The word epilepsy brings to mind visions of people frothing at the mouth and rolling on the ground. However, epilepsy affects each patient in a different way. This can make it hard to recognize at times. In the more serious cases of epilepsy, an epileptic attack can make a patient injure himself or develop other life threatening conditions. In rare cases, epilepsy can even cause death. Thus it becomes imperative to understand how to deal with epilepsy.

Treatment options for epilepsy can be categorized as medication, surgical procedures and dietary changes.

Medication
Medication for epilepsy is prescribed on the basis of the symptoms presented and the type of epilepsy the patient is suffering from. In most cases, seizures can be controlled with a single type of medication, but in others, the doctor may need to prescribe a combination of medicines to control epilepsy. These forms of medication do have side effects and hence any reactions to the medication must be immediately brought to the doctor's notice. The dosage for epilepsy medication may need to be varied with time. An epileptic patient should never discontinue medication on their own.

Surgery
Depending on the type of seizures and the area of the brain affected, a doctor may advise surgery in cases of severe epilepsy. Surgery can help reduce the number of seizures experienced or completely stop them. Surgery to treat epilepsy is of many types. Some of the common procedures are:

1. Surgery to remove tumor of any such conditions that may be triggering the epileptic attacks
2. Surgery to remove a small section of the brain from where a seizure originates. This may also be referred to as a lobectomy.
3. Multiple subpial transaction or a surgery that involves making a series of cuts in the brain to prevent the seizures from spreading to other parts of the brain.
4. Surgery to sever the neural connections between the right and left hemispheres of the brain.
5. Surgery to remove half the brain's cortex or outer layer

Dietary changes
A diet rich in fats and low in carbohydrates can help reduce seizures. This is known as a ketogenic diet and aims at making the body break down fats instead of carbohydrates. It can cause a buildup of uric acid in the body and thus should be practiced only under the guidance of a dietician. In cases where epileptic attacks are triggered by malnutrition and birth defects, taking vitamin supplements can help lower the frequency of seizures.

How to Deal with Severe Epilepsy

The brain contains numerous nerve cells which help in its normal functioning. Epilepsy or seizures occur when there is a disruption in the activity of the nerve cells in the brain. A neurological disorder of the CNS (Central Nervous System), epilepsy can affect all and sundry, irrespective of their age, sex and ethnicity. However, children and aged people (above 60 years) are more susceptible to the condition. A study suggests approximately 10 million people in India suffer from epilepsy.

Types of Epilepsy
Based on the activity of the brain that causes an epileptic attack, Epilepsy can be of two types - Focal or Generalized
Focal Epilepsy: An epileptic attack triggered by unusual activities restricted to a particular area of the brain.

In some cases, focal epilepsy may result in unconsciousness. A person may also lose awareness and become unresponsive (keeps staring into space), a condition termed as Focal Dyscognitive Seizures. A person with this condition may behave strange, such as walking in circles, chewing or rubbing their hands.
In another type of focal epilepsy known as Focal seizures without loss of consciousness, a person does not lose consciousness. In such cases, there may be sudden and involuntary jerking of the arms or the legs. There may also be dizziness or a tingling sensation.
Generalized Epilepsy: Here, the seizures or epilepsy result from unusual activities throughout the brain. Generalized epilepsy, may, in turn, be of the following subtypes

Tonic seizures: This affects the muscles of the legs, arms, or the back, causing them to stiffen and tighten up.
Atonic seizures: Here, a person may suddenly fall down due to loss of muscle control. The condition is also known as Drop Seizures.
Absence seizures: Mostly affecting children, the affected person may lose awareness (temporary) and behave strangely such as staring into spacing, smacking their lips, or blinking their eyes continuously.
Clonic seizures: They are characterized by sudden and continuous jerking movements of the arms, face, and neck muscles.
Tonic-clonic seizures: Here, a person may suddenly lose consciousness. There are violent shaking and stiffening of the body. Some people may even be seen biting their tongue.
Myoclonic seizures: In this arms, and legs of a person suddenly twitches and jerks.

What triggers an Epilepsy?
Epilepsy may be an outcome of the following factors

Medical conditions such as stroke or even brain tumors may affect the normal activities of the brain, thereby resulting in epilepsy. Diseases such as Viral Encephalitis, AIDS or Meningitis act also act as a trigger, accelerating the chances of epilepsy.
Developmental disorders such as Neurofibromatosis or Autism can also trigger epilepsy.
In some cases, epilepsy may be a genetic predisposition. Thus, a person with a family history of epilepsy may suffer from the condition.
Epilepsy may also be an outcome of a prenatal brain injury due to oxygen deficiency or an infection to the mother.
People with dementia may also suffer from an epileptic attack.

