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

Surgery to remove abnormal growths of the brain, peripheral nervous system or the spine or any disorder can be tricky because the brain and the skull that shields it are complex areas. In the old days, open surgery was the only way to access the brain or spinal cord. But, with the invention of laparoscopy, keyhole surgery to treat neurological issues is gaining ground.

What is Neuroendoscopy? 
Neuroendoscopy is a surgical procedure that is favoured by doctors and patients alike because it is minimally invasive.
Before the surgery, you will be administered general anaesthesia so that you will be unconscious during the entire duration. During the surgery, the surgeon will drill a minute hole into your skull just above the eyebrows. You skull also has two natural openings. That is why the surgeon may make use of the nose or the mouth to access the region that needs to be operated upon.

Neuroendoscopy is useful because -

  It lets the surgeon reach regions that are not accessible with open surgery
  The tumour can be removed without any damage being done to surrounding tissues

An endoscope is a delicate device with a high-resolution camera mounted on it. There is an eyepiece on the other end. The device is also fitted with a light. When it is inserted into the brain, it lights up the passage and the eyepiece allows the surgeon to take a look inside. The camera sends a live feed of the path it is traversing and this guides the surgeon. When the tumour is reached, it is gently removed with other surgical instruments that too were inserted through the cavities or the drilled hole.

Benefits of Neuroscopy -
There are several advantages of relying on laparoscopy -

  The patient endures less pain
  Fewer chances of infection
  Faster recovery
  Very little scarring of tissues

Which Disorders call for Neuroendoscopy?
Any of the following disorders can be put to rights with a neuroendoscopic surgery -

  Pituitary tumours
  Rathke s cleft cysts
  Pineal area tumours
  Ventricular tumours
  Skull base tumours
  Brain inflammation triggered by an infection
  Chordomas
  Cerebrospinal fluid fistulas
  Trigeminal neuralgia
  Cerebral aneurysm

After Surgery-
Once you undergo the neuroendoscopic surgery, you will have to be rehabilitated so that your condition can be monitored round the clock. Neuroendoscopy is a state of the art clean and efficient surgery that is beneficial to both surgeons as well as the patients.

Know More About Neuroendoscopy And Its Uses!

Epilepsy refers to a disorder in the central nervous system, where the brain starts to function abnormally, resulting in seizures or certain situations where the person starts to behave unusually, at the time even leading to loss of awareness.

A single instance of a seizure doesn t necessarily mean that a person has epilepsy. To be diagnosed with this type of neurological disorder, a minimum of two unprovoked seizures are usually required.

Symptoms

The main symptom of this kind of disease is repeated seizures but there are other instances as well when a person should consider seeing a doctor due to the fact that they might well lead to epileptic tendencies. Some of them are listed below:

The person becomes stiff all of a sudden
Little spells of a blackout or the memory are getting confused
If a person does not respond to questions or instructions for a brief period
A person seems to be in a daze and failing to communicate appropriately for a short span of time
If an individual is carrying out repetitive movements in an inappropriate manner
Causes

Epilepsy occurs when the brain is unable to send signals to other parts of the body, hence restricting our movements.

Though the exact cause is not known, still some generic factors inherited, can make epilepsy more likely happening and they are mentioned below as follows:

Head trauma suffered during a car crash
An injury which has might have occurred before birth
Due to faulty electrical activity in the brain, it is not able to send messages to other parts of the brain
Brain stroke or tumours can also increase the risk of epilepsy
People suffering from a developmental disorder like autism
Epilepsy can also be caused by infectious diseases like AIDS or Meningitis
Who Are Likely To Be More Susceptible To Epilepsy?

Children under the age of 2 years and adults aged more than 65 years are people most likely to get exposed to the risk factors, which might trigger the warning bells for epilepsy.

When Should You Go And Visit A Doctor?

You should visit a doctor or the emergency department of any hospital as and when you have the first seizure. Getting diagnosed with seizure disorder, change in seizure patterns or being affected by frequent seizures, also require immediate medical attention.

