First Choice Neurology

Epilepsy

Epilepsy is the fourth most common neurological disorder and affects people of all ages. It is a chronic disorder of recurring, unpredictable seizures. A person can be diagnosed with epilepsy if they have two unpredictable seizures. During a seizure, a person experiences abnormal behavior and sensations, sometimes losing consciousness. Many people with epilepsy have more than one type of seizure and may have other symptoms of neurological conditions. Seeing a neurologist and having an MRI scan to look at the brain and EEG to record the electrical activity of the brain is very helpful to diagnose types of seizures.

What Causes Epilepsy?

Epilepsy can be caused by a variety of factors, though in many cases, the exact cause is unknown. Some of the known causes include:

Genetic Factors: In some cases, epilepsy may run in families, suggesting a genetic predisposition. Certain genetic mutations can increase the risk of epilepsy.

Brain Injury: Traumatic brain injuries, whether due to accidents, falls, or other trauma, can lead to epilepsy. The risk is particularly high if the injury involves bleeding in the brain or damage to specific areas.

Stroke: Strokes, which cause damage to the brain due to a lack of oxygen, are a leading cause of epilepsy in older adults. The risk is higher if the stroke results in significant brain damage.

Brain Tumors: Tumors in the brain can disrupt normal electrical activity, leading to seizures. This is a more common cause of epilepsy in adults than in children.

Infections: Infections such as meningitis, encephalitis, and HIV can cause inflammation in the brain, leading to seizures.

Developmental Disorders: Conditions like autism spectrum disorder and neurofibromatosis are associated with an increased risk of epilepsy.

Prenatal Injury: In some cases, brain damage that occurs before birth, often due to oxygen deprivation or maternal infection, can lead to epilepsy in childhood.

Facts about Epilepsy

• 3.4 million American adults have epilepsy.
• Every year almost 150,000 people in the United States develop epilepsy.
• You have a higher chance of developing epilepsy if you have a family history of epilepsy in your family.
• The most common causes are a stroke, brain tumor, brain infection or head trauma.

Epilepsy and Seizures Symptoms

The symptoms of epilepsy vary widely from person to person, depending on the type of seizures they experience. There are several types of seizures, which can be broadly categorized into two groups: focal seizures and generalized seizures.

Focal Seizures:
Focal seizures, also known as partial seizures, occur when the abnormal electrical activity is confined to one area of the brain. Symptoms of focal seizures can vary but may include:

  • Sudden, unexplained emotions such as fear or joy
  • Visual or auditory hallucinations
  • Numbness or tingling in a part of the body
  • Jerking movements in one part of the body
  • A sense of déjà vu or jamais vu (a feeling of unfamiliarity with something that should be familiar)

Generalized Seizures:
Generalized seizures involve both sides of the brain from the onset and tend to cause more widespread symptoms. Types of generalized seizures include:

  • Absence Seizures: Characterized by brief, sudden lapses in consciousness, often mistaken for daydreaming. The person may stare blankly, blink rapidly, or make small, repetitive movements.
  • Tonic-Clonic Seizures: These are the most dramatic type of seizure, involving a loss of consciousness, stiffening of the body (tonic phase), and rhythmic jerking of the limbs (clonic phase). Tonic-clonic seizures are often what people envision when they think of seizures.
  • Atonic Seizures: These involve a sudden loss of muscle tone, causing the person to collapse or fall.
  • Myoclonic Seizures: These are brief, shock-like jerks of a muscle or group of muscles.

Common Seizure Symptoms Across Types:
Regardless of the type, common symptoms that can accompany seizures include:

  • Confusion or disorientation
  • Loss of consciousness or awareness
  • Uncontrolled movements, such as twitching or jerking
  • Staring spells
  • Sudden changes in mood or behavior

epilepsyWarning Signs

  • Keep track of behaviors - Identify and watch for certain behaviors, environments, or physical and emotional signs that come right before an attack, this can be known as a trigger.
  • Aura - Be aware of a warning "aura". This could be a taste or smell. This may allow you to lie down in time to avoid falling or seriously injuring yourself.
  • Recurring seizures - If you are experiencing recurring seizures, this could be a sign of epilepsy.