Epilepsy - Know The Most Common Types!

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!

Development disabilities can be defined as chronic conditions which develop when the brain of a child is still forming. Developmental disabilities may occur during pregnancy or early childhood or they may occur anytime till a person attains the age of twenty two. They are birth defects which may hamper the proper functioning of a body part or a body system. Most of the developmental disabilities cannot be medically treated, however with therapy their symptoms can definitely be controlled.

Nervous System Disabilities:-

As the name suggests, nervous system disabilities affect the functioning of the nervous system, spinal cord as well as the brain. A child with nervous system disabilities is most likely to suffer from speech disorders, behavioral disorders, movement disorders and may experience convulsions. His learning, understanding and intelligence, might all be affected due to nervous system disabilities.

Attention Deficit Hyperactivity Disorder (ADHD):-

Attention Deficit Hyperactivity Disorder can be identified in children by their inability to concentrate, being forgetful and feeling hyperactive all the time. There are a number of ADHD causes such as changes or malfunctioning of certain brain structures, parents suffering from hypertension or a psychiatric disturbance, chemical poisoning, alcoholism, smoking or drug abuse by the woman when she is pregnant and lastly, exposure of the child to certain environmental toxins like lead, polychlorinated biphenyls, etc.

Autism:-

Another example of nervous system disabilities is autism. Various behavioral and speech disorders may be caused in a child due to autism. Although exact cause of autism is not known, still some researchers are of the opinion that it may be caused due to certain genetic, environmental and neural development factors. Differences in the brain chemicals, known as neurotransmitters are the main cause behind autism. Environmental factors such as exposure to certain chemicals, exposure to drugs, eating certain kind of foods can exacerbate this condition.

Cerebral Palsy:-

Most cases of cerebral palsy develop even before the child is born. Very rarely does it occur during childbirth, although if the baby is premature or is under weight and suffers from intraventricular hemorrhages, it can lead to development of this condition in him. But mostly this condition develops when the brain development of the unborn child is affected when the mother is alcoholic, smokes, takes drugs, is malnourished, is exposed to certain chemicals or suffers any mental of physical trauma when she is pregnant. Some other reasons for a child to develop cerebral palsy are any injury to the brain due to accident, asphyxia, bacterial infections such as encephalitis or exposure to certain chemicals and allergies.

Bipolar Disorder:-

The reason why this disorder develops in a person is not known, still studies have shown that it is hereditary and runs in families. A person suffering from bipolar disorder experiences four kinds of mood cycles - mania, hypomania, depression and a mixed episode. Typical symptoms range from a person feeling highly energetic to falling into deep depression, leading to development of suicidal thoughts.

Dyslexia:-

Dyslexia is a neurological disorder that makes a child incapable to understand language, differentiate between right and left, solve mathematical problems and lastly, organize and plan anything. This condition is caused when the brain is unable to transfer images it receives from the eyes and ears into comprehensible language.

Dyscalculia:-

This is another disability that is closely associated with dyslexia. In this condition, a child is unable to recognize numbers and thus can't solve mathematical problems. This condition is caused due to an injury to the brain or a deficit in the working memory. Inability to read maps and follow directions are some other consequences of dyscalculia. 

Dysgraphia:-

A child suffering from Dysgraphia is unable to write alphabets or sentences in order. Dysgraphia symptoms develop in a child when his motor development does not take place properly.

Fragile X Syndrome:-

Fragile X syndrome occurs when FMR-1 gene/protein is unable to participate as required for the healthy and normal development of the offspring, resulting in numerous changes in his emotional, mental, physical and behavioral features.

Down Syndrome:-

Down syndrome is a chromosomal disorder caused due to an extra 21st chromosome, resulting in mental retardation as well as malformation in a newly born child.

Metabolic Disorders:-

These birth defects affect the body's metabolism i.e. the processes involved in building up, breaking and assimilating the materials required by the body to function properly. Phenylketonuria and hypothyroidism are examples of a metabolic disorder which can cause intellectual and developmental disabilities.

