{"id":234,"date":"2019-11-18T06:48:53","date_gmt":"2019-11-18T06:48:53","guid":{"rendered":"https:\/\/zeepedia.com\/?p=234"},"modified":"2020-02-10T10:02:43","modified_gmt":"2020-02-10T10:02:43","slug":"epilepsy","status":"publish","type":"post","link":"https:\/\/zeepedia.com\/medical\/diseases\/brain-and-nerves\/epilepsy\/","title":{"rendered":"Epilepsy"},"content":{"rendered":"\n<p> If you have epilepsy, some of the brain&#8217;s nerve cells are overactive, which can cause various types of seizures.\u00a0Epileptic seizures can be very different for different people, but in one and the same individual, the seizures are usually the same every time.\u00a0Between the attacks, there is nothing to show that you are ill.\u00a0If you suffer from major epilepsy, you may need medication to prevent seizures. <\/p>\n\n\n\n<p>It is common to have only a few mild seizures throughout life, but some may have severe seizures every day.\u00a0Many people who get epilepsy can avoid having more seizures with the help of drugs.\u00a0<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Symptoms of Epilepsy<\/h2>\n\n\n\n<p>The <strong>symptoms of an epileptic seizure<\/strong> come suddenly but are usually short-lived, from a few seconds up to a few minutes.\u00a0They may be very different for different people, but in one and the same individual, the attacks are usually the same every time.<\/p>\n\n\n\n<p>How the seizures get depends on what part of the brain the epileptic activity takes place.&nbsp;Therefore, epileptic seizures are divided into two main types:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Generalized seizures, since large parts of the brain, are involved from the onset of the seizure.<\/li><li>Focal seizures, which start in a limited part of the brain.<\/li><\/ul>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Generalized seizures<\/strong><\/h3>\n\n\n\n<p>It is mainly in the case of so-called generalized seizures with cramps that you get severe and severe symptoms.\u00a0You often lose consciousness without warning, become tense throughout your body and after a few seconds begin to twitch your arms and legs.\u00a0In another type of generalized seizure, you can have short second-fast, intense muscle twitching, so-called myoclonus, in the arms, head or legs but without any influence of consciousness.<\/p>\n\n\n\n<p>If you get a lighter form of generalized seizure, you will be absent for a few seconds and maybe stare blankly in front of you.\u00a0After the attack, you do not remember any of it but may feel that you have &#8220;lost the thread&#8221; for a while.\u00a0Such seizures are called absences, they usually debut during childhood and disappear into adulthood.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Focal seizures<\/strong><\/h3>\n\n\n\n<p>Focal seizures can both be experienced and look very different.&nbsp;Sometimes the person himself feels the influence on, for example, sight and hearing without the environment noticing the attack.&nbsp;Sometimes focal seizures trigger severe symptoms with attacks of rhythmic twitching in one half of the body.&nbsp;You can be conscious, but also completely or partially unconscious.<\/p>\n\n\n\n<p>Focal seizures can sometimes develop gradually, from mild to severe symptoms.&nbsp;Such attacks can be initiated with an aura.&nbsp;You then feel that the attack has begun but the surroundings do not notice anything.&nbsp;You gradually become more affected and the surroundings may notice that you are absent or have muscle twitching.&nbsp;Such a seizure develops from focal seizure to a bilateral tonic-clonic seizure.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Between the attacks, everything is as usual<\/strong><\/h3>\n\n\n\n<p>In epilepsy, you have direct symptoms and signs of the disease only as long as the attack lasts and a little while afterward.\u00a0There is nothing between the seizures to show that you have epilepsy.<\/p>\n\n\n\n<p>It is unusual for you to have a seizure when you seek care for your complaints.\u00a0The doctor must, therefore, make his assessment without being able to see what symptoms you have.\u00a0Furthermore, you can often have a memory gap and a lack of experience of the attack.\u00a0Therefore, it is good if someone who saw the attack is present to describe what happened.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">When should I seek care?<\/h2>\n\n\n\n<p>A severe epileptic seizure is a dramatic event.&nbsp;When this happens for the first time, an ambulance is almost always called and you are taken to the nearest emergency room.