Treatment FAQ

what kind of treatment is recommended for epileptics

by Arturo Brown Published 3 years ago Updated 2 years ago

AEDs are the most commonly used treatment for epilepsy. They help control seizures in around 7 out of 10 of people. AEDs work by changing the levels of chemicals in your brain.
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Common types include:
  • sodium valproate.
  • carbamazepine.
  • lamotrigine.
  • levetiracetam.
  • topiramate.

Medication

Treatment can help most people with epilepsy have fewer seizures, or stop having seizures completely. Treatments include: medicines called anti-epileptic drugs (AEDs) surgery to remove a small part of the brain that's causing the seizures. a procedure to put a small electrical device inside the body that can help control seizures.

Procedures

They were also more likely to use various alternative therapies, including vitamins or supplements, exercise or yoga, meditation and music therapy. In general, finding treatments that work can be challenging for people experiencing focal onset seizures.

Therapy

Treatment - Epilepsy

  • Anti-epileptic drugs (AEDs) AEDs are the most commonly used treatment for epilepsy. They help control seizures in around 7 out of 10 of people.
  • Brain surgery. In these cases, there's a good chance that your seizures could stop completely after surgery. ...
  • Other procedures. ...
  • Ketogenic diet. ...
  • Complementary therapies. ...

Self-care

Treatment

  • Most epilepsy medicines are taken by mouth. ...
  • There is no cure for epilepsy, yet. ...
  • Antiepileptic drugs successfully prevent seizures in the majority of people who take them regularly and as prescribed. ...
  • Unfortunately, some people continue to have seizures regularly despite taking medication. ...

Nutrition

What is the best treatment for epilepsy?

Is there an actual cure for epilepsy?

What is the first line treatment for epilepsy?

What is the goal of treatment for epilepsy?

What is the first line treatment for epilepsy?

Lamotrigine and levetiracetam are emerging as first-line treatments for epilepsy, which people may be more likely to keep taking than carbamazepine. Reducing the risk of adverse events and treatment withdrawal is important when selecting an anti-epilepsy drug as it usually will need to be taken long-term.

What medications therapies and or other treatments are used to control epilepsy?

Many medications are used in the treatment of epilepsy and seizures, including:Carbamazepine (Carbatrol, Tegretol, others)Phenytoin (Dilantin, Phenytek)Valproic acid (Depakene)Oxcarbazepine (Oxtellar, Trileptal)Lamotrigine (Lamictal)Gabapentin (Gralise, Neurontin)Topiramate (Topamax)Phenobarbital.More items...•

Is epilepsy fully treatable?

Today, most epilepsy is treated with medication. Drugs do not cure epilepsy, but they can often control seizures very well. About 80% of people with epilepsy today have their seizures controlled by medication at least some of the time.

What triggers epilepsy?

Missed medication, lack of sleep, stress, alcohol, and menstruation are some of the most common triggers, but there are many more. Flashing lights can cause seizures in some people, but it's much less frequent than you might imagine.

What are 4 drugs to treat epilepsy?

Medicines used to treat epilepsy Carbamazepine, clobazam, clonazepam, eslicarbazepine, ethosuximide, gabapentin, lacosamide, lamotrigine, levetiracetam, oxcarbazepine, perampanel, phenobarbital, phenytoin, pregabalin, primidone, rufinamide, sodium valproate, tiagabine, topiramate, vigabatrin and zonisamide.

Does epilepsy get worse with age?

The incidence of any type of seizure increases substantially over the age of 60, commonly due to other neurological conditions such as dementia or stroke.

What food should epileptics avoid?

If you have a sudden spike or crash in blood sugar, this could cause seizures. This is why it is generally best to avoid high sugar, processed foods such as cookies, cakes, candy and white bread. Ideally you should aim to follow a balanced diet which will release energy into your bloodstream at a slower, steadier rate.

Does epilepsy affect memory?

The epilepsy may cause difficulties with being able to store memories. Research has shown that people with epilepsy are prone to forget things more quickly than others.

How to get rid of seizures in epilepsy?

Medication. Most people with epilepsy can become seizure-free by taking one anti-seizure medication, which is also called anti-epileptic medication. Others may be able to decrease the frequency and intensity of their seizures by taking a combination of medications.

How to diagnose epilepsy?

To diagnose your condition, your doctor will review your symptoms and medical history. Your doctor may order several tests to diagnose epilepsy and determine the cause of seizures. Your evaluation may include: A neurological exam. Your doctor may test your behavior, motor abilities, mental function and other areas to diagnose your condition ...

What is EEG brain activity?

EEG brain activity. An EEG records the electrical activity of your brain via electrodes affixed to your scalp. EEG results show changes in brain activity that may be useful in diagnosing brain conditions, especially epilepsy and other seizure disorders. CT scanner.

What is the procedure for seizures?

