Epilepsy

Epilepsy

Epilepsy is a brain disorder that causes recurring, unprovoked seizures. Your doctor may diagnose you with epilepsy if you have two unprovoked seizures or one unprovoked seizure with a high risk of more. Not all seizures are the result of epilepsy. Seizures may relate to a brain injury or a family trait, but often the cause is completely unknown. These seizures tend to recur, which is what separates epilepsy from a one-time event like a high fever-related seizure. Statistics suggest that many patients, often around 7 out of 10, can live completely seizure-free with the right treatment and follow-up.

Common Symptoms of Epilepsy

The symptoms are not always dramatic. In fact, some are so subtle that families notice them only in hindsight. A child may stare blankly for 5–10 seconds and not respond. An adult might describe a strange rising sensation from the upper abdomen to the throat, followed by confusion.

Common patterns we see:

  • Sudden jerking of arms or legs, sometimes involving both sides of the body
  • Brief loss of awareness, patients may not recall what happened
  • Repeated blinking or staring spells
  • A sense of fear, déjà vu, or unusual smells just before an episode
  • Fatigue or headache after the event, especially if it lasted over 1–2 minutes

Not every seizure involves falling or convulsions. That’s a common misconception.

Different Types of Seizures

From a treatment perspective, we broadly divide seizures based on where they begin in the brain.

  • Generalized seizures involve both halves of the brain:
    • Absence seizures: brief pauses, often mistaken for daydreaming
    • Tonic-clonic seizures: stiffness followed by rhythmic jerking, sometimes with loss of consciousness
  • Focal (partial) seizures start in one specific area, say, near the temporal lobe behind the ear or the frontal region near the forehead. These may cause:
    • Localized twitching, like fingers or one side of the face
    • Altered awareness, patients may appear confused or behave unusually

This distinction is not just academic. It directly influences which medication we choose.

Common Causes of Epilepsy

In many patients, even after detailed scans, we don’t find a clear cause. That can be frustrating, but it is not uncommon.

That said, some identifiable factors include:

  • Head injury, especially with loss of consciousness lasting more than a few minutes
  • Birth-related brain injury or infections during pregnancy
  • Brain infections such as meningitis or neurocysticercosis
  • Structural issues like tumours or developmental abnormalities
  • Genetic tendencies, seen in certain families

Often, it’s a combination of vulnerability and triggers rather than a single cause.

Epilepsy can occur at any age, but we do notice certain patterns:

  • Children and adolescents are often linked to developmental or genetic causes
  • Older adults, frequently after a stroke or vascular changes in the brain
  • Those with a family history
  • Individuals with prior brain infections or trauma

Lifestyle factors like sleep deprivation, alcohol excess, or missed medications can also trigger seizures in someone already diagnosed.

How is Epilepsy Diagnosed

Diagnosis is rarely based on one test alone. It starts with a detailed description of what exactly happened, how long it lasted, and what followed. Family members’ observations are extremely valuable here.

We then use:

  • EEG (electroencephalogram) to study brain wave patterns
  • MRI brain to look for structural causes, especially in areas like the temporal lobes
  • CT scan in emergency settings
  • Occasionally, PET or SPECT scans are performed when surgery is being considered

How is Epilepsy Treated

The good news is, epilepsy is very treatable. Medications remain the first line. We usually start with a single anti-epileptic drug and adjust based on response. The choice depends on seizure type, age, and even lifestyle. Missing doses, even by a few hours, can sometimes trigger a seizure.

If medications don’t fully control seizures:

  • Surgery may be considered, especially if the seizure focus is well-defined
  • Vagus nerve stimulation – a small device placed near the collarbone, may reduce the frequency
  • Dietary therapy, like a supervised ketogenic diet, is sometimes useful in children

Treatment is individualized. There is no one-size-fits-all plan. Consult our specialists for further evaluation and the most advanced epilepsy surgery in Navi Mumbai at UMC Hospitals.

Our highly trained and experienced neurologists at UMC Hospitals provide the best epilepsy treatment in Navi Mumbai. Our team focuses on accurate diagnosis, rational medication use, and long-term follow-up. Equally important is patient education, because once families understand the condition, outcomes tend to improve significantly. Epilepsy may feel unpredictable at first. But with the right care, it often becomes manageable, sometimes even completely controlled.