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What is Epilepsy? Written by Justine Loewenthal Registered Counsellor and EEG Technician Epilepsy is a neurological condition where the neurons in the brain release abnormal electrical impulses. This usually results in a change in consciousness. The person may lose consciousness, stare blankly, make involuntary movements (such as jerking or thrashing one or more parts of their body), become blue, or experience unusual sensations. A person with epilepsy has recurrent seizures. But because a person has seizures does not necessarily mean that they have epilepsy. TYPES OF EPILEPSY There are many types of epilepsy. Each type differs in the cause, symptoms and treatment. The type of epilepsy is classified according to criteria such as the age of onset of the seizures, the cause, severity of the seizures, and the part of the brain involved. Febrile seizures are not diagnosed as epilepsy (although the child may be diagnosed with epilepsy later on). These occur in children aged 3 months to 5 years as a result of a high fever. CAUSES OF EPILEPSY The causes of epilepsy can be related to a genetic predisposition, head injury (such as trauma during birth or later in life), stroke, extremely low blood sugar, alcohol or drug abuse, and brain tumor. Brain facts about epilepsy Epilepsy is a disorder that occurs in the brain. For some sufferers, a cause can be identified (such as a hard blow to the head or encephalitis). For many others though, there is no known cause. In this case, it may be the result of an imbalance of neurotransmitters in the brain. According to http://www.brainexplorer.org/, “during a seizure, neurons in the cerebrum create abnormally increased electrical activity, preventing the brain from processing normal signals. The seizure activity may be localised, which may induce symptoms from the cortical regions, e.g. motor cortex, inducing abnormal motor activity or in the temporal lobe causing gastrointestinal symptoms. If the seizure spreads to other regions, other brain functions may be involved which results in a generalised seizure.” “A loss of the neurons containing the inhibitory neurotransmitter gamma aminobutyric acid (GABA) has been implicated in the disorder. Whether these changes are the cause or the consequence of the seizure is uncertain.” What treatment options are available for epilepsy? Referral to a neurologist for a full assessment is the first stop one should make if epilepsy is suspected. An EEG will be done to identify specific brainwaves that are present in epilepsy. If epilepsy is diagnosed, medication may be prescribed to attempt to normalize the abnormal electrical discharge. The benefit of using a drug will be weighed against the side effects of the drug. Much research has been done on the efficacy of neurotherapy for epilepsy. (See two clients’ personal experiences below). A study by Walker et al concluded that "when most of the power and coherence abnormalities (identified by a quantitative EEG) were normalized with neurofeedback training, all the patients became seizure-free; 76% no longer required an anticonvulsant for seizure control." Diet can have a positive effect in the control of seizures Epilepsy can cause difficulties in other areas, such as delayed speech and language development, delayed motor development, learning difficulties, and emotional problems. The relevant professionals should be contacted to assist where necessary.