&nbsp;There, the healthcare staff checks that you have not received any injuries and an emergency investigation is done to see if treatment is needed against the triggering causes of the attack.<\/p>\n\n\n\n<p>There may be causes other than epilepsy for seizures with transient unconsciousness, such as heart problems.&nbsp;When you recover from the attack, you have to go home.&nbsp;Sometimes you are called for supplementary examinations before you receive a new doctor&#8217;s visit for summary and follow-up.&nbsp;You will usually see a physician who is a neurologist, that is, a specialist in the disorders of the nervous system.<\/p>\n\n\n\n<p>Less dramatic epileptic seizures may be, for example, attacks with symptoms from a body part or sensations.&nbsp;Such symptoms can be difficult to distinguish from other diseases.&nbsp;Most often you do not understand yourself that it is epilepsy attacks that trigger them.&nbsp;If you have strange attacks and are unsure of what caused them, you can&nbsp;contact a health care center&nbsp;for an assessment.&nbsp;If the doctor at the health center suspects epilepsy, you will receive a referral to a neurologist.<\/p>\n\n\n\n<p>You can&nbsp;seek care&nbsp;at any healthcare center you want throughout the country.&nbsp;You also have the opportunity to have a regular doctor&#8217;s contact at the health center.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">How can I prevent epilepsy?<\/h2>\n\n\n\n<p>It is usually not possible to affect the risk of contracting epileptic seizures yourself.&nbsp;It is sometimes heard that a young person has had epilepsy from intensive computer games.&nbsp;Most often it is a person with a tendency for epilepsy, who gets their first seizure after long nights with computer games and insomnia.<\/p>\n\n\n\n<p>Circumstances may have contributed to the seizure occurring at that time, but computer gaming has not created epilepsy.&nbsp;The attack would probably have come sooner or later even without computer gaming.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What can I do for myself?<\/h2>\n\n\n\n<p>Many people with <strong>epilepsy<\/strong> find that seizures come easier in some situations.\u00a0This is usually very individual, but lack of sleep is something that many people are sensitive to.\u00a0Some suffer from stress and others relax when stressed.\u00a0It is a widespread notion that flashing lights, such as those at discos, can trigger seizures.\u00a0But that&#8217;s only true for a small part of everyone with epilepsy.<\/p>\n\n\n\n<p>If you often have seizures, you can be helped by writing down the situations in which the seizures come.\u00a0With the notes as a basis, you can together with your doctor see if there is any pattern.\u00a0If certain situations are linked to an increased risk of seizures, it may be wise to try to avoid them, such as lack of sleep.\u00a0A mapping of the disease can mean that you improve your seizure control.\u00a0It is usually good to inform their relatives and workmates about the risks associated with the disease.<\/p>\n\n\n\n<p>If you have any thoughts about what might trigger your seizures, you can discuss them with your doctor and nurse, not least to avoid misunderstandings.&nbsp;It is important that you do not avoid doing things you think are fun unless there are very important reasons.&nbsp;There is a risk of unjustified restriction and isolation due to epilepsy.&nbsp;<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What can the environment do?<\/h2>\n\n\n\n<p>Once the seizure has started, not much one who has epilepsy can do himself.&nbsp;Therefore, it is important that people in the area know what to do in the event of an attack.&nbsp;Although some seizures look dramatic, most people go off on their own without causing any harm.<\/p>\n\n\n\n<p>If you see someone having epilepsy, you can reduce the risk of that person being injured during the attack by a few simple steps:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Loosen clothing that sits tightly in the neck.<\/li><li>Put something soft under your head if the person who has had a seizure is on hard ground.<\/li><li>Place the person in a stable lateral position when the cramps are over.<\/li><li>Stay until the seizure is over so that anyone with epilepsy can tell how they want to be helped.<\/li><li>It&#8217;s also good if you look at the clock so you know how long the attack lasted.<\/li><\/ul>\n\n\n\n<p>There are also some things you shouldn&#8217;t do:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Do not put anything in the mouth of anyone who has an epileptic seizure.&nbsp;It can damage teeth and make breathing difficult.