How Can Epilepsy Be Prevented?

Epilepsy can easily be prevented or at least the risk can be reduced if you follow certain measures:

Sleep for a minimum of 7 to 9 hours every day. Sleep deprivation is one of the major reasons behind increased number of seizures
Do not get stressed out and try to relax as much as possible
Drugs and alcohol should be avoided
As per doctor s advice, take all your medicines on a regular basis
Maintain a healthy diet
So, we have looked at certain aspects related to epilepsy, from which you could get a fair idea as to why and how this occurs and the ways in which you can prevent yourselves from getting affected

Epilepsy - All The Details Which You Need To Know

Study of the brain has fascinated specialists all over the globe since time immemorial. The brain being the most vital organ for survival and coordination is perhaps the most complex of them all too. This has led to a limited understanding of its working in spite of the available advanced technology. However, with the advent of techniques for diagnosis and treatment, therapeutic strategies are evolving. This is a major step towards rendering Neurosurgery safer than ever in the history of mankind.

Neurosurgery through the 20th Century-

During the beginning of the 20th century, Neurosurgery was considered as a specialty. The clinical-neurologist would draw conclusions related to lesions in the brain through neurological examination and clinical history. It enabled diagnosis of vascular lesions, spinal disorders, and brain tumors. During the second and third decades of the 20th century, vascular pathologies and brain tumors could be diagnosed indirectly through techniques like angiography, ventriculography, and pneumoencephalography. But since the operative techniques were too crude and the lack of skilled professionals were rampant, there were high rates of morbidity and mortality due to neurological conditions. Generally, after diagnosing the nature of brain lesion and its site, surgery was performed with inadequate maintenance and control of intracranial pressure and through not too sophisticated surgical instruments.

During the fifth and sixth decades of the 20th century, chemotherapy and radiation treatment came into the picture for treating malignant brain tumors, thereby reducing mortality to a good extent.

During the seventh decade of the 20th century, Computed Tomography (CT) scan provided a better understanding of the location of lesions in the brain which slightly substantiated the earlier techniques. Then, the procedures for cerebrospinal fluid diversion significantly improved management of intracranial pressure during surgery.

It was only during the last decade of the 20th century that the Neurology saw a giant progressive leap through the introduction of Magnetic Resonance Imaging (MRI) and powerful high magnification microscopes. Combined with Neuroanesthesia and Intracranial Pressure Management, this aided surgeons to work on a relaxed brain. This promoted safe removal of the brain tumor and better management of vascular lesions. Moreover, the understanding of micro-surgical anatomy improved drastically, leading to a boost in confidence levels of the micro-neurosurgeons performing the operation.

Neurosurgery in the 21st Century-

The 21st century is actually a revolutionary era that uses powerful computers in almost all the fields possible. Computer-based applications such as Neuro-imaging, Neuronavigation, Intra-operative Neuro-monitoring, and Neuro-modulation are now used in standard neurosurgical practice as a part of the routine. Extremely powerful CT scans and MRIs are used for diagnosis before surgery. The advent of nanotechnology and its application in Neurosurgery is doing great and has a promising future ahead based on the current study of scenarios. Moreover, there is a possibility of most of the Neurosurgical procedures becoming minimally invasive. Frameless Stereotaxy is another technique that helps in locating the exact position of the tumor, which further helps the neurosurgeon in navigating with great precision the very sensitive, high-risk areas of the brain. Such techniques, to a great extent, have lowered mortality and morbidity, lessened the rate of recovery, and chances of infection related to Neurosurgery.

Take Away-

A number of techniques for diagnosis and precise location of the tumor in the brain have made Neurosurgery much safer today, due to advancement in science and technology, than it ever had been in the history of mankind.

Advancements In Neurosurgery - Know How Safe It Is!

Parkinson s disease is a disorder involving the nervous system. It can start with a mere tremor of one hand and advances to slow movement and stiffness. The face might show little no symptoms in the beginning but the speech might become slurred. With every passing day, the condition worsens. This condition has no permanent cure but the symptoms can be improved with proper medication.

