Today, the families of people who suffer from
epilepsy have taken the effort to educate themselves about the condition;
however, many in society who are not exposed to the condition remain ignorant
about epilepsy and how to help out those who are suffering from it. Properly
defining epilepsy will help eliminate this stigma so people with the condition can
feel the support of the people around them and not get ridiculed for the
illness that they are battling with.
In order to define epilepsy, let us first take
a look at some common misconceptions about this illness:
· Epilepsy is contagious! This is a big
misconception that causes people to shy away from people with epilepsy. This is
absolutely not true.
· People suffering from epilepsy are not
productive members of society. This is also not true. Many people with epilepsy
are high functioning individuals with only occasional seizures that painfully
remind them that the condition is still there. In fact, people who suffer from
epilepsy are just as intelligent and talented as the rest of those who don't
suffer from the condition making this a baseless assertion and a blatant
misconception.
· Epilepsy can be considered a mental illness.
This is also not true. Epilepsy is a physical condition with actual physical
manifestations. It affects motor functions during the seizure. It does not
impair an individual's psychology..
To define epilepsy, one has to take into
account all the chronic neurological disorders that manifest as seizures. In
most cases, the definition applies to seizures that recur and are not known to
be triggered by an obvious factor. In most cases, a person is said to be
suffering from epilepsy when there are no identifiable cause for the seizures
even if suggestive factors may help explain the condition after a lengthy and
thorough diagnostic evaluation.
Under an EEG or electrocardiogram, epilepsy
will manifest as an excessive or abnormal brain wave activity which triggers
involuntary muscle spasms known as seizures. Medical statistics indicate that
more than 50 million people worldwide suffer from various forms of epilepsy and
that a significant percentage of this number hails from the developing world
where epilepsy treatment plans are not as developed and misconceptions remain
pervasive.
Once diagnosed, epilepsies can be classified
in a variety of ways and this also constitutes one of the more important
thrusts when medicine seeks to define epilepsy. Anticonvulsants are very
popular in this regard because there is now a high degree of correlation
between specific seizure syndrome types and the anticonvulsants that work best
with those conditions.
Some forms of epilepsy are inherited. Sodium,
potassium, and calcium are serve the brain as ions and produce electric charges
that must fire regularly in order for a steady current to pass from one nerve
cell to another nerve cell. If the channels that carry them are damaged or
impaired from birth an imbalance (irregularty) occurs that can cause misfire
and seizures the brain.
ever needing to be re-vaccinated. Although epilepsy can start at
any point during a person's life, most epilepsy is diagnosed in the age of
childhood, and most of all in the first year of life - around 150 out of every
100,000 babies under the age of one year are diagnosed with epilepsy per year.
This drops to 50 adults per 100,000. However, recent reports of
epilepdi have shown that epilepsy is increasing in older people, who account
for a quarter of all new diagnoses, according to a survey by the National
Society for Epilepsy. The condition is twice as common in older people as it is
in the population as a whole in the world.
Epilepsy is divided almost equally between the
both sexes, though a few epilepsy syndromes can be occur exclusively in girls.
Epilepsy is slightly more common in men, and there are various reasons why this
may be so. One reason is that men are more likely to suffer head injury and
brain infection. Another theory is that the brains of boy and girl babies
develop differently in the womb due to differences in male and female sex
hormones.
The
brain matures more rapidly in girl babies than boy ones, so that girls are less
vulnerable to perinatal anoxia (lack of oxygen around birth) which can damage
developing areas of the brain. The Y chromosome which produces maleness in
unborn babies also slows development down, so that boys are born around two to
three weeks behind in maturity than girls, so making them more vulnerable to
injury.
This
vulnerability persists into adulthood - one study showed that, in women, 50 per
cent of the risk of developing epilepsy was past by the time they were 19, but
in men, this did not happen until they were 24. This risk is thought to
outweigh men's larger brain size.
Another
study showed that the brains of men and women only become the same size when
they are 100, when they have both shrunk enough to be similar! There is some
evidence that the prognosis or outlook is slightly worse in women, and it has
been suggested that this is because women's brains are tougher, a more severe
event is needed to precipitate the epilepsy. But, in practice, most of these
differences are slight - again, each person with epilepsy represents an
individual case, and should be treated as such.
Despite its high prevalence, epilepsy,
traditionally the 'Cinderella' of the health service, attracts little by way of
research money - out of the UK's annual £2 billion medical research budget only
£336,000 is spent on epilepsy, less than £1 per person with epilepsy, and
comparing unfavorably with say the £250 per person with muscular dystrophy and
£140 per person with multiple sclerosis.
A recent survey of health managers in the UK
revealed that only 5 per cent had set service standards for epilepsy
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