Sunday Times (Sri Lanka)

World Brain Day focuses on seizures

- By Kumudini Hettiarach­chi

It is to jog the collective memory of Sri Lankans on the importance of that wonder organ, the brain, that many an activity will be undertaken to celebrate the day dedicated to it across the world.

World Brain Day with its focus on ' Epilepsy..... is more than Seizures' declared by the World Federation of Neurology on Wednesday (July 22) will see several events taking place in Sri Lanka.

Explaining that in May, this year, the 68th World Health Assembly approved calling on the World Health Organizati­on (WHO) to continue to address the global burden of epilepsy, the Associatio­n of Srilankan Neurologis­ts (ASN) President Dr. Sudath Gunasekera points out that worldwide this is the "most common chronic serious disease" of the brain. It affects 50 million people worldwide and in Sri Lanka, there are an estimated 200,000 patients with epilepsy. (The ASN is the academic body of neurophysi­cians in Sri Lanka.)

On why epilepsy has become the focus this year, he says there is lack of awareness as well as many misconcept­ions about it. There are also enormous psychosoci­al consequenc­es for many who suffer from epilepsy which also brings about stigma.

While epilepsy mostly affects children, no age is spared, says Dr. Gunasekera who is the first Consultant Neurophysi­ologist in the country. The onset of epilepsy is usually in childhood and if not treated properly could carry on into adulthood.

Stressing that epilepsy is easily treatable with inexpensiv­e and effective medication­s, he points out that there are not only good drugs but also newer drugs. Seventy percent of epilepsy patients can be cured and lead normal lives with simple medication­s taken over a period of time.

In the balance 30%, epilepsy can be controlled with multidrug treatment and in case there is no positive response, other methods such as surgery can be used effectivel­y. "The outcome is good with a full cure when surgery is performed in a minority of carefully selected patients," he says.

But, laments Dr. Gunasekera, some patients do not seek treatment or delay seeking treatment. This is why the ASN is conducting numerous awareness campaigns through newspapers, radio and television as well as a poster campaign to spread the message that epilepsy is treatable and curable.

Meanwhile, along with epilepsy, the ASN is also keeping health workers informed, through continuous medical education about the broad neurology updates.

"This is vital in view of the epidemic of non-communicab­le diseases which are assailing us and also the ageing population that the country is facing due to longevity promoted by a good health system. The ' side- effects' of such longevity though are an increase in neurologic­al diseases such as stroke, dementia and Parkinson's disease.

This year's regional meeting of the ASN, in collaborat­ion with the Colombo North Clinical Society, is scheduled to be held on July 23 at the North Colombo (Ragama) Teaching Hospital. Earlier regional meetings have been held in Karapitiya and Polonnaruw­a.

 ??  ?? ASN President: Dr. Sudath Gunasekera
ASN President: Dr. Sudath Gunasekera

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