<\/li><li>Do not try to hold back if an arm or leg of the person with epilepsy is cramping during the attack.<\/li><\/ul>\n\n\n\n<ul class=\"wp-block-list\"><li>If it is not known that the person has epilepsy.<\/li><li>If the attack lasts five minutes or longer.<\/li><li>If the person who has had seizures does not wake up properly when the cramps are over.<\/li><li>If the person has been injured during the attack.<\/li><\/ul>\n\n\n\n<p>These are general guidelines, but it varies widely from person to person how the person with epilepsy needs to be taken care of in conjunction with an ongoing seizure.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Treatment of  Epilepsy<\/h2>\n\n\n\n<p>The fact that you have had an epileptic seizure or been diagnosed with epilepsy does not mean that you should automatically start treatment immediately.\u00a0The <em>treatment for epilepsy<\/em> consists primarily of drugs, so-called antiepileptic drugs.\u00a0These medicines are preventative and reduce the risk of seizures as long as you take them.\u00a0But the medication does not cure epilepsy and should not be construed as a treatment course you take to recover.<\/p>\n\n\n\n<p>The benefits of medical treatment must be weighed against the disadvantages.&nbsp;If you have only had seizures in connection with severe provocative circumstances, no long-term treatment is needed.&nbsp;Examples of provocative circumstances are a number of acute illnesses that affect the brain for a limited time, such as extremely low blood sugar or high levels of salt in the blood.&nbsp;Also, in the case of a first unprovoked attack, there is an imminent risk of new attacks.&nbsp;Of all those who have had a first unprovoked attack, almost half have relapsed.&nbsp;Therefore, it is common for you to receive treatment only after two unprovoked seizures.&nbsp;Investigations have shown that the risk of a third attack is at least 60 percent.<\/p>\n\n\n\n<p>One reason to refrain from drug treatment is if the seizures have been very mild.\u00a0On the other hand, it may sometimes be justified to start treatment after an initial seizure if the risk of multiple seizures is considered very high, or if there are other special reasons.\u00a0If injuries occurred during the first seizure with convulsions and unconsciousness, you as a patient may want to avoid serious consequences in the case of new seizures.\u00a0The wishes vary between different individuals.\u00a0It must also be considered in the discussion between you and your physician when deciding on drug treatment.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Most people who have epilepsy are treated with drugs<\/strong><\/h3>\n\n\n\n<p>Medicines called antiepileptic drugs are the basis of the <span style=\"text-decoration: underline;\">treatment of epilepsy<\/span>.\u00a0Most people who have been diagnosed with epilepsy will begin with such drug treatment.\u00a0The purpose is to reduce the risk of seizures so that you can live a normal life.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Surgery a possibility in severe epilepsy<\/strong><\/h3>\n\n\n\n<p>Although most people who get <em>epilepsy<\/em> are helped by medication, many continue to have seizures despite intensive drug treatment.\u00a0Some may have seizures at year-long intervals, while some may have such severe epilepsy that they receive seizures several times each day.\u00a0Surgery may be an option for some of those with severe epilepsy.\u00a0Before surgery, several things need to be carefully examined.<\/p>\n\n\n\n<p>Before surgery, a comprehensive investigation is performed in several steps to find out from which part of the brain the seizures are coming.\u00a0In some hospitals, there are special teams, among other things, for examining surgical epilepsy treatment.\u00a0This requires you to be hospitalized for a week to undergo advanced X-ray examinations, video seizure registration, and EEG.\u00a0It is sometimes required that the doctor record the seizures with EEG electrodes placed through an operation on the surface of the brain or inside the brain to find out where the seizures start.\u00a0Neuropsychological tests also map the various functions of the brain.\u00a0A psychologist who specializes in testing brain functions then examines, for example, memory and language.<\/p>\n\n\n\n<p>The results of the various studies are evaluated by a group of experts with different specialist knowledge.&nbsp;It can take a total of six months before they reach a decision.&nbsp;Sometimes the investigation leads to the experts not being able to recommend surgery.