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Dear Bloggers, here i am again with my second topic of this month: Epilepsy. I will be concise and brief on it. I will talk based on we as Med-Student and friends see from our Friends, Relatives and Patients.

The story starts in high school when I saw for the very first time of my life an epilepsy seizure, during examination. I bet no body in the examination room knew about that. We were all scared about what we were seeing. Even the teachers were clueless about what was happening.

But out of my desire to learn more about the fact, i have discovered that Epilepsy is a neurological affection characterized by excessive discharge of neurons; it is the occurrence of sporadic electrical storms in the brain commonly called seizures.

There are 2 types of epilepsy crises:

-Generalized: the discharge involves \ touches the 2 cerebral hemisphere (whole brain).

-Partial or focal: seizure begins from one area of brain, most of time tiny part of the cerebral cortex.

There is also a difference talking about the origins of Epilepsy:

- Symptomatic epilepsy is those occur because of a cerebral lesion. - Cryptogenic epilepsy is those that we can suspect causes (likely causes) but we can't prove it with actual means of diagnosis.

- Idiopathic epilepsy happens for people with no lesion in the brain.

Major Types of Epilepsy

Types of Epilepsy

Generalized Epilepsy

Partial Epilepsy


(genetic causes)

- Childhood absence epilepsy

- Juvenile myoclonic epilepsy

- Epilepsy with grand-mal seizures on awakening Others

- Benign focal epilepsy of childhood


(cause unknown) or cryptogenic

(cause unknown)

- West syndrome

- Lennox-Gastaut syndrome

- Others

- Temporal lobe epilepsy

- Frontal lobe epilepsy Others

Symptomatic epilepsy are due to cerebral lesion: congenital deformation, brain trauma, vascular cerebral tumor, infection of nerves system or neurologic diseases...it can happen that children that suffered from a febrile disease (e.g: measles, mumps, rubella), weither it spread out or reached the brain or not, have what is called febrile convulsion, which differ from epileptic seizure.

Hereditary epilepsy is rare, it concerns a third of the population with epilepsy, kids and infants are the most expose to risk of epilepsy.

The treatment is symptomatic, there is no cure for epilepsy but the seizures can be managed with medicines.

They use anticonvulsant drugs or anti epileptic drugs, the most used are: Tegretol (carbamazepine), Dilantin (Phenytoin sodium), Rivertril (Clonazepam), Valium (Diazepam), Mogadon (Nitrazepam), Phenobarbitone, Lamotrigine, Topiramate...

Epilepsy can also be treating surgically, but in fine cases. In this case, surgery is aimed for the ablation of the part which causes seizures.


1. http://www.webmd.com

2. Terminologie de neuropsychologie et de neurologie du comportement

3.Lin Chuang Shen Jing Nei Ke Di Wu Ban

This Blog does not contain Any Plagiarized Materials.


About the Author

Francine's picture
Author: Francine


Gangadhar Hari's picture

Simple and informative blog madam. I have a query for you. What is the drug of choice for idiopathic generalized seizures and for absence seizures?

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