Medical seizures Essay Example | Topics and Well Written Essays - 1000 words

Medical seizures - Essay ExampleSeizures be temporary phenomena some individuals have got repeat episodes of seizures. These repeated episodes have been given a medical name of epilepsy. Individuals with seizures whitethorn present in different ways depending upon the level of and descend of neurons involved. In a number of individuals, it is just a jerky movement involving one or more limbs or other areas with conscious level maintained while in others the movements may involve whole body and individual may loose her/his consciousness. So, seizures have been classified according to the level of complexity and consciousness. When some parts of the body are involved, seizures are called as partial otherwise they are generalized. If consciousness is lost which usually occurs with generalized seizures then these are called complex, if consciousness is present, these are simple seizures. generalize seizures may affect body in a variety of ways and they have been further divided based on the types of movements they are producing absence, myoclonic, clonic and light seizures. In contrast, there are some situations in which these seizures may be single, for example trauma or head injury, high grade fever curiously in children, a symptom of other diseases including tumor and reactions to some drugs. At times, a partial seizure may spread in the brain when it is called collateral generalization.A persistent state of seizures for more than 5 minutes or by other doctors for 30 minutes is called status epilepticus. It is a real collar state, which needs urgent measures to bring the patient out of the condition (Wikipedia, Carpenter ch125).Current Treatment Treatment is required when seizures become recurrent. If the cause of the seizure is take away then there is no need of use of epileptic drugs this occurs in situations like febrile conditions in children or seizures due to electrolytes imbalance. Main purpose of these drugs is to retard seizures because in add ition to the direct effects of seizures there are chances of more severe complications, for example accidents resulting from seizures while driving, to arise if these seizures are not treated effectively. The criteria for starting line anti-epileptic drugs are evidence of focal neurological lesion based on clinical examination, radiological findings or EEG interpretations. If seizures occur once and there are no other findings especially in adults then there is no need of epileptic drugs. These drugs have been classified and prioritised for various types of seizuresPartial - simple and complex carbamazepin,phenytoin, valproate, gabapentin, lamotrigine, topiramate junior-grade generalized carbamazepin, phenytoin, valproate, gabapentin, lamotrigine, topiramatePrimary Generalized - absence ethosuximide, valproate, lamotriginePrimary Generalized - tonic-clonic valproate, carbamazepin, phenytoin, lamotriginePrimary Generalized - myoclonic and tonic valproate, clonazepamSome of the patie nts do not get benefits from the medical treatment. The just option left for them is surgical resection of the hyperactive area in the brain. This is a very sophisticated procedure, which requires exact location of the area of brain with abnormal hyper peevishness (Carpenter ch125).Treatment of choice for status epilepticus has been diazepam even in the presence