Sunday, July 17, 2016

Back To Basics—Definition of Seizure and Epilepsy

Epilepsy is a chronic disorder which is characterized by recurrent, unprovoked seizures, often with no known cause.  The word unprovoked is important here because someone can have one seizure due to alcohol, sudden head trauma, lack of sleep, or extreme stress.  That individual seizure is not counted as epilepsy. 

However, if someone has ongoing seizures without any immediate accompanying events, that is considered epilepsy.  There may be factors such as alcohol, head trauma, or brain tumor which plant the seed inside the brain for the seizure activity, but unlike the one-time seizure, these situations most likely activate something which is already there.   Stress and lack of sleep also contribute to seizure activity.

It is useful to remind ourselves what a seizure really is.  Normally, the brain works by neurons (brain cells) firing randomly.  However, during a seizure, they organize and concentrate themselves, firing off synchronously—in an orderly pattern.

It is clearer to see this with an EEG (electroencephalogram).  You can see the disorderly waves, until the seizure activity comes about.  Here there is a pattern to the spikes and waves.


 Absence seizures

Juvenile Myoclonic Epilepsy

Lennox-Gastaut Syndrome

There are many types of seizures and syndromes.  Although we have many treatments, we have no cure.

Sources

Pictures of EEGs

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