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 # Tushar 2017-11-07
    Hii, plz tell me,Which tests can confirm syphilis in primary stage, also suggest name of good maternity hospitals in Buldana ?
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    0 # Dr. Naresh 2017-11-08
    During the primary stage,DG illumination tests are very helpful, find good maternity hospitals-Laddhad Hospital.
    Reply | Reply with quote | Quote
    0 # Aarav 2017-10-31
    Hii can you plz tell me, Which fluids can cause or spread syphilis infection, alos give me the list of good gynec in North Cachar Hills?
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    0 # Dr. Naresh 2017-11-01
    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 North Cachar Hills .
    Reply | Reply with quote | Quote
    0 # Jayesh 2017-10-24
    My friend has been diagnosed with gonorrhoea, Please tell which tests will be advisable, also suggest gynec in Ballia ?
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    0 # Dr. Naresh 2017-10-25
    VDRL tests should be done every month for 3 consecutive months for detecting syphilis as well as other sexually transmitted diseases,These tests should be conducted at proper times, find good Gynecologist in Ballia
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    0 # Tushar 2017-10-17
    Hii, I am from Shahjahanpur, plz let me know What is gonorrhoea ?
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    0 # Dr. Pooja 2017-10-18
    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 Shahjahanpur, find list of Gynecologist in Shahjahanpur
    Reply | Reply with quote | Quote
    0 # Aayush 2017-09-12
    My friend has been diagnosed with gonorrhoea, Please tell which tests will be advisable, also suggest gynec in Chidambaranar ?
    Reply | Reply with quote | Quote
    0 # Dr. Pooja 2017-09-13
    VDRL tests should be done every month for 3 consecutive months for detecting syphilis as well as other sexually transmitted diseases,These tests should be conducted at proper times, find good Gynecologist in Chidambaranar
    Reply | Reply with quote | Quote
    0 # Priyansh 2017-09-05
    Hello I am from Dharmapuri, 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. Pooja 2017-09-06
    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 Dharmapuri
    Reply | Reply with quote | Quote
    0 # Lakshay 2017-08-29
    Hello, plz let me know What is menarche, I want to consult with gynec in Mon, plz suggest ?
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    0 # Dr. Pooja 2017-08-30
    the process of starting of the menstrual cycle in females is called menarche, plz find good Gynecologist in Mon.
    Reply | Reply with quote | Quote
    0 # Vivaan 2017-08-29
    Hii, I am from Patan, plz let me know What is gonorrhoea ?
    Reply | Reply with quote | Quote
    0 # Dr. Naresh 2017-08-30
    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 Patan, find list of Gynecologist in Patan
    Reply | Reply with quote | Quote
    0 # Harikiran 2017-08-22
    Can gonorrhoea be caused by the infected towels, also provide the list of good gynecologist in Haveri?
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    0 # Dr. Naresh 2017-08-23
    Gonorrhoea can be transmitted by the infected towels, handkerchiefs of the infected person, But most cases are due to sexual contacts, find here list of good Gynecologist in Haveri.
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    0 # Priyansh Older than three months
    Hello, plz let me know Can gonorrhoea be transmitted to small children, should I consult with good maternity doctor in Mayurbhanj
    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 Mayurbhanj
    Reply | Reply with quote | Quote