What treatment is effective for patients with seizures?
Your neurologist should address these questions with you before developing a treatment plan:
- How is your sleep quality?
- Do you have chronic anxiety, depression, or excessive stress?
- Do you take other medications that may affect your epilepsy medication or directly increase the risk you will have a seizure?
- Does your use of alcohol, caffeine, or herbal remedies affect your seizure control? ...
- Acupuncture
- Aerobic exercise
What is the first line treatment for seizures?
Treatments for Focal Seizures
- Focal seizures begin in one hemisphere (side) of the brain.
- Antiepileptic drugs (AEDs) are the first line of treatment for focal seizures.
- Second-line treatments for focal seizures include surgery, devices, and dietary therapy.
What are the medications used to treat seizures?
Epilepsy and Seizure Medications List
- Types of seizures. Focal onset seizures begin in one area of the brain. ...
- Narrow-spectrum AEDs. Narrow-spectrum AEDs are primarily used to treat focal seizures. ...
- Broad-spectrum AEDs. ...
- Expert recommendations. ...
- Talk with your doctor. ...
How do you cure seizures?
- Calming brain protein is low in autism, leading to epilepsy
- No brakes on overactive brain because of mutation
- 30-50% of children with autism also have epilepsy
What is the emergency treatment for seizures?
What Is the Emergnecy Treatment for Seizures? Emergency treatment usually involves IV (or oral medication in some people) medication such as lorazepam; other drugs may also be utilized with this drug type (phenytoin or fosphenytoin). Treatment is needed to begin soon as continual seizures lasting 20-30 min.
What is the first line treatment for seizure?
For generalised tonic-clonic seizures, sodium valproate is recommended as first-line treatment. If this is unsuitable, lamotrigine is recommended. Carbamazepine and oxcarbazepine can be considered as alternatives.
What is the most common medication for seizures?
Below are 10 of the most common.Lamotrigine (Lamictal) Lamotrigine (Lamictal) can be used for both focal onset and generalized seizures. ... Levetiracetam (Keppra, Spritam) ... Phenytoin (Dilantin) ... Zonisamide (Zonegran) ... Carbamazepine (Tegretol) ... Oxcarbazepine (Trileptal) ... Valproic acid derivatives. ... Topiramate (Topamax)More items...•
What causes a seizure?
Seizures can happen for many reasons; It may be from high levels of salt or sugar in your blood; brain injury from a stroke or head injury brain problems you are born with or perhaps a brain tumor. Dementia, such as Alzheimer's disease, high fever or illnesses or infections that hurt your brain.
Can seizures go away?
While many forms of epilepsy require lifelong treatment to control the seizures, for some people the seizures eventually go away. The odds of becoming seizure-free are not as good for adults or for children with severe epilepsy syndromes, but it is possible that seizures may decrease or even stop over time.
What is the best anti seizure medication?
March 22, 2007 - Lamictal is the best first-choice drug for partial epilepsy, while valproic acid is the best first choice for generalized epilepsy, two major clinical trials show.
What are the 4 types of seizures?
There are four main types of epilepsy: focal, generalized, combination focal and generalized, and unknown. A doctor generally diagnoses someone with epilepsy if they have had two or more unprovoked seizures. Medication is the most common treatment, and two-thirds of adults with epilepsy live seizure-free because of it.
Can stress cause seizures?
Emotional stress also can lead to seizures. Emotional stress is usually related to a situation or event that has personal meaning to you. It may be a situation in which you feel a loss of control. In particular, the kind of emotional stress that leads to most seizures is worry or fear.
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 happens if you have a seizure in water?
The person has another seizure soon after the first one. The person is hurt during the seizure. The seizure happens in water. The person has a health condition like diabetes, heart disease, or is pregnant.
How many people have a seizure in their lifetime?
Learn what you can do to keep that person safe until the seizure stops by itself. About 1 out of 10 people may have a seizure during his or her lifetime.
How long does it take for a seizure to end?
Most seizures end in a few minutes. These are general steps to help someone who is having any type seizure: Stay with the person until the seizure ends and he or she is fully awake. After it ends, help the person sit in a safe place.
How to stop a seizure from hurting?
This can prevent injury. Put something soft and flat, like a folded jacket, under his or her head. Remove eyeglasses. Loosen ties or anything around the neck that may make it hard to breathe. Time the seizure.
What to do if you have a seizure?
Knowing what NOT to do is important for keeping a person safe during or after a seizure. Never do any of the following things. Do not hold the person down or try to stop his or her movements. Do not put anything in the person’s mouth.
What is the name of the seizure that causes a person to cry out?
First aid for generalized tonic-clonic (grand mal) seizures. When most people think of a seizure, they think of a generalized tonic-clonic seizure, also called a grand mal seizure. In this type of seizure, the person may cry out, fall, shake or jerk, and become unaware of what’s going on around them.
Can you swallow your tongue after a seizure?