When medications fail to provide adequate control over seizures, surgery may be an option. With epilepsy surgery, a surgeon removes the area of your brain that's causing seizures. Doctors usually perform surgery when tests show that: Your seizures originate in a small, well-defined area of your brain.

What tests are done to determine if you have epilepsy?

A neurological exam. Your doctor may test your behavior, motor abilities, mental function and other areas to diagnose your condition and determine the type of epilepsy you may have. Blood tests. Your doctor may take a blood sample to check for signs of infections, genetic conditions or other conditions that may be associated with seizures.

What is the best way to diagnose seizures?

Computerized tomography (CT) scan. A CT scan uses X-rays to obtain cross-sectional images of your brain. CT scans can reveal abnormalities in your brain that might be causing your seizures, such as tumors, bleeding and cysts. Magnetic resonance imaging (MRI).

What to do if you have a migraine?

Tell your doctor if you have migraines. Doctors may prescribe one of the anti-epileptic medications that can prevent your migraines and treat epilepsy.

Epilepsy Treatment: Why Choose Johns Hopkins

The large number of patients we treat gives us unparalleled expertise in assessing and treating the full spectrum of epilepsy and seizure disorders.

Epilepsy Assessment and Diagnosis

There are several different types of epilepsy, characterized by seizures, with symptoms causing changes in awareness, muscle tone, emotions, behavior and sensory experience. Proper treatment starts with a careful assessment of the person’s seizures, which may include:

Epilepsy Treatment: What to Expect

There is more than one way to treat seizures or epilepsy. Based on your diagnosis, your doctor will discuss which therapies are likely to be most effective. These include:

Treating Epilepsy with a Laser Focus

Epileptologist Joon Kang and neurosurgeon William Anderson are using laser interstitial thermal therapy, or LiTT, to treat epilepsy.

What is an epileptic seizure?

An epileptic seizure is an excessive, uncontrolled burst of electrical activity from nerve cells in the brain – essentially an electrical storm. There are many types of seizures that cause symptoms ranging from lightning-fast muscle jerks lasting less than a second ...

How to stop seizures?

Brain surgery. Brain surgery to remove the seizure focus is the most effective method to completely stop seizures. First, we must find the seizure focus and make sure it can be safely removed. This always involves a stay in the epilepsy monitoring unit to record seizures with simultaneous video and EEG.

What is epilepsy MRI?

Epilepsy is a neurologic disorder that causes unexpected and recurrent epileptic seizures. The diagnosis involves conducting a careful neurological history, a 30-minute brain wave study (electroencephalogram or EEG), and imaging of the brain (magnetic resonance imaging or MRI).

How long does a seizure last?

There are many types of seizures that cause symptoms ranging from lightning-fast muscle jerks lasting less than a second to full body convulsions lasting two or three minutes. Epilepsy, if not well-controlled, can greatly worsen a person’s quality of life and can cause severe injury or death.

Where is the most common location for epilepsy surgery?

This is called intracranial EEG. The most common location in the brain for epilepsy surgery is the temporal lobe. About 60 percent to 80 percent of patients become seizure-free with this type of surgery. A new technique is laser surgery, which involves destroying the seizure focus with heat rather than removing it.

Is Epidiolex safe for Dravet Syndrome?

As of May 2018, there have been two major, scientifically rigorous clinical studies that have shown that Epidiolex, a form of CBD oil pending FDA approval, is relatively safe and effective in Dravet Syndrome and the Lennox-Gastaut Syndrome.

Does marijuana help with seizures?

At this time, we know of no other natural herb that helps with seizures. In fact, some herbs, such as the Chinese herb ma huang, can trigger or worsen seizures.

What are the best treatments for epilepsy?

When epilepsy isn't being controlled by medication and surgery isn't an option, we turn to devices. There are two on the market now: 1 vagus nerve stimulator (VNS). 2 NeuroPace - a reactive neurostimulator

How many people have epilepsy?

This all adds up to a good prognosis for the nearly 3,4 million people with epilepsy in the U.S. With proper treatment, most people with epilepsy can live healthy lives without seizures.

What is a neuropace?

The NeuroPace is a reactive neurostimulator that detects seizures and shocks the brain to stop them. The device is set to send out pulses of a certain duration at certain intervals and it goes around the clock. It uses the technology from cardiac defibrillator devices to respond to electrical activity in your brain.

Can you have seizures if you take the wrong medication?

If you're on the right drug, you're likely to have good control of your seizures. But if you're on the wrong drug, you may keep having seizures -- and you might not even know that there are better approaches out there. That's why getting expert care can be important.

Can you live without seizures?

With proper treatment, most people with epilepsy can live healthy lives without seizures. To find out the current state of epilepsy treatment, WebMD talked to neurologist Gregory L. Barkley, MD, past chairman of the Epilepsy Foundation's Professional Advisory Board. Barkley also practices at the Henry Ford Health System in Detroit.

Can epilepsy be cured?