Phenylketonuria:-

Phenylketonuria, a genetic disorder, occurs when the body is unable to process the phenylalanine (Phe) protein found in almost all kinds of foods. If the Phe level becomes very high, the brain of the child can get damaged and he may even suffer from mental retardation.

Hypothyroidism:-

Another example of metabolic disorders is a hormonal condition known as Hypothyroidism. In this condition, the thyroid gland is unable to produce some very important hormones. If this disorder is not treated in time, it can lead to obesity, infertility, joint pain and even heart disease.

Sensory-related Disabilities:-

Sensory-related disabilities, a major part of the development disabilities list, are those which can cause problems related to sight and hearing. Some examples of sensory related disabilities are Williams syndrome and congenital rubella syndrome.

Congenital Rubella Syndrome:-

Congenital rubella syndrome is caused when the rubella virus negatively affects the fetus, mostly during the first trimester of pregnancy. A child who has congenital rubella might be deaf and may even have cataracts in the eye.

Williams Syndrome:-

Williams syndrome is a condition which occurs when some of the genes might be missing in a newborn child. Some of the symptoms of this rare condition are learning disorders, sensitivity to loud music, attention deficit disorder, sunken chest and feeding problems such as vomiting or reflux.

Degenerative Disorders:-

Degenerative disorders usually develop at an older age and the newborns who suffer from such disorders may show no signs at all. Degenerative disorders are known to cause physical, sensory and mental defects in a person. An example of degenerative disorder is Rett syndrome.

Rett Syndrome:-

Mostly girls suffer from this disorder. In the initial stages, the sufferer displays normal growth patterns but later there will be slowing down of brain growth, inability to use hands properly, problems in walking, slow mental growth and the sufferer may experience seizures.

Developmental Disabilities In Children - What Should You Know?

Gone are the days when bone ailments and damages were detected based on the experience and superficial conversations made by the physicians. These days with the advent of radio waves, medical science has made significant progress that has enabled a detailed overview of what exactly is going on inside your body and what should be the most relevant treatment in that regard. Magnetic Resonance Imaging or more commonly known as MRIs are a boon when it comes to diagnosing orthopedic and musculoskeletal complaints.

Common Uses of the Procedure:

MR imaging is usually the best choice for examining the:

body s major joints.
spine for back pain
soft tissues (muscles, tendons and ligaments) and bones of the extremities.
MR imaging is typically performed to diagnose or evaluate:

degenerative joint disorders such as arthritis.
tears of the menisci, ligaments and tendons (knee) or rotator cuff and labrum (shoulder and hip).
fractures (in selected patients).
spinal disk abnormalities (such as a herniated disk).
the integrity of the spinal cord after trauma.
sports-related injuries and work-related disorders caused by repeated strain, vibration or forceful impact.
infections (such as osteomyelitis).
tumors (primary tumors and metastases) involving soft tissues around the joints and extremities (such as muscles, bones and joints).
pain, swelling or bleeding in the tissues in and around the joints and extremities.
congenital malformations of the extremities in children and infants.
developmental abnormalities of the extremities in children and infants.
congenital and idiopathic (developing during adolescence) scoliosis prior to surgery.
tethered spinal cord (abnormal stretching in the spinal cord) in infants and children.
The Process:

In this process, X-rays and radio waves are subjected upon the affected region to examine the conditions of the bones, tissues, muscles and also detect the presence of tumours. This is majorly a non-invasive test and is painless. It does not use ionizing rays and therefore does not harm the body in any which way. The MRIs capture a detailed picture of the organs and the internal body structures and then transmit them onto a computer screen for the physician to monitor the inside story.

The Benefits: 

MRI is an imaging technique that does not require exposure to radiation.
MR images of the soft-tissue structures of the body (particularly muscles, bones and joints) are often clearer and more detailed than with other imaging methods. This detail makes MRI an invaluable tool in early diagnosis and evaluation of many conditions, including tumors.
MRI can distinguish abnormal tissues from normal tissues much more accurately than most other imaging tests (x-ray, CT, etc.).
MRI enables the discovery of abnormalities that might be obscured by bone with other imaging methods.
The contrast material used in MRI exams is less likely to produce an allergic reaction than the iodine-based contrast materials used for conventional x-rays and CT scanning.
MR images allow the physician to clearly see even very small tears and injuries to tendons, ligaments and muscles and some fractures that cannot be seen on x-rays and CT.

Orthopedic and Musculoskeletal MRI

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

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