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I hope I find you in good health. Epilepsy is a brain disorder in which
clusters of nerve cells, or neurons, in the brain sent abnormal signals. Our brains
function as our body's message center, and if there is a break in some or all
of the brain function, a seizure can occur. A seizure ("fit") is an
episode of disturbed brain function caused by abnormal electrical excitation in
the brain. In epilepsy, the normal pattern of neuronal activity becomes disturbed,
causing strange sensations, emotions, and behavior or sometimes convulsions, muscle
spasms, and loss of consciousness. Having a seizure does not necessarily mean
that you have epilepsy. Only when you have had two or more seizures are you considered
to have epilepsy. The word epilepsy comes from the Greek word epilambabein,
meaning to seize or to attack. Epilepsy has been recognized as a unique disorder
for thousands of years, and references to its symptoms occur through the ages
,from Babylonian to the Bible times. Epilepsy is a disorder with many possible
causes. Anything that disturbs the normal pattern of neuron activity, from illness
to brain damage to abnormal brain development can lead to seizures. There are
several common causes of epilepsy. Developmental or genetic conditions present
at birth, or injuries near birth can cause the disease in which case the seizures
usually begin in infancy or early childhood . Metabolic abnormalities can cause
generalized seizures through disturbing the normal functioning of neurons. This
may affect people of any age . It occurs when there is diabetes complications,
electrolyte imbalances, kidney failure, uremia(toxic accumulation of wastes) and
nutritional deficiencies. Alcohol and drug abuse (use of cocaine, amphetamines
or certain other recreational drugs.) may cause seizures during intoxication,
or when the offending substance is being withdrawn. Injury to the brain may
certainly cause epilepsy. It may affect any age, but most commonly it affects
young adults. This includes
deprivation of oxygen at birth, trauma to
the head at any time of life, and stroke (injury to part of the brain caused by
blockage or bleeding of one of its blood vessels). Infections may cause epilepsy
in people of all ages. Brain infections like meningitis, encephalitis, brain abscess
and chronic infections (such as neurosyphilis) can produce seizures. Acute severe
infections of any part of the body and complications of AIDS or other immune disorders
can also produce seizures. An inherited instability in the functioning of neurons
seems to be responsible for the common forms of generalized epilepsy, especially
absence attacks, and tonic -clonic seizures where there is a family history of
similar disorder. The severity of symptoms can vary greatly from simple staring
spells to loss of consciousness and violent convulsions. For many patients, the
event is stereotyped (the same thing over and over) while some patients have many
different types of seizures that cause different symptoms each time. The type
of seizure you experience depends on a variety of factors, such as the part of
the brain affected, the cause, and individual response. An aura consisting
of a strange sensation (such as tingling, smell, or emotional changes) occurs
in some people prior to each seizure. Seizures may occur repeatedly without explanation. Your
doctor requires to elicit a history of recurrent seizures of any type to make
diagnosis of epilepsy. A physical examination (including a detailed neuromuscular
examination) may be normal, or it may show abnormal brain function related to
specific areas of the brain. An electroencephalograph (EEG), which is a reading
of the electrical activity in the brain, may confirm the presence of various types
of seizures. In some cases, it may indicate the location of the lesion causing
the seizure. After the diagnosis of epilepsy is made treatment will now depend
on the cause. If an underlying cause for recurrent seizures (such as infection
or diabetes) has been identified, the cause is treated, and this may stop the
occurrence of further seizures.
Oral anti-convulsants may reduce the
number of future seizures. Response is individual, and the medication used and
dosage may have to be adjusted repeatedly. The type of medicine used depends on
the seizure type, as some seizure types respond well to one medication and may
respond poorly (or even be made worse) by others. When a seizure occurs and
you are an observer you can use common sense to prevent injuries. You need to
stay calm, note the time, loosen any tight neckwear. turn the person on his or
her side. prevent others from crowding round and cushion the person's head with
something soft (like a jacket) to prevent injury. Only move the person if they
are in a dangerous place, such as in the road or at the top of stairs. Move things
away from them if there is a risk of injury. Do not attempt to restrain the convulsive
movements. Allow the seizure to take its course. Observe seizure characteristics
like length, type of movements, direction of head or eye turning. These characteristics
may help the doctor diagnose the type of seizure If you have epilepsy, you
probably already know that it's not a mental disorder. Epilepsy is what you have,
not what you are. You are not an "epileptic." But you are a person with
epilepsy. Epilepsy is just part of your life, it is not your whole life. So listen
to what your doctor says and don't allow anybody to pull you down.
Till
next week take care of yourself and each other. And remember, '
in all your
getting, get understanding.'
Dr
P. Chimedza is a medical practitioner with a special interest in HIV and AIDS.
Information for this article was researched from different medical textbooks,
medical journals and other medical information sources for which this author hereby
acknowledges. This column is kindly sponsored by Generation Health. For further
information on this topic and suggestions on future topics for discussion you
can mail him on pchimedza@hotmail.com.
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