Frequently Asked Questions (FAQs) on epilepsy | HospitalKhoj

EPILEPSY

EPILEPSY

EPILEPSY

Ques. 1     What is Epilepsy?

Ans.          It is a condition on sudden paroxysmal disorder of cerebral function (dysrhythmia of the brain) marked by inhibition of functions of the higher centers of the cerebrum involving either a small area of a large part of it resulting in uncontrolled activity of this and other parts of nervous system.

Types :

  • Symptomatic (or secondary) – where a definite cause is present.
  • Idiopathic (or primary) – without an obvious cause.

Ques. 2     What are the causes of epilepsy?

Ans.          Causes of Symptomatic Epilepsy ; I. General- Poisons- alcohol, lead, insecticides. Matabolic disorders, uraemia, hypoglycaemia etc. Cerebral anoxiants-asphyxia, heart block etc.

  1. Local : Vascular lesions – cerebral embolism. Trauma-birth injury, head injury. Inflammatory-encephalitis, meningitis, Congenital-tuberose sclerosis etc, Degenerative - presenile dementias.

Classification of Idiopathic Epilepsy:

  • Local – Temporal lobe Epilepsy, Jacksoniam Epilepsy, Grand mal Epilepsy with focal (partial) onset.
  • Generalised- Grand mal Epilepsy, Petit mal Epilepsy, Myoclonic seizure, Tonic seizure, Akinetic seizure.
  • Ques. 3     What is the Minor Epilepsy (or petit mal)?

    Ans.

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             This is an idiopathic type of epilepsy, occurring commonly in young age. The attacks are frequent, even several hundreds per day. (Without any of the discoverable organic disease of the brain or other known cause of fits.)

    Clinical Features are :

  • Amnesia, which may be short.
  • Jerky movements of short duration, eyelids, face, arms.
  • Consciousness is restored rapidly and fully.
  • The frequency of attacks usually diminished with age.
  • Sudden loss of consciousness without aura and with little or no clonic or tonic movement.
  • Staring expression with eyes set straight ahead.
  • Ques. 4     Describe Grand Mal (or Major) Epilepsy?

    Ans.          The description of Epilepsy is :-

  • Onset : Any time but usually when the patient just falls asleep or gets up from bed.
  • Other possible factor : Due to some drugs, Alcohol; due to metabolic changes (viz. hepatic failure, uraemia hypoglycaemia etc.) Degenerative brain diseases; cerebral infarction; cerebral neoplasm etc.
  • Clinical Feature : Premonitary symptoms- Prior to the attack there may be a change of mood or behaviour for few days.
  • Exciting cause : Overwork, fatigue, hunger, excitement, alcoholic debauch, pyrexia etc. Age- Usually after 2 years to 20 years.
  • Attack- consists of six stages:

  • Clonic Phase- Lasts for about a minute. Short jerky movement of different muscles, asphyxia relieved, saliva mixed with air bubbles come out of the mouth. Breathing starts and cyanosis disappear.
  • Flaccid coma & sleep- Starts of relaxation of musclesPut an object such as hand-kerchief between the teeth to avoid tongue biting.
  • Homoeopathic remedies.
  • Ques. 6     Which Homoeopathic Remedies are useful?

    Ans.          The Homoeopathic Remedies which are useful are :-

  • OPIUM- Spasms begin with loud screams, then foam at mouth, trembling of limbs and suffocation. Eyes half open and turned up pupils dilated and insensible to light. After attacks deep, face red and hot.
  • BELLADONNA- Recent cases, with decided brain symptoms. Illusions of sight and hearing. Convulsion commence in upper extremities and extend to mouth, fauces & eyes. Foam at mouth. Involuntary micturition and defecation.
  • BUFO – Epilepsy following onanism. Attacks occur mostly at change of the moon, at time of menses, in sleep. Painful weariness of limbs.
  • HYOSCYAMUS – Epilepsy preceded by vertigo, sparks, before the eyes, ringing in ears, hungry gnawing, During attack face purple, eyes projectin, shrieks, grinding teeth; urination, After attack, spoor, snoring.
  • Ques. 7     Which Biochemic Remedies are useful?

    Ans.          The Biochemic Remedies are useful are :-

  • PHOS. – Epileptic fits, sometimes the results of vicious habits, which must be restrained.
  • SILICEA – Nocturnal epilepsy, esp. about the time of the new moon; feeling of coldness before the attack, spasms spreads from from the solar plexus upward. Exalted susceptibility to nervous stimuli, with exhausted condition of the nerves.
  • FERRUM PHOS. – Epileptic fits with rush of blood to head.
  • KALI PHOS – Epilepsy or epileptic fits with shrunken countenance, coldness and palpitation after the fit.
  • Differential Diagnosis :

    1)

    Onset :

    Rapid.

    Slow.

    2)

    Duration :

    Longer,

    Shorter.

    3)

    Warning symptoms :

    Epigastric or psychic arura; may be none.

    Light headedness blurring of vision

    4)

    Posture during onset :

    Any.

    Usually upright.

    5)

    Pulse & blood pressure :

    Raised.

    Low.