What are the symptoms?
Some unmistakable symptoms include the following:

A sudden shaking of the limb. A sudden tremor of the hand is a very common symptom of this disease.
Stiffness of the muscles that can limit the range of motion and sharp pain.
The posture of the body might get compromised. Often balancing problems are witnessed among many patients.
There could be problems with speech leading to soft, slurry or quick speech. The speech in some cases can become monotonous devoid of inflexions.
Parkinson s disease can lead to slow movement and makes performing of simple tasks difficult.
Patients often find writing very difficult
What are the possible causes of Parkinson s disease?

Specific genetic mutation can lead to Parkinson s disease in folks who have a family history of Parkinson s disease. Certain variations of the gene increase the risk of this disease
Exposure to certain environmental factors or certain toxins can trigger Parkinson s disease in an individual.
Certain cells in the brain known as Lewy bodies can trigger Parkinson s disease.
A certain kind of protein cells within the brain known as alpha-synuclein can trigger the Parkinson s disease in an individual
What are the risk factors?

Heredity: Having an immediate family member or close relative suffering from Parkinson s disease can increase the risk of getting this disease in an individual
Age: Although not a prime risk factor, but an individual over the age of over 60 have an increased risk of getting this disease
Toxins: Exposure to pesticide or certain herbicide increase the risk of Parkinson s
Sex: Men are more likely to get Parkinson s disease than women
What is the medication for Parkinson s disease?

Carbidopa-levodopa: This is a natural chemical that gets passed to the brain and is converted to dopamine by the body. The benefits of this medication might reduce with increased symptoms.
Carbidopa-levodopa infusion: A popular drug in this category is known as the Duopa. It is administered directly into the small intestine in the form of gel through a feeding tube.
MAO-B inhibitors: Drugs from this group include rasagiline and selegiline. This is powerful medicine. Many patient experiences hallucination during the initial days of consuming these drugs.
Anticholinergics: This medication is mainly used to counter tremors of the limbs in the early stage of Parkinson s disease.

Parkinson's Disease - Know The Risks Involved!

Absolutely indispensable to your existence is the proper functioning of your brain. Not only does your brain ensure a normal functioning of your body, but also it controls all your vital organs. Yet, brain disorders are among the most common diseases the modern populace has to confront. Tumorous growth in the brain affects the health of the brain in the most significant of manners. Be it benign or malignant, anomalous growth of the brain tissues leads to brain tumor. Some of the most evident causes of brain tumor are genetic dysfunctions, exposure to harmful radiations and immune-suppressants. You may detect the incidence of brain tumors through some of the more obvious symptoms like acute headaches, seizures, projectile vomiting as well as some fairly subtle conditions like a feeling of numbness, coordination problems, etc. The immediate recourse to brain surgeries and expensive treatments often do not yield the desired results. As a consequence, many seek an alternative therapy which can potentially soothe the trauma and fight the disease.

Replete with the benefits of ancient medicinal knowledge, Ayurveda offers remedies, which heal the diseases without causing any side-effects. The natural, herbal therapies improve your immunity from within; enhance your bodily strength and your will to live. It also aborts abnormal cell growth and helps in normal regeneration. Some of the most reliable Ayurvedic remedies have been enumerated below.

1. Aswagandha: Aswagandha herb has fascinating healing properties. They play a major role in restoring strength and immunity in your body. It is endowed with anti-inflammatory properties and is beneficial anti-oxidant. It supplements the essential nutrients, which improve the functions of the brain and minimize the adverse effects caused by harmful radiation.
2. Curcumin: Curcumin has been known to disintegrate malignant cells from your body. It not only is a great anti-oxidant, but also improves immunity. It has gained popularity as a cure for brain tumors as well.
3. Guggul: Guggul is known to revitalize the damaged cells and impart good health. It enhances oxidation potentials of the body and speeds up recovery from brain tumors.

Treatment of Brain Tumor With Ayurvedic Remedies 

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