Epilepsy is a relatively common disorder. Most cases of epilepsy can be controlled with a combination of drug therapy and healthy lifestyle. In some cases, surgery may also be advised. Epilepsy affects not only the lifestyle of the patient but also that of their caregiver. Each person reacts to epilepsy in a different way and hence the type of care needed also varies from person to person. While some patients have few seizures and require care only when they're having a seizure others need round the clock care. Here are a few tips to keep in mind if a loved one suffers from epilepsy.

Know what type of epilepsy he/she is dealing with: Not all epileptic seizures are the same. Find out what type of seizures your loved one suffers from and what are the possible triggers associated with Involve yourself in their lifestyle. Epilepsy should not be a reason for your loved one to lock themselves in a room to stay safe. Participate in activities with them of you feel the activity may be a safety risk if they were to have a seizure; for example - swimming.
Notice seizure triggers: Often an epileptic patient may not remember the seizure after it has occurred. As their care giver, keep a seizure diary to track their seizures and its related triggers. Look for patterns in the triggers to their epilepsy attacks.
Keep them safe during a seizure: When experiencing a seizure, the patient will lose consciousness, experience muscle convulsions and may grit his teeth. If the person is standing, hold them so that they do not fall. If they are lying down, try turning them onto their side. Do not put anything into their mouth.
Take care of them after a seizure: After the seizure, people are most likely to be confused, tired and have a headache. Check for injuries and keep them calm till medical help arrives. Loosen clothing around their neck and ensure that there is nothing inhibiting their breathing.
Medical identification: While someone who suffers from seizures often is likely to always have someone with them, others who have rare seizures may often venture out alone. In such cases, ensure that they always have medical identification on them. Also make sure that their friends, colleagues etc are aware of their medical condition.
Help them maintain a healthy lifestyle: Staying active is essential for people with epilepsy. Avoid contact sports and pick low impact exercises like walking, running or swimming. Following a buddy system is essential when an epileptic person works out. If you wish to discuss on any specific problem, you can consult a neurologist and ask a free question.

How to Deal With Epilepsy?

Epilepsy is a neurological disease which is characterised by recurring epileptic seizures. These seizures can be brief or can persist for prolonged periods. Vigorous episodes which last long can result in physical injuries such as broken bones. Mention that 6th February is International epilepsy day.

Causes of Epilepsy
The cause of this condition isn t very evident; however, most medical practitioners attribute epileptic seizures to brain injury, tumours, infections in the brain or birth defects. Some doctors believe that epilepsy is caused due to genetic mutations and is an outcome of abnormal activity of cells in the brain. Other causes for this condition can be alcohol or narcotics withdrawal and electrolyte problems.

Symptoms

Repeated seizures
Impaired memory
Bouts of fainting
Short spans of blackout
Sudden bouts of blinking and chewing
Panic
Inappropriate repetitive movements
Types of Seizures
A seizure, also known as fit, is usually a brief episode characterised by uncontrollable jerking movement and loss of awareness due to abnormal neuronal activity in your brain. A collective occurrence of these seizures causes epilepsy.

There are three types of seizures an epileptic person usually encounters.

Idiopathic: This kind of seizure has no apparent cause
Cryptogenic: The doctors believe that there is a cause for the seizure but cannot detect it
Symptomatic: These seizures occur due to a reason.
Treatments

Medication: Medication is the most common treatment in case of epilepsy. Drugs taken on a regular basis can stop the seizure partially. But in very severe cases, they seem to have no effect at all.
Surgery: For symptomatic seizures which are caused due to abnormal brain function, surgery can be a way to get rid of seizures. In some minor cases, nerve stimulation in the brain and special diets can be prescribed to control the epileptic seizures.
Five facts about epilepsy you need to know:

Epilepsy is not psychosis or madness and can be treated easily 
Popular celebraties with epilepsy include Aristotle, Alfred Nobel, Alexander the great, Sir Isaacs Newton, Martin Luther and Julius Caesar etc. 
Woman with epilepsy can have a normal pregnancy 
Newer medicines for epilepsy are effective and very safe 
Surgery can cure epilepsy in some patients.

All You Need To Know About Epilepsy

The chronic disorder that causes recurrent and unprovoked seizures is referred to as Epilepsy. A seizure is an impulsive and unexpected rush of activity in the brain. The reasons for the cause of epilepsy include head trauma, high fever, low blood sugar, and alcohol withdrawal. It is a neurological disorder and more than 3 million people in the United States have been affected by epilepsy. The chronic disorder is common not only in adults but even in young children and it has been observed that it occurs more in males. The disorder can merely be controlled by the use of various strategies as there is no cure for it till date.

