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The mainstay treatment of epilepsy is anticonvulsant medications, possibly for the person's entire life. [26] The choice of anticonvulsant is based on seizure type, epilepsy syndrome, other medications used, other health problems, and the person's age and lifestyle. [147]
Early surgical treatment of epilepsy was primitive in Ancient Greek, Roman and Egyptian medicine. [73] The 19th century saw the rise of targeted surgery for the treatment of epileptic seizures, beginning in 1886 with localized resections performed by Sir Victor Horsley, a neurosurgeon in London. [72]
A simple febrile seizure is generalized, occurs singularly, and lasts less than 15 minutes. [19] A complex febrile seizure can be focused in an area of the body, occur more than once, and lasts for more than 15 minutes. [19] Febrile seizures affect 2–4% of children in the United States and Western Europe. It is the most common childhood ...
The vagus nerve stimulator is a device that can be implanted into patients with epilepsy, especially that which originates from a specific part of the brain. However, both of these treatment options can cause severe adverse effects. Additionally, while seizure frequency typically decreases, they often do not stop entirely. [40] [41]
First line therapy for epilepsy involves treatment with anticonvulsive drugs, also called antiepileptic drugs– most patients will respond to trials of one or two different medications. [5] The goal of treatment is the elimination of seizures, since uncontrolled seizures carry significant risks, including injury and sudden unexpected death in ...
Seizures may require antiseizure medication treatment, but sometimes are infrequent enough to allow physicians to defer treatment. [6] ii. Self-limitied epilepsy with autonomic seizures (SeLEAS) SeLEAS (formerly known as benign occipital epilepsy of childhood or Panayiotopoulos syndrome) is a focal epilepsy of unknown cause that most commonly ...
Treatment can be short and drugs can almost certainly be discontinued after two years without seizures and with normal EEG findings, perhaps even earlier. [4] Parental education about Rolandic epilepsy is the cornerstone of correct management. The traumatizing, sometimes long-lasting effect on parents is significant. [28]
An epileptologist is a neurologist who specializes in the treatment of epilepsy. [1] Epileptologists are experts in epileptic seizures and seizure disorders, anticonvulsants, and special situations involving seizures, such as cases in which all treatment intended to stop seizures has failed and epilepsy (especially poorly controlled epilepsy) in pregnant women.
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