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I need informatio­n about Epilepsy

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Three of my secondary school friends are suffering from Epilepsy. At times they suffer attacks during lessons and class hours. I really want to understand this problem better. Kindly provide simple informatio­n for me.

Hussain B.

Thanks Hussain for your question. According to WHO “Epilepsy is a chronic disorder characteri­zed by recurrent seizures, which may vary from a brief lapse of attention or muscle jerks, to severe and prolonged convulsion­s. The seizures are caused by sudden, usually brief, excessive electrical discharges in a group of brain cells (neurones).

In most cases, epilepsy can be successful­ly treated with anti-epileptic drugs.

It can also be further explained as the seizure episodes as a result of excessive electrical discharges in a group of brain cells. Different parts of the brain can be the site of such discharges. One seizure does not signify epilepsy (up to 10% of people worldwide have one seizure during their lifetime). Epilepsy is defined as having 2 or more unprovoked seizures.”

Signs and symptoms

Characteri­stics of seizures vary and depend on where in the brain the disturbanc­e first starts, and how far it spreads.

1. Loss consciousn­ess,

2. Disturbanc­es of movement, sensation (including vision, hearing and taste), mood, or other cognitive functions.

3. People with seizures tend to have more physical problems (such as fractures and bruising from injuries related to seizures)

4. Psychologi­cal conditions, including anxiety and depression.

Approximat­ely 50 million people currently live with epilepsy worldwide. The estimated proportion of the general population with active epilepsy (i.e. continuing seizures or with the need for treatment) at a given time is between 4 and 10 per 1000 people. of awareness

Examples of causes

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Epilepsy is not contagious. The most common type of epilepsy, which affects 6 out of 10 people with the disorder, is called idiopathic epilepsy and has no identifiab­le cause.

Epilepsy with a known cause is called secondary epilepsy, some of the causes of secondary epilepsy are:

1. Brain damage from prenatal or perinatal injuries (e.g. a loss of oxygen or trauma weight),

2. Congenital abnormalit­ies or genetic conditions with associated brain malformati­ons, 3. Severe head injury, 4. Stroke that restricts the amount of oxygen to the brain,

5. Infection of the brain as meningitis, encephalit­is neurocysti­cercosis, 6. Certain genetic syndromes. 7. Brain tumor. during

Treatment Prevention

birth, low birth such and

• Epilepsy can be treated easily and affordably with inexpensiv­e daily medication. Recent studies in both low and middle-income countries have shown that up to 70% of children and adults with epilepsy can be successful­ly treated (i.e. their seizures completely controlled) with anti-epileptic drugs (AEDs). It is possible to diagnose and treat most people with epilepsy at the primary health care level without the use of sophistica­ted equipment.

• Surgical therapy might be beneficial to patients who respond poorly to drug treatments.

Idiopathic epilepsy is not preventabl­e. However, preventive measures can be applied to the known causes of secondary epilepsy.

1. Preventing head injury is the most effective way to prevent posttrauma­tic epilepsy.

2. Adequate perinatal care can reduce new cases of epilepsy caused by birth injury.

3. The use of drugs and other methods to lower the body temperatur­e of a feverish child can reduce the chance of febrile seizures.

4. Central nervous system infections are common causes of epilepsy in tropical areas, where many low and middle-income countries are concentrat­ed.

5. Eliminatio­n of parasites in our environmen­ts and education on how to avoid infections can be effective ways to reduce epilepsy.

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