 

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Is There a Treatment for Epilepsy?

Epilepsy is a lifelong condition for many, but with proper treatment, many people with epilepsy can lead full and active lives. The main goals of treatment are to control seizures, minimize side effects, and improve quality of life. Treatment options include:

1. Medication: Anti-epileptic drugs (AEDs) are the most common treatment for epilepsy. These medications help to control seizures in about 70% of people with the disorder. The specific medication prescribed depends on the type of seizures and the individual’s response to treatment. Common AEDs include carbamazepine, valproate, and lamotrigine. It's important to take these medications exactly as prescribed to maintain seizure control.

2. Surgery: For individuals who do not respond to medication, epilepsy surgery may be an option. Surgery typically involves removing the part of the brain where seizures originate. This is most effective when the seizures are localized to one area. In some cases, the surgery can significantly reduce or even eliminate seizures.

3. Vagus Nerve Stimulation (VNS): VNS involves implanting a device under the skin of the chest that sends electrical impulses to the vagus nerve in the neck. These impulses help to reduce the frequency and severity of seizures.

4. Ketogenic Diet: The ketogenic diet is a high-fat, low-carbohydrate diet that has been shown to reduce seizures in some people, particularly children. The diet works by altering the body’s metabolism, leading to the production of ketones, which are believed to have an anti-seizure effect.

5. Responsive Neurostimulation (RNS): RNS is a newer treatment option that involves implanting a device in the brain. The device monitors brain activity and delivers electrical stimulation to prevent seizures when abnormal activity is detected.

6. Lifestyle Modifications: In addition to medical treatments, lifestyle changes can play a significant role in managing epilepsy. Getting adequate sleep, avoiding triggers such as alcohol or flashing lights, managing stress, and maintaining a healthy diet can all help reduce the likelihood of seizures.

Epilepsy and Seizures Videos

Epilepsy Support Groups

Broward Adult Support Group
Meets the 3rd Tuesday of each month, 2:00 pm - 3:30 pm
512 NE 3rd Ave, 2nd Floor Conference Room, Fort Lauderdale, FL 33301
(954) 779-1509

West Broward Epilepsy Support Group
Meets the 2nd Thursday of each month, 5:00 pm - 6:30 pm
Cleveland Clinics Braathen Center Conference Room
3121 Cleveland Clinic Blvd, Weston, FL 33331
(954) 779-1509

Miami Support Group (English)
First Saturday of the month, 12:00 pm - 1:00 pm
Held at Baptist Medical Arts Building
8950 N. Kendall Dr., Suite 105, Miami, FL 33176
(305) 670-4949

Miami Support Group (Spanish)
Las reunions en Espanol se llevan a cabo el primer sabado del mes de 1:30 pm - 2:30 pm
Held at Baptist Medical Arts Building
8950 N. Kendall Dr., Suite 105, Miami, FL 33176
(305) 670-4949

Homestead Support Group
Meets the 4th Wednesday of each month, 10:30 am–12:00 pm
Homestead Police Athletic League
600 SW 14th Avenue, Homestead, FL 33030
(305) 670-4949

Palm Beach Gardens Support Group
Meets the 4th Monday of each month, 6:00 pm – 8:00 pm
Palm Beach Gardens Medical Center
3360 Burns Road, Conference Room #4
(561) 478-6515

Boca Raton Support Group
Meets the 1st Monday of each month, 5:00 pm - 7:00 pm 
Boca Raton Regional Hospital Marcus Neuroscience Institute
800 Meadows Road, Boca Raton, FL 33486
(561) 478-6515

Facebook Support Group
Visit their Facebook group page

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