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Medical and Surgical Treatment

Medical and Surgical Treatment

Antiepileptic drugs (AEDs) are the mainstay in treatment of epilepsy. There are many AEDs available. When diagnosis of epilepsy is made, treatment should be started immediately. Diagnosing seizure type is important in choosing the best AED to treat epilepsy. There are many factors considered in choosing the most optimal drug. These factors include type of epilepsy syndrome, age, gender, ongoing other medical conditions, other medications taken, potential of becoming pregnant, side effect profile of each drug, and cost of medication. For example valproate has been...
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About Antiepileptic Drugs

About Antiepileptic Drugs

AEDs act on brain signaling to control and subside hyperexcitability in epileptic tissue in the brain. Unfortunately AEDs do not cure epilepsy, but they allow many people to live normal active lives, free or nearly free of seizures. Not all patients with seizures require treatment with antiepileptic drugs throughout their lives. Most patients with epilepsy, however, will require one or more drugs for many years. Overall, there is about a 60-70 % chance of good seizure control with a single drug. About 30 % patients with epilepsy will not have good seizure control with...
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Elderly with Epilepsy

Incidence of epilepsy makes two peaks throughout lifespan, one peak is during first few years of life and second peak is during elderly years. Someone older than age 85 years old has significantly higher risk of having seizures than someone younger. The increased risk may be higher than 3 fold increase. As the population gets older, new onset epilepsy in elderly becomes an important problem. The Most Common Causes of Epilepsy in Elderly Stroke Brain tumors Neurodegenerative diseases such as Alzheimer’s disease Head trauma The epilepsy syndrome in elderly is usually...
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