Is epilepsy easy to treat?

Written by Tang Bo
Neurology
Updated on September 07, 2024
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Epilepsy is a disease for which the cause can be identified in some patients, while in others it may remain unknown. Initially, it is important to investigate the cause of epilepsy. Moreover, if an individual experiences multiple seizures, medication intervention becomes necessary. The primary goal of drug treatment for epilepsy is to control it and prevent further seizures, since each seizure can cause brain cell damage, potentially leading to long-term effects like memory decline and slower reaction times. Therefore, active control of epilepsy through medication is crucial. Whether epilepsy can be completely cured depends on its underlying cause. In some cases, identifying and eliminating the cause may prevent further seizures. However, for some patients, even if the cause is identified, such as a past stroke or tumors that induce epilepsy, seizures may continue even after the tumor is removed. Meanwhile, for epilepsy of unknown origins, the approach is to control the condition using medication to minimize the occurrence of seizures as much as possible, though it is not guaranteed that seizures will not happen again in the future.

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Written by Liu Shi Xiang
Neurology
1min 10sec home-news-image

What are the initial symptoms of sleep-related epilepsy?

The initial symptoms of sleep-related epilepsy mainly include sudden opening of the eyes and panic symptoms at the onset of sleep. A few patients may exhibit aggressive behavior towards others, and some may experience movement disorders and abnormal muscle tone. For these patients, it is necessary to promptly receive examinations and treatment in neurology. Diagnostic methods mainly include video EEG, ambulatory EEG, cranial CT, and MRI, among others. Once diagnosed, timely intervention should be provided. For some patients, if it is the first seizure and not frequent, interventions through lifestyle and sleep adjustments can be implemented without immediately resorting to medication. If these adjustments are ineffective or if the patient frequently experiences seizures, appropriate medications should be administered in a timely manner, including drugs such as sodium valproate, carbamazepine, oxcarbazepine, and levetiracetam, among others. (Medication should be taken under the guidance of a doctor)

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Written by Tang Bo
Neurology
1min 24sec home-news-image

Is epilepsy easy to treat?

Epilepsy is a disease for which the cause can be identified in some patients, while in others it may remain unknown. Initially, it is important to investigate the cause of epilepsy. Moreover, if an individual experiences multiple seizures, medication intervention becomes necessary. The primary goal of drug treatment for epilepsy is to control it and prevent further seizures, since each seizure can cause brain cell damage, potentially leading to long-term effects like memory decline and slower reaction times. Therefore, active control of epilepsy through medication is crucial. Whether epilepsy can be completely cured depends on its underlying cause. In some cases, identifying and eliminating the cause may prevent further seizures. However, for some patients, even if the cause is identified, such as a past stroke or tumors that induce epilepsy, seizures may continue even after the tumor is removed. Meanwhile, for epilepsy of unknown origins, the approach is to control the condition using medication to minimize the occurrence of seizures as much as possible, though it is not guaranteed that seizures will not happen again in the future.

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Written by Tang Bo
Neurology
1min 10sec home-news-image

What are the clinical manifestations of epilepsy?

Epilepsy is caused by abnormal discharges of brain cells, and the symptoms and clinical manifestations vary depending on the area of discharge. Main symptoms can include sudden loss of consciousness, rigidity followed by clonic convulsions, and may also involve cyanosis or purpling of the face, tongue biting, frothing at the mouth, urinary incontinence, dilated pupils, continuing for several seconds to minutes before stopping. This condition is called a generalized tonic-clonic seizure. Some patients may also experience sudden brief loss of consciousness and interruption of ongoing actions, with a blank stare and unresponsive to calls. They may perform simple automatic actions like swallowing or chewing. Generally, there is no falling, and the patient has no memory of the episode afterwards. This type of seizure is known as an absence seizure. Additionally, some may experience rigidity and clonic convulsions in one limb or a localized area, etc.

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Written by Tong Peng
Pediatrics
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What causes benign epilepsy in children?

There are multiple causes of benign epilepsy in children, with significant genetic factors often involved. It generally occurs during a specific developmental period in childhood due to localized diseases, and the prognosis is usually good. Such seizures in children may be caused by conditions like tuberous sclerosis, cerebral trigeminal angioma, and neurofibromatosis. Intracranial infections, such as viral encephalitis, bacterial meningitis, and tubercular meningitis, can also trigger benign epilepsy in children. Therefore, once diagnosed, early intervention treatments should be initiated to prevent the symptoms from worsening. Regular follow-ups with electroencephalograms are also necessary to understand the effects of epilepsy medications and treatments.

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Written by Zhang Hui
Neurology
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What are the psychological manifestations of patients with epilepsy?

Patients with epilepsy disorder display various psychological disturbances, which have received extensive attention from neurology experts in recent years. Overall, the psychological manifestations of epilepsy patients primarily include: First, refusal to speak, where epilepsy patients exhibit clear symptoms of being uninterested in anything, valuing themselves very lowly, and lacking self-worth. Second, anxiety, which is also a common emotion among epilepsy patients who constantly worry about having seizures, especially in public places, leaving a significant psychological impact on themselves. Third, epilepsy patients usually possess a fairly obvious sense of inferiority, feeling unable to lift their heads in front of others. Fourth, complex psychological disturbances, where epilepsy patients typically experience coexisting psychological disorders, such as simultaneous anxiety and depression, or compulsions coexisting with depression. Therefore, accurate diagnosis and treatment of epilepsy must pay close attention to the psychological expressions of the patients.