The Egyptian Society for Blood Transfusion Services
The causes of sudden epilepsy vary and vary, and among these reasons are the following:
1. Infection of the central nervous system. Infection of the brain due to infection with bacteria, viruses, and parasites can cause sudden epilepsy, as infection with these microbes will cause inflammation in the brain tissue, which leads to an imbalance in neural activity in the brain. Such as:
Tuberculosis that affects the central nervous system.
• Neurocysticercosis.
• Meningitis or encephalitis.
Brain abscess.
River blindness (Onchocerciasis).
• Toxoplasmosis.
2. Brain tumors. Sudden epileptic seizures are usually early signs of brain tumors. This may be accompanied by a feeling of headache at different times. The recurrence of seizures and their increase in intensity is an indication of tumor growth, bleeding or swelling.
3. Head and brain injuries. Injury to the head and brain can cause epileptic seizures. These seizures may occur immediately after the injury or within hours or days. Among the factors that increase the risk of epileptic seizures after head and brain injuries are the following:
• If the patient is over 65 years old.
• Chronic alcohol abuse.
• If the injury penetrated the skull.
• Brain contusion.
• The presence of bleeding in the brain.
4. Abuse of stimulants and withdrawal symptoms from sedatives. Some substances can alter the activity of neurotransmitters, leading to seizures. Some substances may cause electrolytes or blood flow in the brain to be disturbed, leading to an epileptic seizure. Among these mods are the following:
• Antidepressants.
• Diphenhydramine.
• Cocaine.
• Methamphetamine.
Tramadol.
Isoniazid.
• Some substances have a sedative effect on the brain. If the patient is constantly taking regular doses of these medications, • sudden cessation may lead to a seizure.
5. Stroke. A stroke may cause problems with the electrical activity in the brain, leading to a seizure. A seizure often occurs within 24 hours of a stroke, but it can occur months after a stroke.
In addition, the more severe the stroke, the more likely it is to cause seizures.
6. High body temperature. High fever can cause epileptic seizures, especially in young children and infants. These seizures are called febrile seizures. Having a febrile seizure does not necessarily mean that the child will have seizures when he grows up.
7. Blood sugar and mineral disturbances. Low blood sugar (Hypoglycemia) or Electrolyte disturbance may cause epileptic seizures.
● Symptoms of sudden epilepsy. There are different types of epilepsy, some of which are partial (focal) or complete (Generalized), and the symptoms of epilepsy are as follows:
• Uncontrollable movements of the hands and feet.
• A disturbance in the level of consciousness, and this occurs in total epileptic seizures.
• The patient may bite his tongue during an epileptic seizure.
● Epilepsy treatment. A single epileptic seizure may not require specific treatment. However, if the seizures recur continuously, epilepsy can be treated in different ways, including the following:
1. Diet therapy. There is a diet called the ketogenic diet, which is high in fat and low in carbohydrates. The ketogenic diet may help control epileptic seizures.
2. Pharmacological treatment Pharmacological treatment is one of the options available to treat epileptic seizures, as there are different options of medicines.
3. Surgical treatment. Surgical treatment may be resorted to if other options do not work, and it may be suitable for a certain group of patients. Among these surgical treatments are the following:
Lobectomy.
• Corpus callosotomy.
• Thermal ablation using laser.
4. Electrical stimulation therapy. There is a set of procedures that may also help reduce epileptic seizures, including the following:
• Vagus nerve stimulation.
• Responsive neurostimulation.
• Deep brain stimulation.
D● Who are the patients who should see a doctor? There is a group of patients who may need to see a doctor who specializes in epilepsy, and among these patients are the following:
• Diabetics.
• Pregnant women.
• The patient who suffers from a high temperature.
• Cases in which an epileptic seizure lasts more than 5 minutes.
• If the patient is no longer breathing normally after an epileptic seizure.
• People who are injured during an epileptic seizure.