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Epilepsy
An estimated total of 3.4 million people live in the United States with epilepsy today. Epilepsy is a disorder that affects the central nervous system and is the fourth most common neurological disorder and can affect people of all ages. Throughout this paper, I am going to discuss three different topics surrounding epilepsy. We will be diving into the symptoms and diagnosis, the types of treatment that are available, and the prognosis and current research.
Symptoms and diagnosis
Types of Epilepsy
Epilepsy is generally referenced as having four different types. The first type is known as generalised epilepsy. Generalized epilepsy is a type of epilepsy where the seizure comes from the entire brain itself. This is caused by a gran mal seizure which is also known as generalized tonic-clonic seizure. Gran mal seizures happen because of abnormal electrical activity throughout the brain. During a gran mal the person loses consciousness and has violent muscle contractions. There is a type of epilepsy that only affects one hemisphere of the brain, this is known as focal epilepsy. Focal seizures can be divided into two categories: focal aware seizures, which sometimes affect motor and sensory functions; and focal impaired awareness seizures, which alter consciousness and can result in unusual or confused behavior. CITATION Epi18 \l 1033 (Epilepsy advocate, 2018). A few symptoms of focal seizures include having a blank stare, chewing, mumbling or confused speech, fumbling or picking, wandering or running away, and jerking or shaking. Focal seizures are subtle and easily missed.The third type is when a clinician is still uncertain to which other form of epilepsy is presenting in the patient, this typically requires further testing to determine which type the patient has. This type is known as generalised and focal epilepsy. The patient has both symptoms of gran mal and focal seizures. There are situations where it is unknown which type of epilepsy it is, which is the fourth type of epilepsy called unknown epilepsy. There are many different types of tests that are used to diagnosis epilepsy. Some of these tests are but not limited to, a neurological exam, blood test, Electroencephalogram (EEG), high-density EEG, computerized tomography (CT) scan, magnetic resonance imaging (MRI), functional MRI (fMRI), positron emission tomography (PET), single-photon emission computerized tomography (SPECT) and neuropsychological tests. Along with test results, the doctor may use a combination of analysis techniques to help pinpoint where in the brain seizures start. Some of these techniques are statistical parametric mapping (SPM), electrical source imaging (ESI), and magnetoencephalography (MEG).
Treatment options
There is no cure for epilepsy but there are a few different treatment options including, anti-seizure medications, surgery, devices, or dietary changes. Medications used to treat epilepsy are called antiepileptic drugs (AEDs). There are more than 30 prescription AEDs on the market, and they’re mostly available as oral tablets or capsules. Your options depend on:your age, your lifestyle, your chance of becoming pregnant, the types of seizures you have, how often you have seizures. CITATION Kri21 \l 1033 (Kristeen Cherney, 2021).
Prognosis
For patients with seizures, prognosis means the probability of further seizures after a single unprovoked seizure or the likelihood of achieving seizure freedom or terminal remission after a pattern of recurring seizures has been established It is now accepted that up to 70% of people with epilepsy will enter remission, usually in the early years of the condition. In discussing the prognosis of epilepsy, various aspects need to be considered: the likelihood of recurrence following a single seizure, the impact of early versus late treatment, the probability of relapse after prolonged remission, the probability of seizure freedom following epilepsy surgery or relapse following antiepileptic medication withdrawal. CITATION San \l 1033 (Sander).

    

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