What is the neurological disorder epilepsy?

Epilepsy is a neurological ailment that is defined by recurring seizures. Epileptic seizures occur due to unusual electrical activity in the brain. However, doctors can help patients cope with the condition and lead fulfilling lives despite the challenges of periodic seizures.

A diagnosis of epilepsy is usually confirmed after experiencing two unprovoked seizures. However, even after the first seizure, the probability of a second one remains high, in which case a neurologist can confirm a diagnosis of epilepsy.

Think positive with your healthy brain

What triggers seizures?

Associated epileptic seizures affect all spheres of your life. It’s important to recognise the potential triggers in order to avoid these unfortunate episodes.

For example, the following may potentially trigger seizures:

  • A certain time during the night or day when seizures normally occur
  • Disturbed sleeping patterns
  • Use of toxic substances such as illegal drugs
  • Disruption in hormonal levels or menstrual cycle
  • Poor appetite
  • Medications that trigger seizures

How do you test for epilepsy?

Epilepsy can be diagnosed in the following ways:

  • A neurological assessment examines the individual's mental capacity, behaviour and motor skills in order to classify the type of epilepsy developed.
  • An electroencephalogram (EEG) is a test that involves placing electrodes on the scalp. An EEG then records the brain’s electrical activity.
  • CT scan utilises X-ray imaging to develop images of the brain. Usually, a CT scan is done to determine the cause of epilepsy, such as cysts, tumours or excessive bleeding.
  • MRI also provides a detailed view of the brain and visualises the entire structure of the brain to determine the reason for the seizures.

How does Dr Maloma treat epilepsy?

Treatment and continuous follow-ups with a neurologist can help reduce the frequency of seizures resulting from epilepsy.

The following treatments exist for epilepsy:

  • Anti-seizure medication
  • Anti-epileptic medication
  • Deep brain stimulation involves surgically implanting electrodes in a region of the brain, normally the thalamus.

If prescribed medications to reduce the frequency of seizures prove ineffective, Dr Maloma will consider alternative treatment options such as brain stimulation devices or surgery.

FAQ

1Can epilepsy cause brain damage?
Status epilepticus is considered a medical emergency that develops when the seizure prolongs over five minutes or the individual lacks time to recover between episodes of seizures.
2Is epilepsy genetic?
Epilepsy may arise as a result of genetics or environmental factors.
3Will epilepsy show on an EEG?
An epileptic seizure showcases a change in brain activity. As a result, this change is reflected in an EEG recording 50 % of the time.