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Diagnosis and management of seizure disorders treatment in Hebbal, Bangalore

Diagnosis and management of seizure disorders

Management of neuromuscular disorders and sleep disorders treatment in Hebbal, Bangalore

Identifying the disorder

Your doctor will examine your symptoms and medical history in detail as soon as you have had a seizure. To determine the cause of your seizure, your doctor might need to order a series of tests in order to determine what the problem is. In this way, your doctor will be able to determine how likely it is that a subsequent seizure will occur based on how likely it is.

Diagnosis

The following tests may be conducted,

  • Examining the nervous system is referred to as a neurological examination. As part of your assessment, your physician may ask questions about your behaviour, motor abilities, and cognitive abilities if you have a brain and nervous system problem.

  • Blood test results will be examined. In order to determine your blood sugar level and to check for signs of infections, genetic disorders, or electrolyte deficiencies, your doctor may perform a blood test by taking a sample of your blood.

  • A lumbar puncture is performed. In cases where there is a suspicion that an infection is causing the seizure, a brain tissue sample may be collected for testing.

  • The term electroencephalogram, or EEG, is a test of brain activity produced by electroencephalography. An EEG graph indicates your brain's electrical activity based on the wavy lines that appear on the graph. By analysing the EEG patterns, doctors may be able to determine whether or not a seizure will recur in the future. Your physician may also be able to exclude other conditions that mimic epilepsy as the cause of your seizures by examining your EEG. 

The following imaging tests may be performed,

  • A magnetic resonance imaging test. An MRI scan uses powerful magnets and electromagnetic radiation to produce a detailed image of your brain. The doctor may be able to identify lesions or abnormalities in your brain that may lead to seizures.

  • The use of computerised tomography. A CT scan provides a view of the cross-section of your brain. A CT scan can reveal conditions within the brain that might cause a seizure, such as malformations, bleeding, and cysts.

  • The technique is also known as positron emission tomography. A PET scan is performed by injecting radioactive material at a low dose into a vein. It is done to identify areas of the brain that are active and identify abnormalities.

  • Single-photon emission computer tomography. A SPECT test produces a detailed, three-dimensional picture of blood flow in your brain during a seizure by injecting a small quantity of low-dose radioactive material into the vein. In addition to SPECT, a doctor may perform Subtraction Ictal SPECT registered with MRI to obtain even more comprehensive information. A hospital EEG is generally recorded overnight during this test.

Treatments

  •  Even though a seizure does not necessarily lead to another, and since a seizure may be a one-off event, your doctor is unlikely to prescribe medication until you have had more than one seizure.

  • It should be remembered that in the treatment of seizures, the objective should always be to find a method that is most effective in stopping seizures with as few side effects as possible.

Medication

It is a common occurrence for seizures to be treated with anti-seizure medications. Anti-seizure medications come in a variety of forms. The Food and Drug Administration has recently approved a medication derived from marijuana, cannabidiol. The medication is intended to treat certain seizures in children ages 2 and older.

This treatment aims to select the most effective medication for you and causes the least amount of side effects. There may be times when your doctor suggests a combination of medications, and it can be a challenging task to choose the right medication and dosage. It is not uncommon to experience adverse effects such as weight gain, dizziness, fatigue, and mood changes, and more serious side effects may damage the liver or marrow of the bone.

You will be prescribed medication based on several factors, including your medical condition, the severity of your seizures, your age, and a number of other factors, such as your history of medical problems. Furthermore, your physician during sleep disorders treatment in Hebbal, Bangalore will review any other medications you may be taking together with the anti-epileptic medications you are taking to ensure that none of them will interfere with the anti-epileptic medications you are taking.

Surgical procedures

Surgical intervention may be an option if other treatments are not effective. The purpose of surgery is to prevent seizures from occurring. The most appropriate candidates for surgery are individuals suffering from seizures that always originate in the same part of the brain. A variety of types of surgery is available, including,

  • Corpus callosotomy. In this surgery, the network of connections between the neurons in the right and left halves of the brain is severed. It is prescribed for seizures that begin on the left side of the brain and spread to the right side. 

  • Removal of the hemisphere. This procedure involves the removal of the outer layer of the brain. This type of surgery is used only in cases in which medications are ineffective in controlling seizures, and seizures occur in only half of the brain. Surgery may cause a loss of many daily functional abilities, but rehabilitative therapy can often help regain them.

  • Using thermal energy to ablate. During this less invasive surgical procedure, high energy levels are directed at the exact location where seizures occur to destroy the neurons responsible for the seizures.

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