<\/p>\n\n\n\n<p>However, if it is appropriate to operate, the results can be very good.\u00a0Many become completely free from seizures after an operation.\u00a0The procedure itself may take a few hours and you may need to stay in the hospital for about a week.\u00a0Then you may need to be on sick leave for several months to recover.<\/p>\n\n\n\n<p>In some cases, it is inappropriate or impossible to remove the part of the cortex that causes seizures.&nbsp;Then there are other surgical methods where the neurosurgeon cuts off the dissemination pathways for the seizure activity and prevents it from spreading across the brain.&nbsp;Such an intervention can make the attacks easier.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Other methods of treatment<\/strong><\/h3>\n\n\n\n<p>In addition to drug treatment and epilepsy surgery, there are also some other treatment methods that are used in some cases even though doctors do not fully understand how the methods work.&nbsp;This includes so-called vaginal nerve stimulation, VNS, which is sometimes offered if you have difficult-to-treat epilepsy that cannot be considered for regular epilepsy surgery.&nbsp;The method is based on affecting the brain by stimulating a nerve on the neck with electrical impulses.&nbsp;A small battery impulse generator is operated under the clavicle and through a cord under the skin, electrical impulses are passed from this pacemaker to the nerve on the left side of the neck.&nbsp;The doctor can program the pacemaker to deliver pulses of varying frequency and strength.&nbsp;It is not clear how, but about half of the people with severe epilepsy who are allowed to try VNS have fewer seizures by the method.<\/p>\n\n\n\n<p>Some children with severe epilepsy may also have fewer seizures if they are undergoing special dietary treatment, called the ketogenic diet.\u00a0You can try a ketogenic diet when other treatment options have failed.\u00a0The treatment, which involves an extremely strict high-fat diet, requires a very detailed instruction and control with very careful monitoring of what the child eats.\u00a0Ketogenic diet places great demands on commitment from close relatives and support from a team of specialists such as dietitians, physicians, and nurses.\u00a0A milder variant of dietary treatment is the modified Atkins diet, also called MAD, which can sometimes be considered for adults.\u00a0In this case, too, help from a dietician is needed, in collaboration with doctors and nurses.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Urgent treatment is required if the attack does not go on<\/strong><\/h3>\n\n\n\n<p>In most cases, an epileptic seizure of itself stops within a minute and causes no bodily harm.&nbsp;No special treatment is needed to stop the attack.&nbsp;But it may happen that a seizure pulls out on time and does not bring along or that seizure follows a seizure without you clearing up in between.<\/p>\n\n\n\n<p>If an attack lasts longer than five minutes, it is usually called status epilepticus, which is a serious condition.\u00a0If it is a so-called tonic-clonic seizure, it can even be life-threatening if it goes on for too long.\u00a0For this type of seizure, you must, therefore, receive treatment that breaks it.\u00a0To stop the attack, the drug is usually used diazepam, which can be given as a syringe directly into the blood of medical personnel or as so-called enema given in the rectum.\u00a0The drug has a fast effect and stops the seizure activity that goes on in the brain&#8217;s nerve cells.\u00a0The attack usually goes on for a minute after a syringe and almost as quickly after an enema.<\/p>\n\n\n\n<p>If you have had prolonged seizures several times, you will usually be given medication, which a relative can give according to your doctor&#8217;s instructions.\u00a0There are various alternatives to seizure therapy that can be given by relatives, most commonly Buccolam given in the mouth or Diazepam in the enema.\u00a0If this does not help, you should immediately go to the hospital, and already in the ambulance, you can get a syringe of diazepam directly into the bloodstream for even faster effect.<\/p>\n\n\n\n<p>All types of epileptic seizures can be prolonged.\u00a0It is not really as urgent to get <strong>treatment for mild types of long-term seizures<\/strong> as for severe seizures.\u00a0How you should be treated therefore looks slightly different in other types of seizures and must be adapted from person to person.\u00a0If you have epilepsy, it is important to ask your doctor what applies to your own type of seizures.