What is epilepsy?

Written by Tang Bo
Neurology
Updated on September 20, 2024
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Epilepsy is a common disease in neurology and includes many types, generally including primary epilepsy and secondary epilepsy. Primary epilepsy refers to cases where the cause is unknown, while secondary epilepsy has a clear cause. Common causes include developmental disorders of the cerebral cortex, tumors, and cerebrovascular diseases, traumatic brain injuries, and central nervous system infections, including encephalitis, meningitis. Cerebrovascular diseases such as cerebral hemorrhage and cerebral infarction can also induce epilepsy. Additionally, certain neurodegenerative diseases, such as motor neuron disease and late-stage Parkinson's disease can also trigger epileptic seizures. Patients with ischemic hypoxic encephalopathy and toxic encephalopathy may also experience epileptic seizures, and some systemic diseases may also lead to epileptic seizures.

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Written by Yuan Jun Li
Neurology
1min 7sec home-news-image

Do you need to take medication for epilepsy long-term?

Patients with epilepsy are clinically divided into primary and secondary types. Primary epilepsy is mainly treated with medication, and most patients require long-term use of anti-epileptic drugs to control seizures. Some patients can completely control the symptoms of epilepsy with medication; if they are seizure-free for three to five years, it is referred to as clinical cure, and they may discontinue the medication. For patients experiencing primary epilepsy seizures, treatment focuses on the cause of the condition, such as common diseases like cerebrovascular diseases, including cerebral hemorrhage, cerebral infarction, brain tumors, encephalitis, brain parasite infections, and cranial trauma. After the primary disease is cured, symptoms of epilepsy may be controlled in these patients. If some patients still experience epilepsy seizures after treatment, they should continue taking long-term oral anti-epileptic drugs to control the seizures.

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Written by Tang Bo
Neurology
1min 4sec home-news-image

What is epilepsy?

Epilepsy is a common disease in neurology and includes many types, generally including primary epilepsy and secondary epilepsy. Primary epilepsy refers to cases where the cause is unknown, while secondary epilepsy has a clear cause. Common causes include developmental disorders of the cerebral cortex, tumors, and cerebrovascular diseases, traumatic brain injuries, and central nervous system infections, including encephalitis, meningitis. Cerebrovascular diseases such as cerebral hemorrhage and cerebral infarction can also induce epilepsy. Additionally, certain neurodegenerative diseases, such as motor neuron disease and late-stage Parkinson's disease can also trigger epileptic seizures. Patients with ischemic hypoxic encephalopathy and toxic encephalopathy may also experience epileptic seizures, and some systemic diseases may also lead to epileptic seizures.

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Written by Liu Shi Xiang
Neurology
1min 11sec home-news-image

What to do if epilepsy occurs multiple times?

If epilepsy occurs multiple times, it is necessary to control the patient's seizures with effective medication. For example, patients with grand mal seizures need to be given diazepam and phenobarbital in a timely manner to stop the seizures. In addition, patients also need to take long-term oral medications such as lamotrigine and sodium valproate to prevent the occurrence of epilepsy. If it is a partial seizure, patients need to take medications such as carbamazepine, oxcarbazepine, gabapentin, and pregabalin long-term to prevent seizures. For patients with intractable epilepsy that responds poorly to medication, surgical treatment can also be used to control the symptoms of epilepsy. Moreover, in their daily lives, patients need to adopt good dietary and lifestyle habits to avoid various triggers that may cause repeated seizures. For instance, patients need to ensure sufficient and good quality sleep, maintain a calm mindset, and also abstain from smoking and drinking. Only by doing so can the repeated occurrences of epilepsy be effectively prevented.

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Written by Tang Li Li
Neurology
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What causes epilepsy in the elderly?

If a patient has no history of epilepsy but begins to experience epileptic seizures in old age, it is generally secondary epilepsy, also known as symptomatic epilepsy. All patients should have a clear cause, but with current diagnostic techniques, it is not always possible to find the cause. If the cause cannot be identified, it is called cryptogenic epilepsy. In such cases, it is generally necessary to improve diagnostic methods, such as cranial magnetic resonance imaging (MRI) and cranial magnetic resonance angiography. The most common causes of epilepsy in the elderly are generally cerebrovascular disease, brain trauma, or encephalitis, and in some cases, brain tumors. Any disease that causes brain cell damage can potentially cause symptomatic epileptic seizures. If all imaging examinations fail to reveal any abnormalities, regular follow-ups are necessary to monitor for early-stage tumors that may not be detectable on imaging tests. Meanwhile, antiepileptic treatment should be administered, and routine blood tests, liver, and kidney functions should be regularly monitored.

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Written by Hu Qi Feng
Pediatrics
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Care for children during epileptic seizures

During an epileptic seizure, it is crucial to control the seizure promptly by using sedative and anticonvulsant medications. While administering these drugs, it is important to closely monitor for consistent breathing. Additionally, during a seizure, it is necessary to ensure that the airway remains clear, provide oxygen, and, if required, use mechanical ventilation to maintain airway patency. Prevent biting injuries to the tongue and position the head to one side so that secretions can flow out of the corner of the mouth, preventing reflux of stomach contents and risk of choking. Protect brain function and vital organs, and prevent cerebral edema. After the seizure has stopped, long-term administration of antiepileptic drugs should be continued to prevent recurrence.