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Living With Epilepsy

What Treatments Are Available for Epilepsy?

Epilepsy…is there a cure? 

There are various types of epilepsy and seizures along with a wide range of treatments suited to different degrees. Proper observation of the ailment is vital to distinguish the enormity of treatment to be applied. Seizures are sudden disorder in the normal brain activity; repeated seizures characterize epilepsy. Preventing seizures first will help fight epilepsy.  

One kind of seizure is the so-called “epileptic seizures”. There is a variety of treatment for epileptic seizures that aims to prevent or control the attacks. Eighty percent of patients with epilepsy have undergone successful treatment. Although some patients are only healed partially, a good number have gone through successful treatments. 

The following are some treatments to combat epileptic seizures: 

1. Medications – the primary means to treat epilepsy is through epileptic drugs. The kind of medicine, dosage and its side effects are important for the treatment to be effective. The amount of dosage to be given will depend on the seriousness of a seizure. 

Some of the widely distributed drugs for epileptic patients are:  

Carbamazepine- for treating partial seizure. These medicines are more effective among children. Most patients however complained of blurred or double vision after taking the medication; others have allergic reactions and develop skin rashes. 

Valproate – for treating wider variety of seizures. These drugs are more effective among adults. The side effects are gain in weight and sedation. 

Phenobarbitone – the most used drug nowadays; which is easy to use, cheap and effective. It has side effects though such as hyper activeness among children and sedation among adults.  

Lamotrigine- used to help control epileptic seizures. These drugs calm brain when there is a seizure and can stabilize moods. The side effect of lamotrigine is that it can be addictive.   

Other new drugs are Vigabatrin, Gabapentin, Topiramate Barbiturates Clonazepam Clobazam that altogether aim to reduce if not eliminate seizure attacks. 

2. Surgery. Approximately 20% of patients can’t control seizures through medication. Before deciding to undergo surgery, a thorough examination should be done. The physician may also consider the frequency of symptoms and which part of the brain is involved. 

Some kinds of surgery, which is used to treat epilepsy, are: 

Multiple Subpial Transection(MST) -  involves cutting nerve fibers along the outer layer of brain. This aims to stop the spread of seizure to other parts of brain without affecting the normal abilities of the patient. About 70% of the patient improves through this surgery.  

Lesionectomy or Lobectomy – the part of the brain that produces seizures will be removed. This is only advisable to patients who are experiencing partial seizure.  

Corpus Callosotomy – prevents seizures by cutting the connections of nerve between the left and right brain hemispheres. This usually involves two steps. An operation of one half of the brain is performed on the first surgery; if seizures stop, there’s no need for further surgery; otherwise, a second operation will be done. This operation is usually performed among children.  

Hemispherectomy. This operation involves the removal of cortex or a half of outer layer of the brain. The operation can be drastic thus should only serve as last resort. Intensive rehabilitation is needed after the surgery to regain the normal body activities. Patients usually recover but there is a gradual weakness of one side of the body. The loss of peripheral vision is also cited as a side effect.

2. A Change in Lifestyle – start with a good nutrition. Patients undergoing epileptic seizures, specifically children who have poor tolerance to medications are advised to undergo diet. One type is the Ketogonic Diet that aims to provide energy to the body by breaking down fats instead of carbohydrates. A list of dietary foods to be consumed is given to the patients and this should be followed rigorously. 75% of the patients who performed the diet showed that this kind of diet decreased seizure frequency by as high as 90%. Although there is a high success rate, there are still side effects related to Ketogenic Diet such as hampered growth, increase in uric acid that leads to development of kidney stones and possibility of developing heart diseases because of high intake of fats. 

The goal of all treatments is to prevent or control epileptic seizures. Medication is proven to be the widely used and generally the most acceptable way to treat and manage epilepsy. While medication and surgery goes hand in hand in treating epilepsy, lifestyle changes are also recommended. This proves that the cooperation of the patient is highly required for a better and faster cure. Any treatment will be futile if the patient will resist and will not be dutiful in following the prescription of the physician.

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