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Epilepsy treatment during pregnancy<\/strong>&nbsp;<\/h3>\n\n\n\n<p>Women with epilepsy who want to have children should plan pregnancies in consultation with their doctor as some epilepsy drugs may pose a slightly increased risk of birth defects.\u00a0On the other hand, uncontrolled seizures during pregnancy can harm the fetus and therefore it is also important for fetal health to continue taking its epilepsy medication during pregnancy.\u00a0It is good to try out the best possible treatment with your doctor well in advance of pregnancy.\u00a0Maybe the dose should be adjusted, sometimes it may be appropriate to consider changing the drug.\u00a0This may take time, sometimes up to a year, but all major changes should be made well in advance of pregnancy.<\/p>\n\n\n\n<p>If you become pregnant, you should not take the risk of switching medications and you should definitely not stop taking the medicine because you discover that you have become pregnant.\u00a0A sudden interruption in treatment can cause several epileptic seizures that can be harmful to both the pregnant woman and the fetus.\u00a0During pregnancy, you often have a little closer contact with your <span style=\"text-decoration: underline;\">epilepsy<\/span> doctor.\u00a0The dose of the drug may need to be adjusted and sometimes you will receive special vitamin supplements\u00a0<\/p>\n\n\n\n<p>In general, pregnant women with epilepsy are also checked in specialist maternity care.&nbsp;There you will undergo a special ultrasound examination to detect any birth defects.&nbsp;<\/p>\n\n\n\n<p>The vast majority of women with epilepsy have a very normal course of pregnancy and give birth to fully healthy children, although the risks associated with pregnancy are somewhat greater.&nbsp;<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Epilepsy involves uncertainty<\/strong>&nbsp;<\/h3>\n\n\n\n<p>Because you never know when an attack is coming, epilepsy often means you may feel insecure.&nbsp;This can create a fear that will help you avoid situations where a seizure would feel particularly embarrassing or have other troublesome consequences.<\/p>\n\n\n\n<p>An attack can look very dramatic and be more frightening to the person watching than to the person who is suffering.&nbsp;This, of course, affects close relatives of those with epilepsy.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>The disease may mean that you have to change profession<\/strong>&nbsp;<\/h3>\n\n\n\n<p>Anyone with epilepsy may not drive until one year after their last seizure.\u00a0Similar provisions also apply to other vehicles and for professional drivers, the rules are even stricter.\u00a0This means that, for example, professional drivers and pilots who have epilepsy must retrain.\u00a0<\/p>\n\n\n\n<p>There are other tasks that are inappropriate because a seizure would endanger one&#8217;s self, for example, unprotected work on scaffolding at high altitude.\u00a0You may also sometimes need to make some adjustments in the workplace or at home to reduce the risk of injury if you have an attack.\u00a0This is especially true if you have severe epilepsy.<\/p>\n\n\n\n<p>All of this can entail demands for restructuring and great stress for the person receiving the disease.&nbsp;At the same time, it is important to emphasize that most people with epilepsy can continue to live as usual and function in their professional and family roles.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Right to information<\/strong><\/h3>\n\n\n\n<p>The healthcare staff should tell you what treatment options are available.&nbsp;They should make sure you understand what the different options mean, what side effects are available and where you can get treatment.&nbsp;That way you can help decide which treatment is right for you.<\/p>\n\n\n\n<p>In order for you to be active in your care and make decisions, it is important that\u00a0you understand the information you receive.\u00a0The healthcare staff is obliged to make sure that you do so.\u00a0Ask questions.\u00a0You can also ask to have the information written down so you can read it peacefully.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What is the cause of epilepsy?<\/h2>\n\n\n\n<p>Epilepsy can be caused by, among other things, congenital injuries and illnesses, head injuries, brain tumors or that you have previously had a stroke.<\/p>\n\n\n\n<p>For about half of all people with epilepsy, doctors can find no cause.&nbsp;Although the disease may be hereditary to some extent, the risk of passing it on to your children in most cases is very small.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>How common are epileptic seizures and epilepsy?