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Kalinga Institute of Medical Sciences Kushabhadra Campus, 5, KIIT Rd, Bhubaneswar, Odisha 751024

Unit 4 Area, A 32, Janpath Rd, Unit 4, Bhouma Nagar, Bhubaneswar, Odisha 751001

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Epilepsy and Seizures

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Kalinga Institute of Medical Sciences (KIMS)

Wed & Fri9am - 4pm

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Epilepsy and Seizures Care

Epilepsy is a neurological disorder characterized by recurrent seizures, which are sudden surges of electrical activity in the brain. These seizures can vary in type and intensity, affecting people in different ways. At Dr. Biswamohan Mishra’s clinic, we are committed to providing comprehensive care for individuals living with epilepsy, offering advanced diagnostic services, personalized treatment plans, and ongoing support to help patients manage their condition effectively.

Understanding Epilepsy and Seizures

Epilepsy affects millions of people worldwide and can develop at any age, although it often begins in childhood or later in life. Seizures can be classified into two main types:

  1. Focal (Partial) Seizures:

    • These seizures originate in one specific area of the brain. Symptoms can include unusual sensations, sudden emotional changes, muscle jerking, or repetitive movements. Some focal seizures may cause a brief loss of awareness.

  2. Generalized Seizures:

    • These seizures involve both sides of the brain from the onset and can cause loss of consciousness. Types of generalized seizures include tonic-clonic (grand mal), absence (petit mal), myoclonic, and atonic seizures. Symptoms can range from brief lapses in awareness to convulsions and muscle rigidity.

Seizure triggers can vary and may include factors such as sleep deprivation, stress, flashing lights, or alcohol. However, in many cases, the exact cause of epilepsy remains unknown.

Comprehensive Diagnostic Services

Accurate diagnosis is essential for effective epilepsy management. At Dr. Biswamohan Mishra’s clinic, we use a combination of advanced diagnostic tools to determine the type and cause of seizures:

  1. Electroencephalogram (EEG):

    • An EEG is a non-invasive test that records electrical activity in the brain. It helps identify abnormal patterns associated with epilepsy and can pinpoint the region of the brain where seizures originate.

  2. Neuroimaging:

    • Techniques such as Magnetic Resonance Imaging (MRI) and Computed Tomography (CT) scans are used to detect structural abnormalities in the brain that may be causing seizures. These imaging tests can also help rule out other conditions that mimic epilepsy.

  3. Video Monitoring:

    • For some patients, prolonged video EEG monitoring is necessary to capture and analyze seizure activity in real-time. This is particularly useful for complex cases where the diagnosis is unclear or when planning surgical treatment.

Personalized Treatment Plans

  1. Epilepsy treatment is highly individualized, with the goal of achieving seizure control while minimizing side effects. Dr. Biswamohan Mishra works closely with each patient to develop a personalized treatment plan, which may include:

    1. Medications:

      • Anti-Seizure Medications (ASMs): The first line of treatment for epilepsy typically involves the use of anti-seizure medications. These drugs help stabilize electrical activity in the brain and reduce the frequency and severity of seizures. Dr. Mishra carefully selects the most appropriate medication based on the type of epilepsy, the patient’s overall health, and any potential side effects.

    2. Surgical Options:

      • Epilepsy Surgery: For patients who do not respond to medication, surgery may be an option. Procedures such as focal resection (removal of the seizure-causing brain tissue) or corpus callosotomy (severing the connection between the two hemispheres of the brain) can reduce or eliminate seizures. Dr. Mishra evaluates surgical candidates thoroughly and collaborates with a team of specialists to ensure the best outcomes.

    3. Dietary Therapy:

      • Ketogenic Diet: Some patients, especially children with certain types of epilepsy, may benefit from a ketogenic diet, which is high in fats and low in carbohydrates. This diet has been shown to reduce seizures in some individuals by altering the brain’s metabolism.