Causes of epilepsy
Any illness that disturbs the usual form of neuron activity can lead to seizures. There are many possible causes of epilepsy. The 2 main types of seizures include partial/focal seizure and generalized seizure. The partial seizure would affect only one part of the brain. It is difficult to identify mild seizures. Further, stronger seizures are known to cause uncontrollable muscle twitches and spasms. At the time of a strong seizure, a patient can lose his consciousness. On the other hand, generalized seizures affect both parts (cerebral hemispheres) of the brain so their onset is not easily identifiable. Types of generalized seizures include tonic-clonic, absence or atonic etc. The other important fact is that epilepsy progresses because of imbalance of neurotransmitters which are nerve-signaling chemicals and also due to an abnormality in the brain wiring.

Drugs used to treat epileptic seizures
Anticonvulsant drugs are mainly used to treat epileptic seizures. The type of treatment provided to patients mainly depends on factors like severity and frequency of the seizures. The other factors that are also taken into consideration for the type of treatment provided include medical history, overall health and the age of a person. A patient can feel better with a seizure medication, an implant that works on the nerves, a special diet, and surgery.
To control epileptic seizures medications are the best option and to treat the brain disorder the right medication needs to be used. There are nearly 20 drugs available that are used for treating different types of epileptic seizures. The doctors provide medication only after proper review of the patient s medical history and their lifestyle. Some of the medications that are made include the use of antiepileptic drugs and anti-seizure drugs. The faulty signaling of the brain is suppressed with these medications.

Important precautions you must take

It is very important that the medication is taken as directed by the doctor. The main reason behind the use of these drugs is that they reduce the number of seizures and there are no side-effects. 
Care should be taken that the drugs provided to the children to treat epilepsy are FDA approved and are safe for use by children. 
The epilepsy drugs that can be taken for partial seizures include carbamazepine, phenytoin, valproic acid, valproate, and brivaracetam.
Natural treatments can also be made use of for epilepsy as at times medications do not work well on some patients. Acupuncture, use of natural herbs and vitamins can also be used for treating the brain disorder.

Epilepsy - Things You Must Take Care Of!

Epilepsy is a disorder of the central nervous system, thus it is basically a neurological disorder. In this the nerve cell activity of the brain is disrupted and causes seizures along with episodes of unusual behavior along with the loss of consciousness. The symptoms of the seizure can vary and some people with epilepsy just stare blankly for few seconds when a seizure takes place, while some twitch their arms and legs repeatedly.

Symptoms of Epilepsy:
As epilepsy is caused by the abnormal activities in the brain cells, seizures affect the processes with which the brain coordinates. Some signs and symptoms are:

Staring blankly
Confusion which is temporary
Uncontrolled jerking movements of the legs and arms
Loss of awareness and consciousness
Psychic symptoms
Mostly the symptoms vary depending on the type of the seizure. The seizures are further classified into focal and generalized depending on which part of the brain shows abnormal activity.
Focal seizures
When seizures are due to the abnormal activity of the cells in just one area then it is known as focal seizures. These seizures are of two types:

Simple partial seizures or the focal seizures without loss of consciousness. These seizures basically alter the emotions and the things like change in smell, look, sound and taste. These also result in the involuntary jerking of the body like the legs and arms, with spontaneous sensory symptoms like the tingling and flashing of the lights.
Complex partial seizures or the focal dyscognitive seizures. These seizures have a loss of awareness and consciousness. One might just stare blankly into space in this seizure and performs repetitive activities like swallowing, chewing, walking in circles and chewing.
Generalized seizures
There are six types of generalized seizures. These are:

Absence seizures, also known as petit mal seizures, are commonly seen in children and are characterized by subtle body movements like lip smacking and eye blinking and staring blankly into space. These also cause loss of consciousness.
Tonic seizures lead to stiffening of the muscles. These affect the muscles of the legs and arms and also cause to fall to the ground.
Atonic seizures are also called as drop seizures. These cause loss of control in the muscles, thereby leading to collapse or fall.
Clonic seizures are the rhythmic and jerking muscle movements. These affect the arms, face and neck.
Myoclonic seizures appear as twitches in the arms and legs.
Tonic-clonic seizures also known as grand mal seizures are very dramatic and lead to body stiffening, abrupt loss of consciousness, shaking and loss of bladder control and tongue biting.

