Epilepsy Is a Seizure Disorder: How Is It Treated?

Did you know that recurrent seizures without a clear cause can be a sign of a serious health condition?

This condition, known as epilepsy, is a chronic neurological disorder characterized by recurrent seizures (at least two episodes). Seizures occur due to sudden bursts of abnormal electrical activity in the brain.

This disorder can affect anyone, from children to adults, and requires proper management to maintain the patient’s quality of life.

What Is Epilepsy?

Epilepsy is a neurological condition that causes a person to experience spontaneous and recurrent seizures. Our brain works by sending electrical and chemical signals.

In people with epilepsy, there can sometimes be an electrical “short circuit” in the brain that leads to excessive and irregular electrical activity. This is what we observe as a seizure.

Seizures can vary, ranging from brief blank stares to episodes that cause the entire body to shake with loss of consciousness.

What Are the Symptoms of Epilepsy?

The main symptom of this condition is recurrent seizures. However, seizure types can vary widely. Some symptoms that may occur during a seizure include:

  1. Generalized Seizures

Seizures that involve both sides of the brain. These include tonic-clonic seizures (formerly called grand mal), which cause body stiffness, muscle jerking, and loss of consciousness. There are also absence seizures (formerly petit mal), characterized by brief blank staring spells, similar to daydreaming.

  1. Focal (Partial) Seizures

Seizures that occur in only one area of the brain. Symptoms may include twitching in one part of the body, changes in taste or smell, repetitive involuntary movements such as lip-smacking, or unusual sensations.

After a seizure, a person may feel confused, drowsy, or have a headache.

Causes and Risk Factors of Epilepsy

Often, the exact cause of epilepsy is unknown. However, several risk factors and conditions may trigger or contribute to its development:

Cerebral Palsy

This neurological condition can damage the brain and increase the risk of seizures.

Head Injury or Brain Infection

Severe head trauma, such as from accidents, or infections like meningitis and encephalitis, can leave scar tissue in the brain that triggers abnormal electrical activity.

Certain Medical Conditions

Stroke, brain tumors, and Alzheimer’s disease can also trigger seizures in adults. In addition, genetic factors play a role in some epilepsy cases.

How Is Epilepsy Treated?

The main goal of epilepsy treatment is to fully control seizures without causing intolerable side effects, allowing patients to live as normally as possible.

Anti-seizure Medications (Antiepileptic Drugs)

This is the first-line treatment. These medications work by stabilizing electrical activity in the brain and preventing seizures. Doctors will choose the most appropriate medication based on the seizure type and the patient’s condition.

Vagus Nerve Stimulation (VNS)

A device similar to a pacemaker is implanted to send electrical impulses to the vagus nerve, which connects to the brain, to reduce seizure frequency.

Deep Brain Stimulation (DBS)

This procedure involves implanting electrodes in specific areas of the brain to regulate abnormal electrical activity.

Responsive Neurostimulation (RNS)

A device is implanted in the brain to detect abnormal electrical activity and automatically deliver electrical stimulation to stop seizures before they occur.

When Should You Consult a Neurosurgeon?

The primary treatment for epilepsy is medication. However, if seizures remain uncontrolled despite trying two or more different anti-seizure medications, or if seizures are caused by an identifiable brain lesion, it may be time to consult a neurosurgeon.

They can evaluate whether you are a good candidate for surgical therapy, such as resection or nerve stimulation procedures.

With proper treatment, many people with this condition can live productive and active lives. We recommend seeking further information and management if you experience seizures that are difficult to control.

You can find advanced neurosurgical services for drug-resistant epilepsy at National Hospital.

Doctors Team - Epilepsy Is a Seizure Disorder: How Is It Treated?