It’s estimated that 4 in each 100 folks might be recognized with epilepsy, says Dr Prashant Makhija, neurologist marketing consultant, Wockhardt Hospital, South Bombay. In recognition of November as Epilepsy Consciousness Month, right here’s a fundamental information from Dr Makhija to know and know the distinction between suits and epilepsy.
What’s a match?
*A match/convulsion happens when there may be irregular or extreme electrical discharge from nerve cells of the mind. Relying on how a lot of the mind is affected by this irregular/extreme electrical discharge, a match is of two varieties:
# Focal: when it happens in a localised space
# Generalised: when there may be widespread involvement of each halves of the mind
What are the signs of a match?
*Relying on the world of the mind concerned, a affected person might have various symptomatology. A few of the widespread signs embrace clean stare, transient confusion, transient irregular behaviour, deviation of head and eyes to 1 facet, posturing or jerking of 1 limb which can generally be accompanied with twitching of the face, violent jerking of all 4 limbs throughout which affected person might produce irregular sound, he/she might chew his/her tongue and there might also be an involuntary passage of urine/stools in garments
What’s the distinction between having suits and affected by epilepsy?
*Match/convulsion is a one-time occasion and having a single episode of match/convulsion doesn’t essentially imply the affected person is affected by epilepsy
*Epilepsy is a neurological dysfunction whereby affected person tends to have recurrent seizures
*A single episode of match/convulsion might happen due to quickly correctable/reversible drawback such a low blood sugars (hypoglycaemia), low sodium ranges (hyponatremia), consumption of alcohol and so on. In such circumstances correction of the underlying trigger will forestall the affected person from growing additional episodes of suits/convulsions and affected person might not essentially require anti-seizure drugs. Round 1 in 10 individuals may have match/convulsion as soon as in a lifetime.
*An individual is recognized as having epilepsy when he/she reveals a permanent predisposition to have recurrent seizures resulting from genetic/acquired causes. Epilepsy happens both resulting from genetic (familial) causes or when there may be injury to the mind which can happen following a head damage, an infection of the mind, stroke, mind tumour and so on. Round 1 in 26 individuals may have a lifetime danger of growing epilepsy
How is epilepsy recognized?
*For an accurate analysis, it is crucial that the affected person seeks session from a neurologist.
*A neurologist makes a analysis of epilepsy based mostly on medical analysis of the affected person (signs/indicators), EEG(Electroencephalogram) which detects mind waves and MRI scan affected person’s mind.
What ought to one do when an individual sees somebody having match/convulsion?
*When an individual is having match (notably generalised), there may be usually pooling of saliva within the mouth and an opportunity that affected person might aspirate, due to this fact it is crucial that affected person is made to lie down laterally (that’s both to the left or proper)
*Make certain to not give water to the affected person or insert something within the mouth which can do extra hurt
*A delicate pillow could also be positioned beneath the neck
*If the affected person is sporting tight garments, his/her garments could also be loosened
*If there may be posturing or jerking of limbs, they shouldn’t be held tightly but when there’s an opportunity that affected person might injure himself/herself from close by objects, these could also be pushed away from him/her
*Be aware of the time, most suits cease in 2-3 minutes following which affected person goes to sleep but when the episode is lasting for 5 minutes or extra, the affected person ought to be rushed to a close-by hospital.
What are the therapy choices for epilepsy?
*It is very important perceive that epilepsy is treatable and, in lots of circumstances, the therapy is healing
*A majority of the circumstances (round 70 per cent) might be managed with acceptable anti-seizure drugs
*About 30 per cent sufferers stay refractory to medicines and require analysis if they’re candidates for epilepsy surgical procedure which in lots of circumstances is healing
*There are specific superior modalities of therapy (Neuromodulation- Vagus nerve stimulation, Responsive nerve stimulation) which can be provided in selective circumstances.