A 13 year old child with epilepsy has not had the disease for a year and a half, but what is the rea

Refers to the threshold that can cause seizures, if the seizure threshold is reached, it is enough to cause seizures, if the seizure threshold is relatively low, then it is easy to have seizures, otherwise it has a strong resistance to seizures and is not easy to get epilepsy.

Epilepsy is a stubborn disease, but it does not mean that it cannot be damaged, according to the degree of damage to the patient's brain neuron cells, the professional clear and specific **, the concretization of epileptic foci, and an effective system targeted repair can achieve a clinical effect!

All anti-epileptic drugs are anti-seizure by reducing the excitability of brain cells, (brain cells are in the developing stage during childhood,) if long-term medication can easily lead to hypoxia of brain cells, edema, memory loss, personality changes, and unresponsiveness. If you do it for a long time, it will eventually lead to a decline in intelligence, and you will gradually lose your ability to work and even take care of yourself in life in the later stage!

Because seizures are mainly caused by abnormal discharge of brain neuronal cells, and abnormal discharge occurs because of damage to brain neuronal cells, then restoring the normal function of neuronal cells (NGF localization repair) can make the weak bioelectricity in the brain be generated in an orderly manner, and completely eliminate seizures, and can achieve clinical epilepsy.

It should be related to the child's recent diet and seasonal factors.

According to the EEG report you provided, there is a high probability of benign **-middle temporal epilepsy (rolandic epilepsy) in children, also known as benign partial-onset epilepsy or idiopathic focal epilepsy. This type of epilepsy is idiopathic and usually has a good prognosis, usually stopping around puberty. It has the following characteristics:

1. Age of onset: mostly between 2 and 14 years old, with 5 and 10 years old being the most common. 2. EEG has typical characteristics:

Bilateral or unilateral**-Spike waves and sharp waves in the middle temporal region are sporadic or continuously issued, and the sleep period is significantly increased.3 Seizures mostly occur during sleep, usually manifested as muscle rigidity or clonus and salivation on one side, and a few are somatosensory symptoms, such as paresthesias such as the cheeks, gums, tongue or lips on one side, which can occasionally extend to the face and upper limbs, and can progress to generalized tonic-clonic seizures. Neurological examination is unremarkable, and intelligence is normal. Imaging studies are unremarkable.

If benign childhood partial epilepsy is diagnosed, it resolves in prepuberty as the brain matures. Benign epilepsy, which is the abbreviation of "benign epilepsy in the temporal region of children", is the empirical name for a type of childhood epilepsy in the relatively underdeveloped era of medicine many years ago. Children with this kind of epilepsy have onset in childhood, and the seizures are generally not many, and even if they do, they are mostly in the process of sleep, whether ** or not**, and the seizures stop in adulthood.

That's why it's called benign. But in fact, 20% of these children are worse in adulthood. We at the Epilepsy Center oppose referring to children who do not have an in-depth examination as benign epilepsy.

According to your child's current condition, it is recommended to see an epilepsy clinic to adjust the medication** regimen and not consider surgery ** for the time being.

Hello, there is no best way to control seizures, mainly to control seizures, generally according to the specific symptoms of seizures to choose drugs, try to avoid cold and involvement, and avoid emotional agitation to help prevent seizures. Epilepsy has been more than 30 years, we should pay attention to actively adjust the drug, control the frequency of seizures as much as possible, pay attention to regular life, avoid tired and stay up late, it should be able to reduce the disease control, there is no effective way to achieve the effect of cure.

Patients with abnormal conditions need to go to a regular hospital in time to check whether there is secondary epilepsy caused by it, and at the same time perform CT and electroencephalogram examinations on the brain.

After actively clarifying the specific ** that caused epilepsy, for **, anti-epileptic drugs can be taken under the guidance of a professional neurologist, and even surgery to destroy the intracranial epilepsy bridge if necessary**.

If you can't find the cause, you can choose the right drug according to the type of seizure**, and you can't increase or decrease the amount of drug at will after selecting the drug, and you should take the drug regularly for a long time. In addition, you should pay attention to rest and avoid staying up late to effectively prevent seizures.

The history of epilepsy for more than 30 years, and the effect of the drug is not ideal, indicating that the honeymoon period of the drug has passed, especially when the dose is very large, and the seizure is still seizure, which indicates that simply taking the drug is no longer enough, and it needs to be cooperated with other **.

Do a smuggler and MRI to see how big the lesion is, whether it is a partial discharge or a whole brain discharge, if it is a local one, see if it is a chance of surgical resection, and if it is a whole brain discharge, see if you can choose neuromodulation.

If it is not dealt with in time, all aspects of the brain function will be impaired, such as the cognitive, motor, sensory and psychological functions that people lack to talk about.

Don't panic when epilepsy has frequent forward rush seizures, and you must take first aid measures in time when you have a seizure, and then go to a specialized hospital to receive professional **, and get rid of it as soon as possible. A series of epilepsy examinations such as magnetic resonance imaging of the head are performed accurately, and the individuality of classification, sexuality and staging is carried out according to the actual situation of the patient.

In the process of **, abrupt discontinuation, reduction, premature discontinuation, not taking the drug in time, not following the doctor's instructions, missing the drug many times, changing the dosage and type of the drug at will, etc., in the systemic infection, fever, surgery, high mental tension or excessive fatigue, it is easy to cause epilepsy.

As long as you have epilepsy, it's hard to say! If you say you will commit it, if you don't commit it, you will not commit it, but you must have a good mood, you can't have pressure and too heavy a burden of thoughts, maybe the probability of getting sick will be reduced, once the pressure is high, maybe the chance of getting sick will be more and more, so you have to control your mood at ordinary times, maybe it will be better.