<\/strong><\/h3>\n\n\n\n<p>Epilepsy may come at any time, but the risk is greatest during the first year of life and after the age of 70.&nbsp;If a child has epilepsy during his or her first year of life, it is often due to congenital illnesses or injuries that have already occurred during pregnancy.<\/p>\n\n\n\n<p>In the elderly, the most common cause of stroke has been in the past, but dementia can also lead to epilepsy.<\/p>\n\n\n\n<p>Epilepsy is more common in people with intellectual disabilities and CP injuries.\u00a0This is because there is a common underlying injury in the brain that leads to both epilepsy and other disabilities.<\/p>\n\n\n\n<p>Nearly one in ten people will suffer epileptic seizures at some point in their lives.\u00a0In most cases, it is a provocative attack that you only get once.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>For some, the seizures go over, others need medicine throughout their lives<\/strong><\/h3>\n\n\n\n<p>For at least half of everyone who gets the disease, epilepsy heals.&nbsp;If you have not had a seizure for several years, you can often gradually reduce the medication you take for epilepsy and then stop treatment without the seizures coming back.&nbsp;But sometimes you need life-long treatment and sometimes epilepsy is so severe that you continue to have frequent seizures despite intensive treatment.&nbsp;Every tenth person with epilepsy has seizures at least once a week.&nbsp;Often it is clear already during the first year whether epilepsy is light or difficult to treat.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>How am I affected by epilepsy?<\/strong><\/h3>\n\n\n\n<p>Certain seizures can cause you to become unconscious and if you fall handless there is, of course, a risk of injury.\u00a0If you have seizures frequently, you may experience tooth damage and fractures of the arms, legs, vertebrae, and skull.\u00a0You can also get burns if, for example, you have a seizure while cooking.<\/p>\n\n\n\n<p>If you have mild epilepsy you are rarely injured.&nbsp;Many people with severe epilepsy, on the other hand, can often feel ill.&nbsp;A few can have seizures so often that the brain has a hard time recovering.&nbsp;Such a very severe epilepsy can help make it difficult for you to learn things and have problems with memory.<\/p>\n\n\n\n<p>Losing control during a seizure is the clearest indication of whether epilepsy is mild or severe.&nbsp;Seizures with loss of consciousness can come without warning and cause you to do things that you have no control over.&nbsp;Sometimes you are not even aware that you had a seizure after regaining consciousness.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What happens in the body?<\/h2>\n\n\n\n<p>The brain is made up of billions of nerve cells that work with electrical signals.&nbsp;The different nerve cells interact in complicated networks and communicate with each other by releasing chemical substances, so-called signal substances.<\/p>\n\n\n\n<p>An electrical impulse in a nerve cell causes a certain signal substance to be released.&nbsp;The substance affects specific recipients, called receptors, on nearby nerve cells so that the electrical activity in these cells changes.<\/p>\n\n\n\n<p>There are different types of signaling substances and different forms of receptors.&nbsp;Some create increased electrical activity while others have the opposite effect.&nbsp;These activities are the basis for, for example, being able to think, feel, hear, see and move.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>The state of the brain determines the function of the nerve cell<\/strong><\/h3>\n\n\n\n<p>The nerve cells in the various parts of the brain are specialized and have different functions:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>For example, the rear left and right parts of the pan lobe control movements.\u00a0Electrical activity in nerve cells in the left or right part of this area creates a movement in the opposite half of the body.<\/li><li>The brain lobe of the brain is the receiving center for emotion.\u00a0Electrical activity in nerve cells in the left or right parts of the brain lobe is because you touch something with the opposite side of the body.\u00a0The activity makes you feel this impression by feeling.<\/li><li>In the visual cortex of the neck lobe, the brain receives the impulses transmitted from the retina of the eye.\u00a0Electrical activity in the nerve cells of the visual cortex means that you see what the retina has recorded.