EPILEPSY
INTRODUCTION
Epilepsy is a neurological disorder characterized by recurrent and uncertain intrusions of normal brain function, called epileptic seizure (Fisher et al., 2005). The word epilepsy was derived from the Greek word “attack”. The primitive Greeks thought epilepsy was contagious, and hence people with epilepsy used to live alone (Dam, 2003). It is one of the oldest conditions known to humankind (WHO, 2001a) and still the most common neurological condition affecting individuals of all ages. At any given time, it is appraise that 50 million individuals worldwide have a detection of epilepsy (WHO, 2001b). Epilepsy is charaterised by the incident of at least two unprovoked events of recurrent disruption in neurological function. Epilepsy is not a single prognosis but is a symptom with many fundamental causes. (Nunes et al., 2012).
Sudden unexpected death in epilepsy (SUDEP) is the most common cause of death directly related to epilepsy, and most commonly occurs in people with chronic epilepsy (Surges, 2009). Information provided to people with epilepsy should take account of the small but precise risk of SUDEP.[3] SUDEP seems to occur more commonly during sleep and more often affects young adults with medically uncontrollable epilepsy (especially tonic-clonic seizures), those with neurological comorbidity, and patients receiving antiepileptic drug polytherapy.[7] The risk of SUDEP can be diminshed by optimizing seizure control and being aware of the potential consequences of nocturnal seizures.[3]
According to the casual morphology, epilepsy can be divided into 3 categories: idiopathic, acquired (symptomatic) and cryptogenic (presumed symptomatic) (Engel, 2001; Loscher and Brandt, 2010). Idiopathic epilepsy is epileps...
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...o be 9.99 in 1,000 population. In rural areas of Pakistan the load of epilepsy is twice of what is perceived in urban areas (14.8/1000 Vs 7.4/1000) (Aziz et al, 1994). Prevalence of epilepsy in childhood assorted from 15.5 to 23 per 1000 children. Epilepsy was diagnosed in 9% of the attendees of the faith healers. (Drukin et al, 1992).
The aim of a literature review is to:
• Establish a theoretical framework for epilepsy and its relation to deafness
• Define key terms, definitions and terminology
• Identify studies, models, case studies supporting epilepsy and its relation to deafness.
• To gather information at one place to facilitate researchers to look into the basics and advance technologies in this area of science at one platform.
• To emphasize the prevalence of Epilepsy in Pakistan to find ways to escape from this disease and to aware people about epilepsy.
Ramachandran and his team concluded that although the patients were not experiencing seizures or experiencing supernatural occurrences at the time of testing, they were highly sensitive to religious words. Thus, the experiences of temporal lobe seizures strengthened the patients interest in religion (11).
Epilepsy is a serious global problem that affects approximately 1% of people worldwide (1). Epilepsy is a chronic condition of the central nervous system (CNS) characterized by epileptic seizures, which can affect physical and mental functions (2). Epileptic seizures are unprovoked reoccurring episodes of abnormal, excessive, or hypersynchronis neuronal activity in the CNS (2). The treatment options of epilepsy include medications called antiepileptic drugs (AED) and surgeries based on individuals’ specific diagnosis and background (1). The AED Keppra®, S-enantiomer of α-ethyl-2-oxo-1-pyrrolidine acetamide, or Levetiracetam (LEV) is Food and Drug Administration (FDA)-approved for the treatment and prevention of epileptic seizures (3).
In the Hmong religion everything was nature-based. On the other hand, Western medicine revolves around science. Doctors look and are taught to look at science as the “the truth that could be proven.” Westerners usually confine themselves to medications and surgery during sickness. These are two extremely opposite point of views on how a patient should or can be healed. Western Doctors would treat epilepsy by drug therapy. They would prescribe the patient with the appropriate dosages of anti-convulsant drugs. Another option could be surgery but most patients do not require this procedure. The surgery is performed to treat partial activity, which involves only treating certain areas of the brain. One could see how spiritual culture and science could contradict in this
First off, it is important to understand what a seizure is. A seizure is caused by abnormal discharge of electric stimulation in the brain. They may also be caused by salt imbalances in the blood, gastrointestinal disease, poisoning, head injury, brain disease such as a tumor, a malformed blood vessel, or anything that causes sudden lack of oxygen to the brain.((1).) Seizures are also grouped into different categories depending on how severe they are and also depending on which part of the brain is effected. For example, if the entire brain is involved it is a generalized seizure as opposed to if only a portion of the brain is effected and in that case the seizure is a partial seizure. ((2).) There are two types of partial seizures, simple partial and complex partial. There are also two types of generalized seizures, generalized absence (petit mal) and tonic-clonic (grand mal). The seizures that my sister has are tonic-clonic or grand mal, which are considered the most severe type of seizure to have. With a tonic-clonic seizure, there are two phases. In the tonic phase, the person loses consciousness and falls, as the body grows rigid. In the clonic phase, body extremities jerk and twitch. After the seizure, consciousness returns slowly. ((2).)
Another common cause for seizures an overdose, whether this being alcohol, illegal or even prescription drug induced.
A seizure is a short occurrence of symptoms that is caused by a burst of abnormal electrical activity in the brain. Customarily, a seizure lasts from a few seconds to a few minutes. There are different types of seizures not just one. Depending on which part and how much of the brain is affected by the electrical disturbance will determine which type of seizure will occur. Experts divide seizures into five generalized seizures, these include: partial seizures, epileptic/non-epileptic seizures, status epilepticus, gelastic seizures and dacrystic seizures.
