By Orrin Devinsky MD
Taking the lead from actual sufferers' questions and insights, this new version of a best-selling consultant offers must-have details to these clinically determined with epilepsy — the most typical neurological affliction in youngsters, adults, and the aged. Written by way of a number one specialist, this advisor solutions universal questions, assuages patient's fears, and encourages epileptics to take an energetic function of their treatment.
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Extra info for Epilepsy: Patient and Family Guide
Example text
As the doctors kept going up on the doses, she would undergo terrible personality changes, turn into a zombie, or look drunk. We have finally come to accept the seizures and her mental handicaps. We also have part-time help at home so that we and our other kids can have a more normal life. As we let go of some our unrealistic hopes and accepted Kathy for who she is, disappointment changed to joy. 30 EPILEPSY: PATIENT AND FAMILY GUIDE The Lennox-Gastaut syndrome is serious but uncommon. It is defined by three features: difficult-to-control seizures, mental retardation, and a slow spike-and-wave pattern on the EEG.
Most patients have problems in the DNA that codes for the proteins in sodium channels in cell membranes. The altered proteins change neuronal excitability and predispose to seizures. There is often more than one person in the family affected with some combination of febrile or afebrile seizures. Some patients have only simple febrile seizures that end before age 6 years, while others can have febrile seizures that are prolonged or recur after age 6. Other types include absence, myoclonic, atonic, and partial seizures.
Those who have had mild seizures, such as simple partial or absence seizures, later may experience tonic-clonic seizures. In some instances, the change in seizure type may result from factors such as missed medication or lack of sleep. For others, it is just the way their disorder develops; they have always had a small chance of having a tonic-clonic seizure. We don’t know exactly why seizure patterns change over time. There may be some changes in the brain such as reorganization of connections or an increase or decrease in the concentrations of certain chemicals.