<\/li><li>In the temple lobby, for example, there are networks of nerve cells that are centers of memory, hearing, emotion, and sense of smell.\u00a0Activity in these nerve cells is linked to memory images as well as hearing, sensory and smell experiences.<\/li><\/ul>\n\n\n\n<p>When the brain is functioning properly, there is a balance between stimulating the nerve cells and holding them back.&nbsp;If you have epilepsy, this balance is disrupted.&nbsp;Some nerve cells are then overactive and you get an epileptic seizure when the brain loses control of this overactivity.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>A first epileptic seizure does not mean you have the disease epilepsy<\/strong><\/h3>\n\n\n\n<p>All diseases and injuries that you get in the cerebral cortex can disrupt the balance between the activities of the nerve cells and thus cause you to have an epileptic seizure.<\/p>\n\n\n\n<p>The seizure may be closely related to acute injury or illness, for example in connection with fever in young children who can cause fever cramps.\u00a0You may also have seizures in connection with stroke or withdrawal after a period of drinking a lot of alcohol.\u00a0Such epileptic seizures are usually called provoked and then you do not have epilepsy.<\/p>\n\n\n\n<p>The risk of new seizures is small when the fever has passed or when it has passed a few days after you have had a stroke.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">More about different types of seizures<\/h2>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Primary generalized seizures<\/strong><\/h3>\n\n\n\n<p>These attacks are divided into<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>tonic-clonic seizures<\/li><li>absences<\/li><li>myoclonic seizures also called myoclonus<\/li><\/ul>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Tonic-clonic seizures<\/strong><\/h3>\n\n\n\n<p>The tonic-clonic seizure is the most well-known form of primary generalized seizure.\u00a0You lose consciousness without warning, become tense throughout your body and after a few seconds, it starts to jerk in your arms and legs.\u00a0The attack goes on within a few minutes and you wake up incrementally.\u00a0This type of attack was formerly called grand mal, a term still used by many.\u00a0You wake up, feel heavy in your head, may have workouts in your arms and legs and find that you may have kissed you orbit your tongue.\u00a0You have no memory of the attack itself and often wonder what happened.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Absences<\/strong><\/h3>\n\n\n\n<p>This type of seizure, formerly called petit mal, is another form of primary generalized seizure.\u00a0These attacks last only a few seconds and do not have as many and clear symptoms.\u00a0You become absent, staring blankly in front of you and not answering accusations.\u00a0You do not remember anything about the attack afterward, but you may feel like you have dropped the thread.\u00a0Absences can come several times a day.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Myoclonic seizures<\/strong><\/h3>\n\n\n\n<p>In the case of myoclonic seizures, you can be fully conscious but get intense repeated muscle twitching in the arms, head or legs.\u00a0It usually tugs on both sides of the body at the same time.\u00a0Myoclonic seizures usually come in the morning and afterward you can tell how the seizure felt.\u00a0Most people have experienced similar muscle twitches before falling asleep, but that doesn&#8217;t mean you have epilepsy.<\/p>\n\n\n\n<p>Children may have additional forms of primary generalized seizures that are uncommon and are therefore not touched more closely here.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Focal seizures<\/strong><\/h3>\n\n\n\n<p>This type of attack is divided into:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Focal seizure without the influence of consciousness.\u00a0You remember everything that happened during the attack.<\/li><li>Focal attack with reduced consciousness.\u00a0You get a memory slot for what happened during the attack.<\/li><li>A focal seizure that spreads and affects the whole brain, so-called secondary generalization.<\/li><\/ul>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>The symptoms depend on where the attack is going on in the brain<\/strong><\/h3>\n\n\n\n<p>In focal seizures when you are fully conscious during the seizure, the symptoms depend entirely on the area of \u200b\u200bthe brain that is affected.\u00a0Seizures due to electrical overactivity in the back of the forehead allow you to get attacks of rhythmic twitching in the opposite body half.