Is multifocal epilepsy possible? In multifocal epilepsies originating from multiple sites in the brain, as well as in generalized seizures without a demonstrable focal and thus localizable area, surgery is usually not feasible. There are different forms of surgical intervention.
What is focal epilepsy? Focal epilepsy is characterized by focal seizures (focal = focal, affecting only one part). These start from a specific area of the brain, but can spread from there to the entire brain.
What are focal epileptic symptoms? Since this is normally responsible for sensitive sensations, focal epileptic symptoms in this area manifest themselves primarily in the form of insensations such as tingling or prickling in individual regions of the body.
What are the causes of immunological epilepsy?
Immune-mediated causes. In immune-mediated epilepsy, the seizures are the direct result of an immune disorder. For example, severe focal epilepsies may be caused by chronic inflammation of the brain due to autoimmune diseases. Examples of immunological epilepsies are limbic encephalitis and the
How can they diagnose symptomatic epilepsy? In symptomatic epilepsy, MRI of the brain allows you to diagnose the underlying disease: focal lesion, atrophic and dysplastic changes. If no abnormalities are found on MRI, It is diagnosed idiopathic or cryptogenic focal epilepsy.
What is the treatment for focal epilepsy?
According to clinical data diagnosed with focal epilepsy, EEG and MRI of the brain. Antiepileptic therapy and treatment of the causative pathology. Depending on the indication, surgical removal of the epileptic activity zone is possible.
What are the most common agents used to treat focal epilepsy? Table: The most common agents used to treat focal epilepsy Form of epilepsy Agent Epilepsy in one area of the brain ( carbamazepine gabapentin lamotrigine levet Focal epilepsy in which, despite medicame Only in combination with other agents.
How many people are seizure-free with epilepsy?
Medication helps many people with epilepsy to avoid seizures permanently. About 5 out of 10 people become seizure-free or have fewer seizures with the first medication. Overall, about 7 out of 10 people with epilepsy no longer have seizures when they take medication.
How are epilepsy syndromes diagnosed?
Epilepsy syndromes are diagnosed on the basis of certain findings, including the type of seizure, electrical brain activity ( EEG ), the result of imaging examinations and the age of onset. So-called occasional seizures must be distinguished from this "real" epilepsy.
What are the main differential diagnoses to epilepsy? The most important differential diagnoses to epilepsy are syncope and psychogenic nonepileptic seizure (PNEA). Syncope, a brief loss of consciousness caused by a lack of blood flow to the brain, can also lead to uncontrolled movements.
How does the treatment of epilepsy take place?
Usually, part of the examination and treatment takes place in the hospital. Some outpatient facilities and clinics specialize in treating people with epilepsy. If seizures continue to occur despite medication, surgery is an alternative. Among the options are:
What is understood as symptomatic epilepsy?
This is what physicians call symptomatic epilepsy or - according to more recent proposals - structural/metabolic epilepsy. This includes, for example, epileptic seizures resulting from congenital malformations of the brain or brain damage acquired at birth.
Why do patients suffer from symptomatic epilepsy?
Patients suffering from symptomatic epilepsy have structural changes in the brain or have a specific underlying disease. Epileptic seizures then occur due to congenital malformations of the brain or brain damage acquired at birth.
How many babies suffer from chronic epilepsy? About half of the babies are seizure-free after appropriate treatment and develop almost normally; about one third suffer from chronic epilepsy later in life. Epileptic febrile seizures are relatively common in infants between the ages of three months and five years.
What medications help with long-term epilepsy? A healthy lifestyle with sufficient sleep is also helpful. In the case of long-term epilepsy, drugs known as antiepileptic drugs are used. Their task is to inhibit the excessive nerve cell activity in the brain. They are taken over many years and require regular adjustment.
How many children develop epilepsy?
About 0.5 to 1% develop manifest epilepsy. The exact incidence depends on age. Generalized epilepsies predominate in children, whereas focal epilepsies predominate in adults. The occurrence of a single tonic-clonic seizure significantly increases the likelihood of further seizures.
What are the forms of epilepsy in children?
There are several forms of epilepsy that are exclusive to children and those that first appear in childhood or adolescence. These include, in particular, Rolando's epilepsy and childhood absence epilepsy, which we discuss in more detail later in this article.
How does epilepsy disappear in children?
It depends on the form of epilepsy. For example, some types of epilepsy in children almost always disappear on their own, such as Rolando's epilepsy.
Is it possible to develop epilepsy?
If it is possible to assign an epilepsy to an epilepsy syndrome based on typical features, such as EEG changes, genetic abnormalities, or course of the disease, appropriate therapy can be selected and development can be predicted with higher probability.