Problem Analysis: Hello; This situation is considered to be epilepsy, and the situation has been prone to seizures recently, and the closed circle may be related to the poor effect of antiepileptic drugs.

Suggestions: In general, this situation can be confirmed by re-examination of brain MRI, 24-hour electroencephalogram and other examinations. In this case, drugs such as debakin, oxcarbazepine, lamotrigine, and topiramate can be combined with anti-epileptic **, and the effect should be good.

You don't keep an eye on it, you haven't had a seizure for such a long time, it can be considered a clinical **, and of course you can have children. But you still need to understand: Epilepsy in a few cases, there is an irregular hereditary grinding effect, most of the impact is not large, the size of the impact is mainly related to **.

The incidence rate was 3-4 in the relatives of the primary patients and 0-1 in the secondary patients, indicating that the primary influence was greater, and the more closely related the blood relationship, the higher the incidence. If both parents have epilepsy or one child has developed the disease, the incidence rate of the third generation is 20, so although the primary patient can get married, the childbearing should be restricted. When choosing a spouse for people with epilepsy, don't choose someone who has had epilepsy or someone with a family history of the disease, the more distant the blood relationship, the better.

Second, after epilepsy patients become pregnant, the number of seizures increases in 45 people, especially when taking Western drugs, through liver metabolism, fetal tissue and placenta are prone to reduce the serum concentration of antiepileptic drugs, and cannot control the seizures, if the dose is increased, it will affect both the mother and the fetus. Third, especially anti-epileptic drugs, the incidence of fetal teratogenicity. Cleft palate, cleft lip, and heart abnormalities are common.

The incidence of teratogenicity is related to the mother's age, family history, medical history (e.g., diabetes), etc., on the one hand, and the drugs used, especially some Western drugs, on the other hand. In order to prevent fetal teratogenicity, it is best to take traditional Chinese medicine, and the symptoms should be controlled for more than 3 years, and the age should not exceed 35 years. Patients or family members with malformation genetic diseases should not have children, and patients who have miscarriages, stillbirths or abnormal births should be extra cautious in rebirth.

[Hypoglycemia may cause convulsions, but the time of occurrence is relatively specific, such as often appearing in the early morning or before meals, and there will be symptoms such as palpitation, sweating, cold hands and feet, and pale complexion before the attack. It is also longer than the seizure, and it can be relieved immediately after eating or feeding sugar water, and the measurement of fasting blood glucose can help confirm the diagnosis. **The basis is long-term medication control!

After stabilization, the drug is gradually reduced until the drug is stopped without seizures. This process is very long, and the general regular antiepileptic drugs include domestic carbamazepine (Delido), valproic acid such as sodium valproate (Debajin), magnesium valproate, valproamide, etc., oxcarbazepine (Qulai, Renao), Totai (topiraben), lamotrigine (Libitong, Anxian), levetiracetam (Kaipuran) and so on. These regular anti-epileptic drugs, each with its own advantages and disadvantages, each with its own indications should be individualized and used separately according to the different conditions of each patient, or reasonably combined to fully promote the strengths and avoid the weaknesses, in order to achieve the maximum anti-epileptic effect, the smallest cost, the least cost.

There are also some sedative drugs, such as phenobarbital, clonazepam, etc., which are used only as a last resort, and have a better effect on epilepsy in some special cases, and are relatively large. Traditional Chinese medicine is mainly used to promote blood circulation and eliminate blood stasis, calm the nerves, awaken the brain and open the mind, but generally only play an auxiliary treatment.

Some people think that anti-epileptic drugs** are just taking drugs and cannot solve the underlying problem, so they lose confidence and think that taking drugs is dispensable, which is wrong. Because a considerable part of epilepsy is closely related to age, it is very meaningful to insist on taking anti-epileptic drugs for a certain period of time to avoid the damage to the brain and body caused by seizures. Waiting for the source of epilepsy in the brain to disappear and then gradually reducing or stopping the drug can help the patient tide over the difficulties.

Even refractory epilepsy can alleviate the condition to varying degrees through standardized **, so that the seizures are reduced and alleviated. Some patients and their families are anxious to find the best way, and there are many examples of being deceived by seeking medical advice everywhere. Epilepsy is a long-term process that requires full patience and confidence, and you can't get impatient just because you do it again once in a while.

When can I reduce or stop my medication?

Some patients and their families think that they have not been sick for a long time, so they reduce or stop their own medicine, and the result is **. Therefore, the medication for epilepsy must be carried out under the guidance of a doctor, and do not cause unnecessary recurrence by making your own opinions. Before reducing or stopping the drug, the physician will make a decision according to the different patients and diagnoses, and the general principles are:

No clinical seizures for at least two years; The EEG returned to normal. The process of drug reduction and discontinuation should be cautious and slow, and one should be reduced one by one when taking more than two drugs. In some cases, it may take more than a year to reduce the drug to complete discontinuation.

Epilepsy is not very dangerous, so don't worry too much.

It is recommended to go to the hospital after the check-up**.

Problem analysis: Epilepsy is caused by specific electrical discharges from neurons in the brain. There are many causes such as genetics, trauma, infection, intracranial diseases, etc., and there are also unknown causes.

Suggestions: Clinically, we can choose the resistant drugs phenytoin, sodium propionate and other drugs according to the condition. Pay attention to your diet, don't eat spicy food, don't drink alcohol, coffee, etc.; Avoid emotional agitation; Take care of your own safety.