
Precisely what happens during a seizure depends on what part of the brain is affected by the abnormal electrical discharge. The discharge may involve a tiny area of the brain and lead only to the person noticing an odd smell or taste, or it may involve large areas and lead to a convulsion--jerking and spasms of muscles throughout the body. The person may also have brief attacks of altered consciousness; lose consciousness, muscle control, or bladder control; and become confused.
Cause of
seizure disorders
High fever due to infections. Most of the time, these types of febrile seizure are temporary. Brain infections from a number of viruses and bacteria are a cause of seizure. Antibiotic or antiviral therapy can treat the infection and hence prevent the seizure from reoccurring.
Seizure can occur due to heatstroke.
Exposure to toxic drugs and substances such as excess alcohol, amphetamines, and cocaine can certainly lead to seizures. Even certain substances not thought of to be a causative agent may be responsible, for instance camphor.
Withdrawal after heavy use of alcohol, sleep aids, tranquilizers.
Adverse reaction to prescription drugs.
Metabolic disturbances such as high levels of sugar or sodium in the blood, low levels of sugar, calcium, magnesium, or sodium in the blood, kidney or liver failure.
Insufficient oxygen to the brain from strokes or carbon monoxide poisoning.
Destruction of brain tissue form head injury or brain tumor.
In rare cases, excessively high doses of certain nutrients and herbs may cause a seizure or make it more likely to occur. Side effects of certain natural supplements such as ginkgo biloba herb.
A severe brain injury puts people at high risk for more than a decade after they are first hurt.
Childhood vaccines may trigger early onset of a severe form of infant epilepsy, Dravet syndrome, but researchers say the disorder is ultimately caused by defective genes and lifesaving vaccines should not be withheld from these children. The disorder generally begins with seizures around six months of age.
Natural therapy for seizuresHigh fever due to infections. Most of the time, these types of febrile seizure are temporary. Brain infections from a number of viruses and bacteria are a cause of seizure. Antibiotic or antiviral therapy can treat the infection and hence prevent the seizure from reoccurring.
Seizure can occur due to heatstroke.
Exposure to toxic drugs and substances such as excess alcohol, amphetamines, and cocaine can certainly lead to seizures. Even certain substances not thought of to be a causative agent may be responsible, for instance camphor.
Withdrawal after heavy use of alcohol, sleep aids, tranquilizers.
Adverse reaction to prescription drugs.
Metabolic disturbances such as high levels of sugar or sodium in the blood, low levels of sugar, calcium, magnesium, or sodium in the blood, kidney or liver failure.
Insufficient oxygen to the brain from strokes or carbon monoxide poisoning.
Destruction of brain tissue form head injury or brain tumor.
In rare cases, excessively high doses of certain nutrients and herbs may cause a seizure or make it more likely to occur. Side effects of certain natural supplements such as ginkgo biloba herb.
A severe brain injury puts people at high risk for more than a decade after they are first hurt.
Childhood vaccines may trigger early onset of a severe form of infant epilepsy, Dravet syndrome, but researchers say the disorder is ultimately caused by defective genes and lifesaving vaccines should not be withheld from these children. The disorder generally begins with seizures around six months of age.
The ketogenic diet may be helpful in reducing the frequency of seizures.
Improvement of sleep patterns can help reduce the frequency of seizures.
Improvement in diet. A high-fat, low carbohydrate diet can drastically cut seizures in children with severe epilepsy and could reduce the need for medication.
Vitamin E may be useful afterwards.
Mol Neurobiol. February 2 2014. Post-Seizure α-Tocopherol Treatment Decreases Neuroinflammation and Neuronal Degeneration Induced by Status Epilepticus in Rat Hippocampus. Vitamin E (as α-tocopherol, α-T) was shown to have beneficial effects in epilepsy, mainly ascribed to its antioxidant properties. Besides radical-induced neurotoxicity, neuroinflammation is also involved in the pathophysiology of epilepsy, since neuroglial activation and cytokine production exacerbate seizure-induced neurotoxicity and contribute to epileptogenesis. We previously showed that α-T oral supplementation before inducing status epilepticus, markedly reduces astrocytic and microglial activation, neuronal cell death and oxidative stress in the hippocampus, as observed 4 days after seizure.
Fish oils may be helpful.
Melatonin has been found to be helpful in children taking valproate (see study below).
Passionflower herb should be considered.
Add calcium mineral and vitamin D since patients on medications often lose bone mass.
Bacopa has been used in India for epilepsy however research on this herb regarding seizures is very limited.
Carnosine has been looked into, see study below, but no human studies are available.
Scutellariae radix water extract has anticonvulsant activity against tonic seizures in mice. Its role in humans is not clear.
Yoga is helpful. Any type of stress reduction could be of benefit.
