By Orrin Devinsky MD
Taking the lead from actual sufferers' questions and insights, this new version of a best-selling advisor supplies must-have details to these clinically determined with epilepsy — the most typical neurological ailment in young ones, adults, and the aged. Written through a number one professional, this consultant solutions universal questions, assuages patient's fears, and encourages epileptics to take an lively function of their remedy.
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Extra resources for Epilepsy: Patient and Family Guide
As the ball grows, everything becomes like a dream, and I don’t feel real. It is the strangest feeling. The seizure can just stop, and my vision is just a little blurry, or it can go all the way, fall to the floor and have a grand mal. When the seizure discharge starts in a localized area but later spreads to involve both sides of the brain, the partial seizure may become a secondarily generalized tonic-clonic seizure. Secondarily generalized seizures are common, occurring in more than 30% of children and adults with partial epilepsy.
The seizures are often diﬃcult to control and lifelong. Some patients have abnormalities in their sodium channel genes that can be tested by Athena Diagnostics. SMEI should be distinguished from Lennox-Gastaut syndrome and Doose syndrome. The history of febrile clonic seizures helps distinguish SMEI patients from those with Lennox-Gastaut syndrome. The EEG in SMEI often shows features of both generalized and localized (partial) epilepsy waves. Although febrile convulsive seizures may occur myoclonicastatic epilepsy (Doose syndrome) as well as SMEI, those with Doose syndrome do not show localized epilepsy waves and do not develop partial seizures.
The whole world suddenly seems more real at first; it’s as though everything becomes crystal clear. Then I feel as if I’m here but not here, kind of like being in a dream. It’s as if I’ve lived through this exact moment many times before. I hear what people say, but they don’t make sense. I know not to talk during the episode, since I just say foolish things. Sometimes I think I’m talking but later people tell me that I didn’t say anything. It lasts a minute or two. 32 EPILEPSY: PATIENT AND FAMILY GUIDE This description depicts some of the unusual features of temporal lobe seizures.