\u00a0The reason is that this particular area controls muscle activity on the opposite side.\u00a0If the activity during the attack goes a little further in the back of the brain, in the brain lobe that is the center of feeling, the feeling is affected.\u00a0The attacks then become attacks of groans or numbness in the hand, arm or leg depending on which parts of the brain lobe are involved.\u00a0Similarly, you experience seizures from the visual cortex in the neck lobe as vision phenomena, perhaps attacks when you see a light bulb or a flashing light.\u00a0When you have seizures from the temples, you can experience short sequences of familiar memories or sense of smell.\u00a0You can thus have epileptic seizures that are not visible on the outside but that you only experience yourself.\u00a0Such an attack called aurora and can cause a variety of symptoms.\u00a0Some examples of auras are suddenly inexplicable and often unpleasant smelling or taste sensations as well as sight or hearing experiences.\u00a0The Auran can thus have a very different character in different people, which is because the attacks start in different parts of the brain.\u00a0For the individual, the auras tend to be identical in repeated attacks.\u00a0which is because the attacks start in different parts of the brain.\u00a0For the individual, the auras tend to be identical in repeated attacks.\u00a0which is because the attacks start in different parts of the brain.\u00a0For the individual, the auras tend to be identical in repeated attacks.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Sometimes you lose consciousness<\/strong><\/h3>\n\n\n\n<p>Focal seizures where you completely or partially lose consciousness are spread to slightly larger parts of the brain so that consciousness is affected.\u00a0It can lead to you being shielded, not perceiving the surroundings and not remembering the attack.\u00a0The person standing next to you notices that you are not answering, maybe staring straight ahead and picking with your hands or smacking your lips.\u00a0All this happens unconsciously and you do not remember any of this after the attack.\u00a0Such an attack can begin with twitching in one hand, or as an aura before the attack, activity spreads so that consciousness is affected.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Focal to a bilateral tonic-clonic seizure<\/strong><\/h3>\n\n\n\n<p>If the activity of the focal seizure is spread further, it may affect the entire brain, the seizure then becomes a tonic-clonic seizure called a secondary generalized seizure.\u00a0If you have this gradual development of a seizure, you can sometimes remember afterward the initial symptoms before the consciousness was affected and you remember no more.\u00a0An initial aura indicates that the attack has a focal onset and is not primarily generalized.\u00a0The Auran is often the same from attack to attack in the same person and you recognize it as your typical penchant.\u00a0Still, it may be difficult to describe its content to others.\u00a0<\/p>\n","protected":false},"excerpt":{"rendered":"<p>If you have epilepsy, some of the brain&#8217;s nerve cells are overactive, which can cause various types of seizures. Epileptic seizures can be very different for different people, but in one and the same individual, the seizures are usually the same every time. Between the attacks there is nothing to show that you are ill. If you suffer from major epilepsy, you may need medication to prevent seizures.<\/p>\n","protected":false},"author":3,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"cybocfi_hide_featured_image":"","footnotes":""},"categories":[51,263],"tags":[265,267,269,268,266,270,271],"class_list":["post-234","post","type-post","status-publish","format-standard","hentry","category-brain-and-nerves","category-dizziness-fainting-and-cramps","tag-epilepsy","tag-epilepsy-attack","tag-epilepsy-causes","tag-epilepsy-definition","tag-epilepsy-in-children","tag-epilepsy-treatment","tag-epilepsy-types"],"_links":{"self":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/234","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/comments?post=234"}],"version-history":[{"count":5,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/234\/revisions"}],"predecessor-version":[{"id":3581,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/234\/revisions\/3581"}],"wp:attachment":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/media?parent=234"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/categories?post=234"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/tags?post=234"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}