Welcome to Epilepsy Warriors - Your Source for Epilepsy Information
HOW EPILEPSY IS DIAGNOSED?
WHEN REFERRED FOR POSSIBLE DIAGNOSIS YOU OR A FAMILY MEMBER MAY BE ASKED TO RECORD INFORMATION ABOUT YOUR SEIZURES, PRE-SEIZURE SYMPTOMS, POST-SYMPTOMS ASWELL AS THE SEIZURES THEMSELVES A NEUROLOGIST OR EPILEPTOLOGIST WILL REVIEW
YOUR MEDICAL HISTORY.
MRI, EEG, SLEEP DEPRIVATION TESTING.
ALL OF THIS INFORMATION COMBINED WILL HELP TO DETERMINE IF YOU HAVE EPILEPSY AND WHAT TYPE YOU HAVE.
Types of Seizures
Absence seizures:
What Absence Seizures (Petit-Mal) may look like:
¤ Staring blankly and unresponsive
¤ Look like the person is "Daydreaming" this can look like the person is smiling, crying, fearful or blank expression etc
¤ Fluttering of the eyes
¤ Lip smacking
¤ Make Jerking movements or repetive movement of the body or limbs
¤ Loss of conciousness
Complex Partial (Focal) Seizures:
¤ Feeling of aura sometimes come prior to this type of seizure as an indicator
¤ Smacking of the lips
¤ Making random noises (crying, screaming, moaning, laughing, repetitive speech)
¤ Moving your arms around
¤ Picking at clothes or fiddling with objects
¤ Removing clothing
¤ Head rolling
¤ Chewing or Swallowing
¤ Repetitve movement of the legs and/or arms as if a cycling or swimming motion
¤ Unresponsive during seizure
Myoclonic seizures:
Sudden Jerks or twitches in some or all of the body like an electric shock, they often occur after waking from sleep and the person can remain concious during the seizure. These types of seizures can occur in a variety of different epilepsy syndromes.
Tonic seizures:
Causes all the muscles in the body to suddenly become stiff like the first stage of a tonic-clonic seizure. If a tonic seizure occurs whilst awake it can make someone lose balance and fall over. The stiffness typically last for seconds to minutes but this can vary and usually a tonic seizure occurs during sleep.
Clonic seizures:
Causes the body to shake or jerk like a tonic-clonic seizure but stiffness in the body does not occur in a clonic seizure, typically this type of seizure lasts for a few minutes and loss of conciousness can occur. A clonic seizure can begin in one area of the brain (called focal motor) or affect both sides of the brain (called generalized clonic.)
Atonic seizures:
Causes all muscles in the body to suddenly relax which usually results in a person falling suddenly to the ground unless seated or laid down. Atonic seizures tend to be very brief and the person usually remains concious but this can vary. The head may drop and the eyelids may droop and they may drop anything they were holding.
Dravet Syndrome
Dravet syndrome is a rare, genetic epileptic encephalopathy that gives rise to seizures that don't respond well to seizure medications. It begins in the first year of life in an otherwise healthy infant. Infants have normal development when seizures begin. Yet as seizures continue, most children develop some level of developmental disability. By later childhood, most children also develop a crouched walk.
Seizures generally start within the first year of life. The first seizure often happens with a fever and may be a tonic clonic seizures and these seizures are often long and can result in status epilepticus, these seizures typically recur every few weeks in infancy and early childhood. Other seizure types have been seen in children with Dravet syndrome aswell.
Progressive Myoclonic Epilepsy
Progressive myoclonic epilepsy is rare and frequently results from hereditary metabolic disorders, such as neuronal ceroid lipofuscinosis and mitochondrial encephalopathy. In addition to seizures, symptoms may include unsteadiness, muscle rigidity, and intellectual disability.
Reflex epilepsy
In reflex epilepsy, seizures are triggered by specific environmental stimuli. If flashing lights trigger a seizure, for instance, this is called photosensitive epilepsy. Reflex epilepsy usually begins in childhood and is often outgrown by adulthood.
Environmental triggers may also include sounds. The ringing of church bells, a certain song or type of music, or the sound of a person’s voice may prompt seizures in adults with this type of epilepsy.
For some people, activities such as reading, writing, solving math problems, and even thinking about a certain subject can provoke a seizure. These nonvisual stimuli may trigger generalized or focal seizures.
Musicogenic epilepsy
Musicogenic epilepsy and musicogenic seizures: where by listening, playing, thinking or even dreaming of music it can induce or trigger a seizure or response. It can vary on the type of music such as: jazz, choral, classical, pop or particular instrument or even composer this can be due to frequencies that affect the brain. There can be a delay between musical stimulus and a seizure and the person can experience: distress, agitation, rapid heart beat, rapid breathing. Many cases of musicogenic epilepsy go undiagnosed and symptoms of seizures linked with musicogenic epilepsy go unnoticed due to the delay time of seizures and diagnoses of other forms of epilepsy.
Catamenial epilepsy
Changes in hormones that occur before, during and after a persons menstruation cycle aswell as the stress on the body of a period can cause an imbalance or reaction within the body which can trigger seizures for people with catamenial epilepsy. Keeping a diary of your seizures as well as your menstruation cycle can give an indication as to whether you may suffer with this type of epilepsy. Clobazam is usually the intial given anti-epileptic medication given to a person with catamenial epilepsy.
Periods
A persons menstrual cycle can be affected by alot of things, but when discussing epilepsy and the menstrual cycle it is important to note that anti-epileptic medication can have an affect on the flow pattern and regularity of an epileptics period. *please speak to your doctor if you feel this applies to you*
Premenstrual tension (PMT) affects alot of people and is accompanied with many symptoms: mood change, bloating, feeling anxious and stressed.
If your feeling anxious and stressed this could lead to more seizures and seizure activity in epileptics.
Treatment for epilepsy
Treatment can help most people with epilepsy have fewer seizures, or stop having seizures completely.
Treatments include:
- 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
Some people need treatment for life. But you might be able to stop if your seizures disappear over time.
Create Your Own Website With Webador