Epilepsy – Seizures, Convulsion (fits)
Epilepsy is a brain disorder that causes recurrent episodes called seizures, as an electrical storm in the brain leading to abnormal movements.
If the seizure occurs in a localized part of the brain, it is called a partial seizure and if it affects much of brain, it is called a generalized seizure.
Epilepsy can affect people of all genders, races, ethnic backgrounds and ages.
There are different types of epilepsy:
- Petit-mal epilepsy or an absence seizure cause blanking out or staring into space for a few seconds and mostly common in children. They are brief lapses in consciousness and can involve purposeless movements like jerking or rapid blinking.
- Tonic-clonic or grand mal seizures can lose consciousness, making the patient fall to the ground, have muscle jerks or spasms, and cry out.
- Frontal lobe epilepsy or brief focal seizures can cause muscle weakness, unusual movements and some loss of awareness
- Temporal lobe epilepsy or focal seizures are often connected with auras of nausea, emotions, or unusual smell or taste
- Neocortical epilepsy: Seizures that commence from the cerebral cortex, or outer layer, and can be focal or generalized
- Photosensitive epilepsy that are triggered by flashing lights
- Atonic seizures or drop seizures, cause muscles to go limp and can result in a fall to the floor
- Childhood occipital visual epilepsy: A self-limited epilepsy syndrome that begins in childhood.
Common causes of epilepsy in adults.
In many instances the cause is unknown, however it could be due to:
- Genetic inheritance
- Interruption in the electrical activity in the brain
- Hypoglycaemia – low blood glucose levels
- Lead poisoning.
- Brain damage at birth
- Infection & head injury
- Alcoholism & drug addiction
- Stroke and other vascular diseases.
- Brain infections such as meningitis – inflammation in the brain or spinal cord, can increase risk of epilepsy.
- Dementia
Common causes in Children
- Due to high temperature
- Because of an infection e.g. throat or ear etc.
Common symptoms of epilepsy in adults
- Loss of consciousness that can continue for seconds to minutes.
- Tongue biting
- Rhythmic twitching of extremities or face.
- An “aura” is felt where the patient knows the convulsions are coming.
- Severe spasms & jerking of the hands & legs with rolling up of eyeballs & frothing at mouth.
- After convulsions there is a period of weakness or paralysis.
- Loss of memory for the event.
- Uncontrollable muscles movements – convulsions
- Sudden loss of responsiveness
- Rigid body with an arching back
- Noisy difficult breathing
- Loss of bladder and bowel control
- Afterwards confusion, tiredness and falling into a deep sleep
Common symptoms – children
- Vigorous shaking with clenched fists and an arched back
- Signs of fever – hot, flushed skin, and sweating
- Twitching of face, squinting, fixed or upturned eyes
- Breath holding with a red, puffy face and nec
- Drooling saliva from mouth
- Vomiting
- Loss of control of their bowel or bladder
- Partial or full loss of responsiveness
Common Seizure triggers
Triggers don’t cause epilepsy, but they may trigger seizures in people who have epilepsy.
Possible triggers may include include:
- Skipping doses of antiseizure medicines or taking more than prescribed.
- Lack of sleep.
- Hormone changes during the menstrual cycle.
- Flashing lights.
- Illicit drug use.
- Skipped meals.
Suggested First aid approach
- Don’t restrain or move the patient.
- Protect them from hurting themselves.
- Clear away any potentially dangerous objects, like hot drinks or sharp objects.
- Note the time when the seizure started and how long it lasts.
- Protect their head by placing something soft underneath.
- Loosen any clothing around their neck.
- Open their airway and check breathing, if they fall into sleep.
- Provide them fresh air by opening a door or window (Don’t cool them down too much!)
- If they’re breathing, put them in the recovery position.
- If they stop breathing at any point, seizure last more than 5 minutes, and unresponsive for more than 10 minutes, Call for emergency help.
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