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Epilepsy Explained: Myths, Facts, and Modern Treatments
Epilepsy is one of the most misunderstood neurological conditions in the world. Despite affecting millions globally, it is often surrounded by fear, stigma, and misinformation. The truth is, epilepsy is a manageable medical condition, and with today’s advancements in treatment, many people with epilepsy live full, active lives.
In this blog, we break down the common myths, share the medical facts, and explore the modern treatment options available for epilepsy.
What is Epilepsy?
Epilepsy is a chronic neurological disorder characterized by repeated, unprovoked seizures. A seizure occurs when there is a sudden surge of electrical activity in the brain, which can affect a person’s behavior, movements, feelings, or level of consciousness.
Not all seizures are the same. They vary in intensity and type, and having one seizure doesn’t necessarily mean someone has epilepsy. A diagnosis is made when a person experiences two or more unprovoked seizures at least 24 hours apart.
Epilepsy can affect infants too. Juvenile Epilepsy refers to forms of epilepsy that begin during childhood or adolescence. Like epilepsy in adults, it is a chronic neurological disorder characterized by repeated, unprovoked seizures, which are sudden surges of electrical activity in the brain. Despite its onset in younger individuals, juvenile epilepsy is a manageable medical condition, and with advancements in diagnosis and treatment, many children and adolescents affected by it can lead full, active lives.
Common Myths and the Truth Behind Them
Myth 1: Epilepsy is a mental illness
Fact: Epilepsy is a neurological disorder, not a psychiatric or mental condition. It originates in the brain due to abnormal electrical activity.
Myth 2: People with epilepsy cannot live normal lives
Fact: With the right treatment and lifestyle support, many people with epilepsy lead completely normal lives, including working, studying, and even driving if seizures are controlled.
Myth 3: You should restrain someone during a seizure
Fact: Restraining a person during a seizure can cause injury. Instead, gently move any harmful objects away, support their head, and let the seizure pass. Call medical help if it lasts longer than five minutes.
Myth 4: Seizures always involve convulsions
Fact: Seizures can look very different. Some may involve staring spells, confusion, or unusual movements without shaking or falling.
Myth 5: Epilepsy is contagious
Fact: Epilepsy is not contagious and cannot be transmitted from one person to another.
What Causes Epilepsy?
In many cases, the exact cause is unknown. However, some known causes include:
- Brain injury or trauma
- Stroke or reduced oxygen supply to the brain
- Brain tumors
- Genetic conditions
- Infections such as meningitis or encephalitis
- Developmental disorders
Understanding the cause can often help determine the best treatment approach.
Recognizing Seizure Symptoms
Seizure symptoms vary depending on the type of epilepsy but may include:
- Sudden stiffness or jerking of the limbs
- Blank staring or unresponsiveness
- Temporary confusion or memory gaps
- Unusual sensations such as smells, tastes, or visual distortions
- Loss of consciousness or awareness
If you or someone you know experiences any of these symptoms more than once, it is important to consult a neurologist for further evaluation.
Modern Treatments for Epilepsy
Medication
Anti-epileptic drugs are the first line of treatment. They help control seizures in about 70 percent of people with epilepsy. The type of medication and dosage are tailored based on the seizure type and patient profile.
Surgery
For individuals whose seizures cannot be controlled by medication, epilepsy surgery may be an option. This involves removing the area of the brain where seizures originate.
Vagus Nerve Stimulation (VNS)
VNS involves implanting a small device under the skin of the chest, which sends electrical signals to the brain via the vagus nerve. This can help reduce the frequency and severity of seizures.
Magnetic Resonance-guided Focused Ultrasound (MRgFUS)
This is a non-invasive, incisionless treatment that uses highly focused ultrasound waves, guided by real-time MRI imaging, to precisely ablate (destroy) small, targeted areas of brain tissue that are causing seizures. It's a newer option for certain types of epilepsy, particularly those originating in deep brain structures, offering a less invasive alternative to traditional surgery.
Ketogenic Diet
A medically supervised high-fat, low-carbohydrate diet has been shown to reduce seizures in some individuals, especially children with certain types of epilepsy.
Lifestyle and Support
Maintaining regular sleep, managing stress, avoiding seizure triggers, and taking medication consistently are key to effective seizure control.
Living Well with Epilepsy
Epilepsy may be a lifelong condition for some, but it does not define a person’s future. With the right care plan and a strong support system, people with epilepsy can thrive in every aspect of life.
It is also important to foster an environment of awareness and acceptance, free from stigma and fear. Educating ourselves and others is the first step in making life better for those living with this condition.
Comprehensive Epilepsy Care at Royal Care Hospitals
At Royal Care Hospitals, we provide expert diagnosis, personalized treatment, and long-term care for individuals with epilepsy. Our dedicated team of neurologists, neurosurgeons, and rehabilitation specialists work together to offer:
- Advanced diagnostic tools including EEG and brain imaging
- Access to the latest medication and surgical techniques
- Holistic management including diet counseling and psychological support
- Patient education and family counseling
Whether you’re seeking a second opinion, ongoing care, or exploring surgical options, our team is here to guide you every step of the way.
Epilepsy is treatable, and in many cases, seizures can be controlled or even eliminated with the right care. Breaking the myths, understanding the facts, and accessing modern treatment options can transform the way we view and manage this condition.
If you or someone you care about is facing epilepsy, don’t hesitate to seek expert help. At Royal Care Hospitals, we are committed to helping you move beyond the diagnosis and toward a healthier, more empowered life.
To schedule a consultation with our Neurology Department, contact Royal Care Hospitals today.