changes are helpful to decrease attacks:
- Avoid your trigger for migraine.
- Follow regular sleep -wake cycle.
- Regular exercise, meditation.
- Avoidance of alcohol, caffeine containing beverages.
- Other treatment options that can be availed from pain specialist:
- Transcutaneous supraorbital nerve stimulation
- Intramuscular stimulation.
- Botulinum toxin injection.
- Occipital nerve block.
In case you have a concern or query you can always consult an expert & get answers to your questions!