    6)

    Injuries & incontinence :

    Common.

    Rare.

    7)

    Recovery :

    Prompt.

    8)

    After attacks :

    Drowsiness, headache, and mental confusion.

    Generalised physical weakness,

    9)

    Repeated attacks :

    Points

    Hystericl Fit

    Provoking stimulus :

    Emotional upset.

    None.

    Type of convulsion :

    Irregular & bizarre type, usually occur in presence of others, no unconsciousness no spasms.

    Definite sequence of unconscious-sness. Spasm and clonic movement. 

    Corneal reflex :

    Evokes vigorous contraction of the ocular & facial muscles.

    Absent.

    Planter response :

    Flexor.

    Extensor.

    Tongue bitting & incontinence :

    Sudden.

    Gradual.

    Points

    Epilepsy

    Syncope

     

     

    .
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    Comments

    0 # Jayesh 2019-01-16
    Hii, I am from Bikaner, plz let me know What is gonorrhoea ?
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    0 # Dr. Pooja 2019-01-17
    Hello, Gonorrhoea is a sexually transmitted disease caused by the Neisseria gonorrhoea,This disease is caused in the genitourinary tracts, for more details plz visit good gynec in Bikaner, find list of Gynecologist in Bikaner
    Reply | Reply with quote | Quote
    0 # Harikiran 2019-01-15
    Hii, can you plz tell me,What changes can occur in skin in syphilis patient, also suggest good obstertrician in Begusarai ?
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    0 # Dr. Pooja 2019-01-16
    Rashes can occur on the skin in the near areas,rashes can be discrete and also symmetrical in nature, Rashes can also be pustular, you can consult with Obstetrician in Begusarai.
    Reply | Reply with quote | Quote
    0 # Nishith 2019-01-15
    Hii can you plz tell me, Which fluids can cause or spread syphilis infection, alos give me the list of good gynec in Dantewada?
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    0 # Dr. Naresh 2019-01-16
    Infection from semen, blood or lactation milk can occur and cause syphilis, Infection from blood syringes is very common, Infected mothers can transmit it through their milk also, consult with good Gynecologist in Dantewada .
    Reply | Reply with quote | Quote
    0 # Aarush 2019-01-01
    Hi, plz let me know What is the incubation period of Syphilis, also give me the list of good female's specialist in Panchkula ?
    Reply | Reply with quote | Quote
    0 # Dr. Naresh 2019-01-02
    Hii, The incubation period can be 10 to 90 days, plz find list of Gynecologist in Panchkula
    Reply | Reply with quote | Quote
    0 # Tushar 2018-12-26
    Hii, I am from Tirap, Please tell that can moisture be responsible for infections ?
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    0 # Dr. Pooja 2018-12-27
    Hello, good to see that you are from Tirap, yes,that is why u must keep your genital organs clean and dry because moisture can favour infections.
    Reply | Reply with quote | Quote
    0 # Harikiran 2018-12-18
    Hello I am from West Siang, My neighbour has been feeling redness and burning in urethral organs, can it be a disease, should she visit gynec?
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    0 # Dr. Naresh 2018-12-19
    It can be a simple infection also and a disease also, If after the examination, the presence of gram negative bacteria is seen ,gonorrhoea infection can be thought of, she should visit good women's specialist- find list of Gynecologist in West Siang
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    0 # Himmat Older than three months
    Hello I am from Rajkot, My neighbour has been feeling redness and burning in urethral organs, can it be a disease, should she visit gynec?
    Reply | Reply with quote | Quote
    0 # Dr. Pooja Older than three months
    It can be a simple infection also and a disease also, If after the examination, the presence of gram negative bacteria is seen ,gonorrhoea infection can be thought of, she should visit good women's specialist- find list of Gynecologist in Rajkot
    Reply | Reply with quote | Quote
    0 # Vivaan Older than three months
    Hii, I am from Uttar Dinajpur, can you plz tell me What is the mode of infection in syphilis ?
    Reply | Reply with quote | Quote
    0 # Dr. Pooja Older than three months
    90 percent cases in syphilis are transmitted through unsafe sexual contacts, Mothers can also pass infection through breast milk, you can also consult with good Gynecologist in Uttar Dinajpur .
    Reply | Reply with quote | Quote
    0 # Jayesh Older than three months
    Hello, plz tell me what are venereal diseases, can you plz suggest some good gynecologist in Lakhisarai ?
    Reply | Reply with quote | Quote
    0 # Dr. Pooja Older than three months
    veneral diseases are those which can be spread through sexual contact, The spreading agents can bacteria ,viruses etc, The examples are syphilis and gonorrhoea can be can spread by sexual contact, you can also find list of Gynecologist in Lakhisarai.
    Reply | Reply with quote | Quote
    0 # Vaibhav Older than three months
    Hello, plz let me know Can gonorrhoea be transmitted to small children, should I consult with good maternity doctor in Anekal
    Reply | Reply with quote | Quote
    0 # Dr. Pooja Older than three months
    yes,this can be transmitted by infected mothers to children, In this case it is called as ophthalmia neonatorum, find list of good doctor-.Obstetrician in Anekal
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