Fish oils and seizure prevention
Fish oils help reduce the risk of cardiac arrhythmias by helping stabilize neuronal excitability in heart tissue. I wonder if fish oils or eating fish could have the same benefits in brain tissue, helping reduce neuronal excitability and thus reducing the occurrence of seizures. I would be interested in getting feedback from neurologists or other experts would have studied this topic.
Diet enriched with omega-3 fatty acids alleviates convulsion symptoms in seizure patients.
Epilepsia. 2002.
We examined whether a dietary supplement containing omega-3 polyunsaturated fatty acids (n-3 PUFAs) can alleviate and/or reduce the frequency of epileptic seizures in patients with central nervous system (CNS) diseases treated with anticonvulsive drugs. A special spread containing 65% n-3 PUFAs was added to the daily diet. The patients consumed 5 g of this spread at every breakfast for 6 months. Five patients completed the study. In all of them, a marked reduction in both frequency and strength of the epileptic seizures was recorded. Incorporation of the dietary supplement containing n-3 PUFAs may be beneficial in suppression of some cases of epileptic seizures.
Q. I sometimes work as a locum pharmacist in and around Dublin and have experienced a case of this type. Largely driven by the research in the UK, Omega-3s are becoming very popular for all paediatric neurological complaints. One parent who came to our pharmacy described how his daughter’s liquid omega3 supplement is now covered (i.e. no payment required by the patient) by Ireland’s General Medical Services (GMS) based on the outcome of a brief trial which he initiated himself. (GMS is the Irish equivalent of the British NHS; but with more limited access - available to over 70s and those on below-average incomes), but with no charges to patients. OTC products are generally not covered, but Regional Health Service Executive offices have discretionary systems for special or hardship cases,) This man’s daughter’s (aged about 7) seizures had been refractory to therapy – resulting in several seizures per week. After several months on Omega 3s, seizures became much less frequent (down to one every few months). The brands she had been receiving are Eskimo and EyeQ.
Carnosine and seizures
Carnosine, a precursor of histidine, ameliorates pentylenetetrazole-induced kindled seizures in rat.
Neurosci Lett. 2006.
The objective of this study was to examine the effects of carnosine on the development of pentylenetetrazol (PTZ) kindling seizures and protection against the PTZ kindled seizures in rats. Injection of carnosine (200, 500 mg/kg, i.p.) significantly decreased seizure stage, and prolonged the latencies for myoclonic jerks, in a dose- and time-dependent manner. In the seizure development process, 500 mg/kg carnosine also significantly delayed the onset of PTZ kindled seizures. In addition, carnosine significantly reversed decreased histamine levels induced by PTZ kindled seizure in the hippocampus. These results indicate that carnosine can protect against PTZ-induced seizures in both the development of kindling and the challenge process in rats. The results suggest that carnosine might be an endogenous anticonvulsant factor in the brain and can be used as a new antiepileptic drug in future.
Supplements that may have an adverse effect on seizure
Reduce or eliminate any kind of supplements that have a stimulant effect such as tyrosine amino acid, ephedra, caffeine, guarana, citrus aurantium, ginkgo biloba herb, sexual herbs such as horny goat weed and tongkat ali, and teas that have caffeine.
Anti seizure medication warning
The US Food and Drug Administration is requiring that the label of all anti seizure medications include a warning about the increased risk of suicidal thoughts and behaviors.
Widely used anticonvulsant drugs, including Neurontin and Trileptal, increase the risk of suicide, attempted suicide and violent death in patients taking them for the first time. Compared with Johnson & Johnson's generic epilepsy drug topiramate or Topamax, Dr. Elisabetta Patorno of Brigham and Women's Hospital and Harvard Medical School in Boston, found an increased risk for suicide in new users of Pfizer's Neurontin (sold generically as gabapentin), GlaxoSmithKline's Lamictal or lamotrigine, Novartis' Trileptal or oxcarbazepine and Cephalon's Gabitril or tiagabine. The study appears in the Journal of the American Medical Association, 2010.
Pregnancy
taking Depakote (valproate) during pregnancy lowers the baby's IQ and lead to deformities in up to one in ten cases. NEJM/New England Journal of Medicine, June 9, 2010.
Type of seizure
Absence seizure can appear to others that the person is daydreaming, something we all do when we are bored or distracted. However, during the absence seizure the person cannot be woken up since they are temporarily unconscious.
Complex partial seizure
Focal
Grand mall
Myoclonic
Partial
Petit mal - some people misspell this as petite mal seizure
Tonic clonic
Seizure symptom
Symptoms depend on the type, ranging from a hardly noticed few second mental distraction to a total full blown epileptic seizure involving all extremities and muscle groups leading to loss of consciousness. A diabetic seizure can occur due to a sudden drop in blood sugar from insulin overdose.