    4. Vagus Nerve Stimulation (VNS):

      • Neuromodulation Therapy: VNS is a treatment option for patients who do not achieve adequate seizure control with medication alone. It involves implanting a small device that sends electrical impulses to the vagus nerve, which can help reduce the frequency and severity of seizures.

    5. Lifestyle Management:

      • Seizure Triggers: Identifying and avoiding seizure triggers is an important aspect of epilepsy management. Dr. Mishra provides guidance on lifestyle modifications, including stress management, sleep hygiene, and adherence to medication schedules, to help reduce the risk of seizures.

    Ongoing Support and Care

    Living with epilepsy requires ongoing management and support. At Dr. Biswamohan Mishra’s clinic, we are dedicated to providing continuous care to our patients, ensuring that treatment plans remain effective and up-to-date:

    1. Regular Monitoring:

      • Follow-Up Visits: Regular check-ups with Dr. Mishra allow for adjustments to treatment plans, monitoring of medication effectiveness, and management of any side effects. These visits are also an opportunity to address any new symptoms or concerns.

    2. Patient Education:

      • Empowering Patients: We believe in empowering patients with knowledge about their condition. Dr. Mishra takes the time to educate patients and their families about epilepsy, seizure management, and safety precautions. This information is crucial for improving quality of life and ensuring patients can live as independently as possible.

    3. Support Groups:

      • Community Resources: We encourage our patients to connect with epilepsy support groups, where they can share experiences, receive emotional support, and gain valuable insights from others living with the condition. Support groups provide a sense of community and can be an important part of the overall treatment plan.

Why Choose Us?

At Dr. Biswamohan Mishra’s clinic, we are committed to providing compassionate, expert care for individuals with epilepsy and seizures. With our comprehensive diagnostic services, personalized treatment plans, and ongoing support, we aim to help our patients achieve the best possible outcomes and lead fulfilling lives.

If you or a loved one is living with epilepsy, contact our clinic today to schedule a consultation. We are here to support you every step of the way.

If someone is having a seizure, stay calm and follow these steps:

  • Protect them from injury: Move any dangerous objects away, and cushion their head with something soft.
  • Time the seizure: Most seizures last between 1 to 3 minutes. If it lasts longer than 5 minutes, or if another seizure follows immediately, call emergency services.
  • Do not restrain them: Allow the seizure to run its course. Do not try to stop their movements.
  • Do not put anything in their mouth: Contrary to popular belief, a person cannot swallow their tongue during a seizure. Placing objects in their mouth could cause injury.
  • Stay with them: Once the seizure ends, help them rest in a comfortable position and reassure them as they regain awareness. Seek medical advice if it's their first seizure or if they have sustained injuries.

While epilepsy can often be managed effectively with medication, it is not typically considered curable. Some individuals may eventually achieve seizure freedom and may be able to taper off medications under a doctor's supervision, particularly if they have been seizure-free for several years. However, many people with epilepsy will need to continue taking anti-seizure medications long-term to maintain control over their seizures. Treatment plans are highly individualized, and regular follow-up with your neurologist is essential to managing the condition.

  • Several lifestyle changes can help minimize seizure triggers and improve overall well-being for individuals with epilepsy:
    • Get regular sleep: Sleep deprivation is a common seizure trigger, so maintaining a consistent sleep schedule is important.
    • Manage stress: High levels of stress can provoke seizures. Practice stress-reducing techniques such as deep breathing, meditation, or yoga.
    • Avoid alcohol and recreational drugs: These substances can interfere with medication and increase the risk of seizures.
    • Follow a healthy diet: For some patients, specific diets, like the ketogenic diet, may help in managing seizures.
    • Take medications as prescribed: Never skip doses of your anti-seizure medications, as this can increase the risk of seizures.
    • Stay active: Regular physical activity is beneficial for overall health and can help reduce stress. However, consult your doctor about safe exercise routines.

Managing epilepsy involves a combination of medical treatment, lifestyle adjustments, and ongoing support. Your neurologist can guide you in creating a plan that best suits your needs.