In “The Spirit Catches You and You Fall Down” by Anne Fadiman, the whole story revolves around Lia, the thirteenth child of Lee family. Lee family was a refugee family in USA and Lia was their first child to be born in US. At the time of time of birth, she was declared as a healthy child but at the age of three it was founded that she is suffering from epilepsy. In the words of western or scientific world the term epilepsy mean mental disorder of a person and in Hmong culture, epilepsy is referred to as qaug dab peg (translated in English, "the spirit catches you and you fall down"), in which epileptic attacks are perceived as evidence of the epileptic's ability to enter and journey momentarily into the spirit realm (Wikipedia, 2014)
at a rate of up to four times higher than normal. This causes a sort
Epilepsy is an ailment that expresses itself by an attack. An attack occurs because of an abrupt, temporary bother of the electric stimulus in the brains. That means that something goes wrong in the brains, a kind of short circuit. An attack can express itself in several ways. The most well known insult is the tonic-clonic one. Most of the time the person who experiences a tonic-clonic insult, falls down on the ground with arms and legs showing spasm. All muscles relax, so the bladder as well. That can be very embarrassing for the person after the attack. Besides that, epilepsy is different for every person. Usually after an attack, people don’t know that they had one. Yet, some people feel an attack coming. That is called an aura.
According to the book Explaining Epilepsy, “Over three million Americans are affected by epilepsy (Bender 8).” Epilepsy is a condition when a person has two or more seizures that were not the result of an obvious cause, such as heart problems and low blood pressure. (Comprehensive Epilepsy Center). Epilepsy can be diagnosed in people of all ages, but is most common in children and the elderly. A person with epilepsy is in danger at all times because he or she never knows when an epileptic attack will occur. Epilepsy is a condition that negatively impacts an individual’s life through unpredictable seizures. In spite of unpredictable seizures people who suffer from this condition are able to live a fairly normal life, with the help of medicine and treatments.
Many people with epilepsy usually have more than one type of seizure and may have other symptoms of neurological problems as well. The cause of epilepsy varies by age of the person, but the majority of the time the cause is unknown. Common causes of seizures by age in Elizabeth Otte’s case would be congenital conditions (Down’s syndrome; Angelman's syndrome; tuberous sclerosis and neurofibromatosis), genetics, head trauma, and progressive brain disease which is rare (Schechter & Shafer, Ltd., 2013, p.1). The diagnosis of epilepsy is based on medical history of the patients including family history of seizures. They ask several of questions to figure of what type of seizures the patients could possibly be suffering from. Doctors then preform test such as EEG, take blood, and study images of your brain. Epilepsy is treated by a neurologist specialist that may or may not subscribe medication depending on the severity and frequency of the seizures. Also treatment can be a change in the patients’ diet or
Later, the doctors told me I had epilepsy, specifically the type known as grand mal. Immediately, the doctors put me on some medications to prevent the seizures. They also gave my parents a bunch of packets of information about epilepsy. When I got older, some of those packets informed me that 20-25 million people have suffered from an epileptic seizure. Many people grow out of childhood epilepsy or they take medicine to control it. However, there is still a risk of having a seizure even if you take medication. Over the past few years, I have become increasingly aware of the chance of a seizure at any time.
Epilepsy is a very common neurological disorder. Some reports estimate that five in one-thousand people suffer from this problem. Throughout history, people with epilepsy have been shunned or considered inferior. Even today, ignorance leads many people to treat the epileptic as "abnormal" or "retarded". Although the etiology of epilepsy is still not fully understood, it is quite treatable due to advances in modern medicine.
Not everyone who has a seizure has epilepsy. Epilepsy is a chronic neurological disorder characterized by recurrent, unprovoked seizures. Unprovoked means that there is no immediate cause for the seizure, such as a fever, an infection of the brain, or head trauma. Nearly 10 percent of people will have a seizure during their lifetime; most of these are provoked seizures during an acute illness or condition. These people may never have epilepsy. There are two types of seizures people can have. One is partial seizure or focal they begin in one part of the brain. They cause varied symptoms auras which is a funny feeling in your stomach, staring, chewing, lip smacking, shaking, or stiffness in parts of the body. Generalized seizures are when the entire brain is effected. This causes loss consciousness. One type is grand mal is when the body stiffens and jerks. Another type is petit mal, which is momentary loss of consciousness without abnormal body movement. Some factors of this are infections of the brain this includes meningitis, encephalitis, and brain abscess. Strokes are also a risk of epilepsy. Also alcohol can cause seizures for heavy drinkers when they stop drinking abruptly (withdrawal seizures) and also have a good chance of epilepsy. Epilepsy can also cause brain tumors usually they are slow growing and don't affect them for years. Some other factors that cause epilepsy is age the risk of seizures is higher in young children. Also gender epilepsy is higher in males than in females. The most common treatment for epilepsy is the daily use of anticonvulsant or antiepilectic drugs to prevent seizures. These medications act on brain signals to limit hyperexcitability. While medications do not cure epilepsy, they allow many people to live normal, active lives. Other treatments are vagus nerve stimulation this treatment involves electronic stimulation of the brain using an implanted device like a pacemaker. Another is epilepsy surgery this is when a part of the brain that is causing the seizures is removed so that it prevents it from spreading to anther part of the brain.
The health topic I’m covering today is epilepsy which is a neurological disorder that is caused by excessive or abnormal activity in the neural areas of the brain. Epilepsy causes a series of seizures and it does not discriminate when it comes to the person, age, or race. This disease can have a major effect on a person by interrupting their daily lives and health. In ancient times there was very little knowledge about epilepsy.