This can injure teeth or the jaw. A person having a seizure cannot swallow his or her tongue. Do not try to give mouth-to-mouth breaths (like CPR). People usually start breathing again on their own after a seizure.
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.
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 does a stimulator work?
Wires from the stimulator are connected to the vagus nerve in your neck. The battery-powered device sends bursts of electrical energy through the vagus nerve and to your brain. It's not clear how this inhibits seizures, but the device can usually reduce seizures by 20 to 40 percent.
What does an EEG record?
The electrodes record the electrical activity of your brain. If you have epilepsy, it's common to have changes in your normal pattern of brain waves, even when you're not having a seizure. Your doctor may monitor you on video when conducting an EEG while you're awake or asleep, to record any seizures you experience.
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 high density EEG?
High-density EEG. In a variation of an EEG test, your doctor may recommend high-density EEG, which spaces electrodes more closely than conventional EEG — about a half a centimeter apart. High-density EEG may help your doctor more precisely determine which areas of your brain are affected by seizures.
What are the two types of seizures?
Typically, seizures belong in one of two basic categories: primary generalized seizures and partial seizures. The difference between these types is in how they begin.
What percentage of epilepsy patients have intractable seizures?
According to the National Institute of Neurological Disorders and Stroke, 20 percent of epilepsy patients have intractable seizures — seizures that do not respond to treatment. The reasons why epilepsy begins are different for people of different ages.
What is epilepsy disorder?
Check out the new videos at the bottom of the page. Epilepsy is a disorder of the brain characterized by repeated seizures. A seizure is usually defined as a sudden alteration of behavior due to a temporary change in the electrical functioning of the brain.
How does epilepsy affect the brain?
In epilepsy the brain's electrical rhythms have a tendency to become imbalanced, resulting in recurrent seizures.
What is the diagnosis of epilepsy?
A doctor makes his or her epilepsy diagnosis based on symptoms, physical signs and the results of such tests as an electroencephalogram (EEG), computed tomography (CT or CAT scan) or magnetic resonance imaging (MRI). It is essential that the type of epilepsy and the type of seizures both are diagnosed properly.
How many people have epilepsy?
According to the Epilepsy Foundation, epilepsy affects three million people in the U.S. and 50 million worldwide. Epileptic seizures may be tied to a brain injury or genetics, but for 70 percent of epilepsy patients, the cause is unknown.
What are the factors that determine the choice of medication?
Choice of medication depends on a variety of factors, some of which include the type of seizure and type of epilepsy, the likely side effects of the medication, other medical conditions the patient may have, potential interactions with the patient’s other medications, age, gender and cost of the medication.
Call 911
Seizures need emergency care unless you know the person has a history of seizures and can be treated for a brief seizure at home. Someone with a history of seizures who is having their typical seizure does not need emergency response. If it is a different type of seizure, or lasts longer than 5 minutes, call 911.
2. Protect From Injury
Move sharp objects, such as glassware or furniture, away from the person.
Diagnosis
Treatment
Self help information for family, friends and colleagues
- Loosen tight clothing
- Protect the person from injury
- If they have fallen, place something soft under their head
- Stay with them until they recover fully
Do not:
- Try to restrain the person
- Put anything between their teeth
- Move them, unless they are in danger
- Give them food to eat or drink
Person who have had seizure
- Avoid triggers
- Avoid unprotected heights and unsupervised areas of water
- Seizure lasts less than 5 minutes
- None of the below mentioned incidents occur during the episode
See a doctor immediately if you notice:
- Seizure lasts longer than five minutes
- Breathing or consciousness doesn't return after the seizure stops
- A second seizure follows immediately
- The seizure happened in water
- High fever
- Heat exhaustion
- Person is pregnant
- Person has diabetes
- Person is injured during the seizure
Clinical Trials
Coping and Support
Preparing For Your Appointment
- Not everyone who has one seizure will have another one, and because a seizure can be an isolated incident, your doctor may not decide to start treatment until you've had more than one. The optimal goal in seizure treatment is to find the best possible therapy to stop seizures, with the fewest side effects.
Diagnosis
- Explore Mayo Clinic studiestesting new treatments, interventions and tests as a means to prevent, detect, treat or manage this condition.
Treatment
- If you're living with a seizure disorder, you may feel anxious or stressed about what your future holds. Stress can affect your mental health, so it's important to talk with your health care professional about your feelings and seek ways you can find help.
Clinical Trials
- In some cases, seizures need immediate medical attention, and there's not always time to prepare for an appointment. In other cases, your first appointment to evaluate a seizure may be with your family doctor. Or you may be referred to a specialist, such as a doctor trained in brain and nervous system conditions (neurologist) or a neurologist trained in epilepsy (epileptologist). To prepare f…
Lifestyle and Home Remedies
Coping and Support
- Doctors generally begin by treating epilepsy with medication. If medications don't treat the condition, doctors may propose surgery or another type of treatment.
Preparing For Your Appointment
- Explore Mayo Clinic studiestesting new treatments, interventions and tests as a means to prevent, detect, treat or manage this condition.