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Epilepsy cannot usually be cured, but medication can control seizures effectively in about 70% of cases. [7] Of those with generalized seizures, more than 80% can be well controlled with medications while this is true in only 50% of people with focal seizures. [ 5 ]
Epilepsy can have tremendous social issues for patients. Social acceptance from others is a common challenge. Though persons with epilepsy are otherwise just like anyone else, there are stigmas associated with epilepsy that can affect one's acceptance among others. Depression is common due to impaired social acceptance. [1]
The risk of sudden death in young adults with epilepsy is increased 20-40-fold compared to the general population. [32] [33] [20] SUDEP is the number one cause of epilepsy-related death in people with pharmacoresistant epilepsy. [20] Children with epilepsy have a cumulative risk of dying suddenly of 7% within 40 years. [20]
[3] [6] Seizures can look different in different people. It can be uncontrolled shaking of the whole body (tonic-clonic seizures) or a person spacing out for a few seconds (absence seizures). [3] [12] [8] Most seizures last less than two minutes. [5] They are then followed by confusion/drowsiness before the person returns to normal.
Amygdalohippocampectomy is a surgical procedure for the treatment of epilepsy.It consists of the removal of the hippocampus, which has a role in memory, spatial awareness, and navigation, [1] and the amygdalae, which have a role in the processing and memory of emotional reactions, [2] both structures forming part of the limbic system of the brain.
Additional epilepsy surgery following hemispherectomy is rare (4.5%), [7] but may be recommended if there is a residual connection between the two hemispheres that is causing frequent seizures. Mortality rates are low and estimated to be <1% to 2.2%.
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