Epilepsy - How Seizures Affect It?

Living with epilepsy can be highly challenging. This is a medical condition that can be controlled with medications in most cases, but it might not be useful for all patients due to severe side effects. It is estimated that up to 30% people who have epilepsy face this issue, and in such cases, surgery might be considered as an option.

This condition typically results in seizures which is a result of sudden electrical activity in the brain. So, certain complicated epilepsy operations on the brain can help patients with their seizures and contain their symptoms.

The goal of epilepsy surgeries involves removing part of the brain that causes these seizures and disrupting parts of the nervous system in the brain that contribute to the same. The procedure also involves the installation of a device that helps control the side effects of epilepsy.

When is surgery not an option for epilepsy?
Doctors would accurately identify the part of the brain that is causing seizures as the first step. These parts are known in medical terms as the  seizure  focus. This area should not be related critical functions of the brain like movement, sensation, and language involved   else surgery would not be possible.

Surgery is not viable when seizures are severe and impair bodily movement or if the patient has serious medical conditions (like cancer or heart diseases).

Common Surgery Options Available

Lesionectomy: This is one of the most commonly used procedures. This form of surgery involves the surgeon removing brain lesions from the brain or areas of injury due to malformed blood vessels or tumors. These injuries can often cause seizures and epilepsy and can be treated effectively with lesionectomy.
Lobe resection: This is another form of treatment which is possible only if the epilepsy is located in one of the four parts of the brain   the temporal lobe. It is quite common in younger people and can easily be treated by expert neurosurgeons by removing the brain tissues that are causing epilepsy.
Multiple Subpial Transections: While the above methods involve cutting out brain tissues, sometimes such surgeries just might not be possible due to other complications. If the parts of the brain cannot be cut out, surgeons tend to adopt Multiple Subpial Transections. This procedure can help control seizures without requiring cutting out parts of the brain. Small intersections are made in the brain to disrupt the impulses from affected brain cells that cause seizures, and they do not affect normal brain activity. It helps leave all abilities intact in patients and aids in treatment very effectively.
So, if you are just fed up with dealing with the seizures, consult your doctor who will be able to advise on the course of action depending on the history and medical condition.

Epilepsy - Is Surgery An Option?

A neurological disorder is characterized by sudden recurrent episodes of sensory disturbance, loss of consciousness, and convulsions associated with abnormal electrical activity in the brain.

Role of Physiotherapy in Epilepsy

It helps improve strength, mobility, and increases the range of motion and sphere of movement.
It helps improve sensory awareness, response, balance, and coordination.
It helps to improve quality of movement and physical performance.
The Goals of Physiotherapy

To develop strength enough to support one s head upright
To have balance and motor control to maintain their trunk at midline
To use many different muscle groups
To assist necessary motion in their trunk and extremities
The physiotherapists write short-term goals for each of the items on the problem list that need to be covered to help the patient achieve the long-term goals
To understand what the patient is good at and does well
To focus on what he or she capable of doing rather than on what they can t do
To educate and provide awareness with a view to prevent injury. For example, advice on special swimming equipment to prevent drowning if he/she gets seizures in the pool
Physiotherapy treatment for a healed fracture consists of strengthening muscles that have got weak from being immobilized and stretching muscles that are stiff owing to being in the cast for a long period of time.

Physical exercise improves fitness, energy, and mood and even relieves stress. Improving overall health and wellbeing in this way can help reduce seizures. It can also help people feel more in control of their health. It also helps release  feel good  hormones into the brain, helps keep the muscles active, reduces fat levels in the body, and increases oxygen flow to the brain. It can also increase the bone density. A research showed that regular sessions of aerobic exercise (for example running, walking, swimming, cycling) for 60 minutes, twice a week, for 15 weeks resulted in a significant reduction in the number of seizures they had.

Drink water, diluted fruit juice, or squash while exercising to help replace the fluids and body. Do not exercise straight after a meal.

Team sports or group activities such as walking or gardening groups can also be a good way of increasing self-confidence. Making new friends may help with any feelings of isolation. Most sports, including contact sports like football, hockey, basketball and rugby, have not shown to increase the chance of someone having a seizure, but contact sports come with an increased risk of head injuries, which could affect people with a history of epilepsy. Protective sports headgear helps to reduce this risk. 

Role Of Physiotherapy In Treating Epilepsy!

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