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Around fifty million people worldwide suffer from epilepsy, making seizures a common cause for patients to present to emergency departments for treatment (WHO, 2009). They pose for complicated management as the occurrence of further seizures in the ED can result in life threatening complications.
However the study by Zeng, Wang, Xi & Yan (2010), illustrate that 39% of patients in their study pulled out due to poor control of seizures. Similar findings were also discovered by Hiba et. al., (2010), who reported less than 40% of patients were seizure free over a twelve month period.
The study found that the majority of DRE patients would consider a surgical option for their epilepsy versus remaining on medications. Respondents were also willing to accept lower treatment benefit to reduce risks of mortality or neurological deficits.
In comparison Gallop (2010), conducted a review and found it to be moderately effective for Status Epilepticus (SE) patients and could also be used to prevent early post-traumatic seizures.
Documentation of initial medical history and physical should include the date of seizure onset, type and frequency of seizures, description of typical seizures, previous antiepileptic drugs (AEDs) used, and the date of the last seizure.
Your doctor may also suggest tests to detect brain abnormalities, such as:Electroencephalogram (EEG). ... High-density EEG . ... Computerized tomography (CT) scan. ... Magnetic resonance imaging (MRI). ... Functional MRI (f MRI ). ... Positron emission tomography (PET). ... Single-photon emission computerized tomography (SPECT).More items...•
Here are a few things you need to keep in mind and absolutely not say to someone who has epilepsy.DON'T SAY SOMETHING IGNORANT.DON'T MAKE THEM FEEL BAD ABOUT THEIR CONDITION.DON'T DISMISS THEIR CONDITION.DON'T COMPARE THE PERSON'S ILLNESS.DON'T BE INCONSIDERATE.
Many people with epilepsy can conduct a normal life. However, patients who have had epilepsy for a long time or whose epilepsy is difficult to control are at higher risk for unemployment. They may also need assistance in their daily life activities.
medicines called anti-epileptic drugs (AEDs) surgery to remove a small part of the brain that's causing the seizures. a procedure to put a small electrical device inside the body that can help control seizures. a special diet (ketogenic diet) that can help control seizures.
The following information should be obtained in the history: Record the patient's age. If a family history of seizures is noted, determine the clinical epilepsy syndrome of the affected family member. Ask about a history of any previous provoked seizure.
Don't leave someone who's had a seizure alone. Stay until they're fully aware of where they are and can respond normally when you talk to them. Speak calmly. Reassure them and explain what they missed if they're confused or frightened.
15 seizure questions to ask your neurologistWill I need medication to treat my epilepsy? ... If I need medication, what might the possible side-effects be?How do anti-epilepsy drugs work?What happens if the medication does not stop my seizures, or if the side-effects are unpleasant?More items...•
Causes of epilepsya stroke.a brain tumour.a severe head injury.drug abuse or alcohol misuse.a brain infection.a lack of oxygen during birth.
Epilepsy can develop at any age. Early childhood and older adulthood tend to be the most common life stages. The outlook tends to be better for people who develop epilepsy as children — there's a chance they might outgrow it as they age. Developing epilepsy before the age of 12 increases this positive outcome.
white bread; non-wholegrain cereals; biscuits and cakes; honey; high-sugar drinks and foods; fruit juices; chips; mashed potatoes; parsnips; dates and watermelon. In general, processed or overcooked foods and over-ripe fruits.
Epilepsy is considered a disability and it has a listing in the Social Security Administration (SSA) Blue Book. For epilepsy to qualify for disability benefits, it must meet the criteria of the Blue Book listing. There are different listings for epilepsy in the Blue Book.
It is possible sometimes because the epileptic activity can be observed through the electrodermal activity (EDA) and skin conductance. This indicates how the sympathetic nervous system acts. Depending on this concept, some medical devices like wrist bands are manufactured with sensors of detecting the EDA activity.
One of the evolving fields in epilepsy therapeutics is designed medicine. A good example of that would be targeting miRNA which are now known to play an integral role in epileptogenesis. Another example would be pharmacogenomics where a specific targeted therapy based on the genetic type of epilepsy.
Seizures represent hypersynchronous phenomenon and manifest a gradual process leading the brain to develop epilepsy. Whereas, diagnosing epilepsy and preventing seizures require the knowledge of epileptogenesis that relates to one common feature- hyperexcitability.
Pilocarpine hydrochloride (soluble in saline) is a muscarinic agonist commonly used to induce seizures. Muscarinic acetylcholine receptors (mAChRs) subtype M1 mediates seizure induced by an i.p. administration of 200 mg/kg or 300 mg/kg of pilocarpine in mice. https://doi.org/10.1073/pnas.94.24.13311. View.
There are 2 types of stigma which people suffering from epilepsy face. Stigma from others and self-stigma. others including family members and teachers or employers discriminate against them. Self-stigma arises within an individual because of their experience and knowledge about the illness and they themselves shy away.
2) a myoclonic seizure that causes a brief contraction and loss of balance. 3) An atonic seizure that causes a sustained loss of muscle tone and a fall.
Periovulatory catamenial epilepsy- increased seizure frequency and severity on the days of ovulation due to the surge in the proconvulsant oestrogen. Oestrogen receptor GPER1 has an antagonist called G15. I want to induce epilepsy in mice to then add G15 when they ovulate to see the effects on seizure numbers.
Published: 13th Feb 2020. Reference this. Around fifty million people worldwide suffer from epilepsy, making seizures a common cause for patients to present to emergency departments for treatment (WHO, 2009). They pose for complicated management as the occurrence of further seizures in the ED can result in life threatening complications.
However based on the research conducted for this case study, there is no definitive antiepileptic drug that provides excellent efficacy for every patient.