Surgery can lead to long-term remission. It can be a true cure for epilepsy. One study came out in 2001 that showed that about 60% of people who had a temporal lobectomy (in which the temporal lobe located on the side of the brain is removed) had no seizures, or at most, a few auras afterward.

Is Epidiolex a drug?

They're easier to use and more predictable. That's helpful, since we know that drug interactions are the bane of many patients. The drug Epidiolex, which is made from cannabidiol ( CBD) a form of medical marijuana, has been found to be effective in treating very severe or hard-to-treat seizures.

What is the best medication for epilepsy?

Older medications used to treat epilepsy include: 1 Dilantin or Phenytek 2 Phenobarbital 3 Tegretol or Carbatrol 4 Mysoline 5 Zarontin 6 Depakene 7 Depakote, Depakote ER 8 Valium and similar tranquilizers such as Tranxene and Klonopin

How many epilepsy surgeries are performed annually?

However, only about 3,000 epilepsy surgeries are performed annually.

What is the name of the brain disorder that causes seizures?

Seizure (Epilepsy ) Epilepsy is a brain disorder in which the person has seizures. There are two kinds of seizures, focal and generalized. There are many causes of epilepsy . Treatment of epilepsy (seizures) depends upon the cause and type of seizures experienced.

What is a seizure disorder?

A seizure is a sudden, uncontrolled electrical disturbance in the brain. Epilepsy is a neurological disorder where brain activities are abnormal, causing more than one or recurrent episodes of seizures. Most cases of seizures can be managed conservatively with medication and supportive treatments.

What is the risk of epilepsy surgery?

Epilepsy surgery comes with the risk of tissue and nerve damage, meningitis infection, cerebrospinal fluid leakage, among others specific to each procedure. Epilepsy surgery is a neurosurgical procedure to prevent or reduce the occurrence of epileptic seizures.

How long does epilepsy last?

How Long Epilepsy Treatment Lasts. In some types of epilepsy, patients can be taken off treatment after a few years, while other types of epilepsy require life-long treatment. With few exceptions, patients who are seizure -free for a certain period should be reevaluated to determine whether the drug can be discontinued.

What is the medical term for seizures?

Convulsions are uncontrolled violent spasms (jerking) of muscles of the body. Epilepsy is the medical term for the condition ...

Drugs used to treat Epilepsy

The following list of medications are in some way related to, or used in the treatment of this condition.

Further information

Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.

Focal onset seizures

Focal onset seizures begin in one area of the brain. They were previously called partial seizures.

Generalized onset seizures

Generalized onset seizures begin in both areas of the brain. They include:

Unknown onset seizures

If it can’t be determined where the seizure started, it’s categorized as an unknown onset seizure.

Carbamazepine (Carbatrol, Tegretol, Epitol, Equetro)

Carbamazepine (Carbatrol, Tegretol, Epitol, Equetro) is used to treat focal seizures, including ones that occur in the temporal lobe. This medication may also help treat:

Eslicarbazepine (Aptiom)

Eslicarbazepine (Aptiom) is used to treat focal seizures, including focal to bilateral tonic-clonic seizures.

Ethosuximide (Zarontin)

Ethosuximide (Zarontin) is used to treat all forms of absence seizures. These include:

Everolimus (Afinitor, Afinitor Disperz)

Everolimus ( Afinitor, Afinitor Disperz) is used to treat focal seizures caused by tuberous sclerosis, a rare genetic disorder that leads to benign tumors.

Diagnosis

Treatment

Clinical Trials

Lifestyle and Home Remedies

Medically reviewed by
Dr. Rakshith Bharadwaj
Your provider will work with you to develop a care plan that may include one or more of these treatment options.
Medications are the first choice of treatment for epilepsy. Other methods, including surgery, are recommended when medications fail.
Medication

Anti-seizure medications: To reduce the frequency and intensity of seizures.

Carbamazepine . Valproate . Lamotrigine

Procedures

Brain surgery: The portion of the brain that causes seizure is removed.

Therapy

Vagus nerve stimulation:A device is implanted in the chest to stimulate the vagus nerve to reduce seizures.

Ketogenic diet:Has been found to help children in reducing seizures.

Self-care

Always talk to your provider before starting anything.

  • Take your medications as prescribed and in right doses
  • Never stop taking your medications without consulting the doctor
  • Notify your doctor regarding any side effects from medications
  • Get adequate rest

Nutrition

Foods to eat:

  • Ketogenic diet: a diet high in fat, but low in carbohydrates, as recommended by the doctor

Foods to avoid:

  • NA

Specialist to consult

Neurologist
Specializes in treating diseases of the nervous system, which includes the brain, the spinal cord, and the nerves.

Coping and Support

Preparing For Your Appointment

  • Doctors generally begin by treating epilepsy with medication. If medications don't treat the condition, doctors may propose surgery or another type of treatment.
See more on mayoclinic.org

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