Neurologist explains epilepsy

Q: Would you please explain epilepsy?

A: “Epilepsy is a disorder in which abnormal brain activity results in a person having recurring seizures, sometimes called convulsions,” says Ezekiel Sachs, M.D., a board-certified specialist in Neurology at Kelsey-Seybold Clinic. “Seizures tend to last between a few seconds and several minutes. In rare cases, however, they can last for several hours.”

Dr. Sachs says epileptic seizures can happen at any age, but peaks of seizure onset more often occur in children and the elderly.

Symptoms

Dr. Sachs says epilepsy symptoms can vary from person to person.

“Some people may experience abnormal sensations or lapses of memory; others may experience violent shaking and unconsciousness,” he says.

Diagnosis

“Diagnosing epilepsy may prove challenging. It starts with a comprehensive physical exam and evaluating a patient’s medical history,” Dr. Sachs explains. “Diagnostic tests such as an electroencephalogram (EEG) and magnetic resonance imaging (MRI) are very helpful.”

Treatment

“Treatment usually begins with oral medication to help reduce frequency and intensity of seizures,” he says. “Surgery to remove abnormal brain cells causing the seizures may be an option for some patients.”

Risk factors

“Individuals with a family history of epilepsy or who’ve had a stroke or brain infection may be at increased risk. However, a proper treatment regimen that includes healthy lifestyle modifications and regular medical monitoring by a neurologist can help decrease the likelihood of recurring seizures,” concludes Dr. Sachs, who cares for patients at Kelsey-Seybold’s Spring Medical and Diagnostic Center; The Woodlands Clinic; and Main Campus clinic near the Texas Medical Center.

Call 713-442-0000 to schedule an appointment or to find a physician at Kelsey-Seybold Clinic.