What causes epilepsy?

Written by Liu Shi Xiang
Neurology
Updated on March 15, 2025
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The causes of epilepsy mainly include some congenital factors, such as pathological changes during pregnancy or childbirth, which can lead to the occurrence of epilepsy in children. In adults, epilepsy is generally secondary to severe head trauma, cerebrovascular disease, intracranial tumors, encephalitis, etc. Therefore, for patients with epilepsy, it is first necessary to actively remove various inducements and then to treat according to the type of epileptic seizures. Epilepsy mainly includes generalized seizures and partial seizures. Patients with generalized epileptic seizures can take medications such as sodium valproate and diazepam for treatment. Patients with partial epileptic seizures can take medications such as carbamazepine, oxcarbazepine, gabapentin, and levetiracetam for treatment. Generally, the symptoms of epilepsy can be effectively controlled after patients follow a standardized medication treatment regimen.

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Written by Tang Li Li
Neurology
1min 23sec home-news-image

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 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 Yan Xin Liang
Pediatrics
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What are the symptoms of epilepsy in children?

Common symptoms of epilepsy in children generally include sudden convulsions. During a convulsion, the typical manifestations are tightly closed or staring eyes, rolled-up eyeballs, clenched teeth, twitching at the corners of the mouth, frothing at the mouth, head and neck thrown back, and repetitive flexing or rigid shaking of the limbs. Generally, these can last for a few minutes, or vary from several seconds to ten minutes. Of course, there are also focal seizures, such as twitching of one side of the body, or absence seizures. Some infantile spasms are characterized by jackknife movements, occurring in clusters, with each display being different. The symptoms described earlier are typical of a generalized tonic-clonic seizure.

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Written by Yuan Jun Li
Neurology
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Can patients with epilepsy eat mangoes?

Epilepsy patients can eat mangoes. Mangoes are rich in vitamins and can supplement the essential nutrients needed by the human body. However, some people may be allergic to mangoes, and generally should not consume them. There are no specific dietary restrictions for epilepsy patients, but they should try to eat less spicy and greasy food, avoid mental stimulation, which can provoke seizures. Additionally, patients should eat more fresh vegetables and fruits to supplement the necessary vitamins and nutrients. They should also have a balanced diet, including lean meat, fish, poultry eggs, soy products, and some milk. It is important to have a regular lifestyle, sleep and wake up on time, and ensure sufficient sleep duration and quality.

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Written by Yuan Jun Li
Neurology
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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.