Seizure Research studies
After a seizure, early intervention with anticonvulsant drugs appears to have little effect on the long-term prognosis of epilepsy. When to begin treatment with antiepileptic drugs in patients with few or infrequent seizures is a difficult decision. Doctors and patients must weigh the risk of seizure recurrence against the risk of medication side effects. Researchers evaluated the outcomes of patients who had single seizures and early epilepsy whose doctors were uncertain whether to proceed with treatment. The researchers randomly assigned 722 patients to start treatment immediately and 721 to defer treatment until the doctors and patient agreed that seixure treatment was necessary. In the deferred-treatment group, 332 started treatment during the course of the trial.
Patients who deferred treatment had a shorter time until the first or second recurrent seizure. However, the two groups did not differ in time to a fifth seizure. By the two-year follow-up, 32 percent of those in the immediate-treatment group had a recurrent seizure versus 39 percent of those in the deferred-treatment group. There was no greater improvement in quality of life among those assigned to immediate treatment versus deferred treatment. Immediate treatment was associated with more adverse events that were believed to be treatment related. After three years, 74 percent of the immediate-treatment group and 71 percent of the deferred-treatment group were seizure-free. At 5 years, 76 percent and 77 percent were seizure free.
Screening of plants used in Danish folk medicine to treat epilepsy and convulsions.
J Ethnopharmacol. 2005;
Department of Medicinal Chemistry, The Danish University of Pharmaceutical Sciences, 2 Universitetsparken, 2100 Copenhagen O, Denmark.
Aqueous and ethanolic extracts of 42 plants used in Danish folk medicine for the treatment of epilepsy and convulsions, or for inducing sedation, were tested for affinity to the GABA(A)-benzodiazepine receptor in the flumazenil-binding assay. Ethanolic extracts of leaves of Primula elatior and Primula veris and aerial parts of Tanacetum parthenium exhibited good, dose-dependent affinity.
Vaccination with the measles, mumps, and rubella (MMR) vaccine appears to increase a child's risk of having a seizure from a high fever -- a usually harmless event. However, the increased risk appears to be small and short-lived, Danish researchers report. Moreover, like other febrile seizures, those arising after vaccination were not associated with an increased risk of developing epilepsy.
Herbal Medicines and Epilepsy: The Potential for Benefit and Adverse Effects.
Spinella M. Epilepsy Behav. 2001.
Herbal sedatives (kava, valerian, chamomile, passionflower) may potentiate the effects of antiepileptic medications, increasing their sedative and cognitive effects. Despite some anti seizure effects in animal models, they should not be used in place of standard seizure medications because efficacy has not been established. Anecdotal, uncontrolled observations suggest that herbal stimulants containing ephedrine (ephedra or ma huang) and caffeine (cocoa, coffee, tea, mate, guarana, cola or kola) can exacerbate seizures in people with epilepsy, especially when taken in combination. Ginkgo and ginseng may also exacerbate seizures although the evidence for this is similarly anecdotal and uncertain. St. John's wort has the potential to alter medication pharmacokinetics and the seizure threshold. The essential oils of many plants contain epileptogenic compounds. There is mixed evidence for evening primrose and borage lowering the seizure threshold. Education of both health care providers and patients is the best way to avoid unintentional and unnecessary adverse reactions to herbal medicines.
Add-on melatonin improves quality of life in epileptic children on valproate monotherapy: a randomized, double-blind, placebo-controlled trial.
Lady Hardinge Medical College and Associated Hospitals, New Delhi, India.
Epilepsy Behav. 2004.
This randomized, double-blind, placebo-controlled study in epileptic children aged 3-12 years evaluated the effects of add-on melatonin administration on the quality of life of these children on sodium valproate (VPA) monotherapy using a parental questionnaire. Quality of Life in Childhood Epilepsy is a questionnaire designed to assess a variety of age-relevant domains such as physical function, emotional well-being, cognitive function, social function, behavior, and general health. Of the 31 patients, 16 randomly received add-on melatonin (MEL), whereas 15 received add-on placebo (P). The questionnaire had good internal consistency reliability, because for most of the multi-item scales Cronbach's [Formula: see text] reliability exceeded 0.5 (range: 0.59-0.94). To our knowledge, this is the first study assessing quality of life in epileptic children with add-on melatonin administration in the form of a randomized, double-blind, placebo-controlled trial. The study suggests a potential use of melatonin as an adjunct to antiepileptic therapy due to its diverse spectrum of action as an antioxidant, neuroprotector, and free radical scavenger, thus offering the advantage of reducing oxidant stress and subsequent damage. The beneficial effects of melatonin on sleep, its wide safety window, and its ability to cross the blood-brain barrier have the potential to improve quality of life in pediatric epilepsy.
The results of a small study confirm previous findings that treatment with the anti-seizure drug valproate tends to increase body weight. The results also show that patients treated with the drug appear to have an increased risk of developing nonalcoholic fatty liver disease
The fruit essential oil of Pimpinella anisum ( anise ) exerts anti - seizure effects in mice.
J Ethnopharmacol. 1999.
This study investigates anti - seizure effects of an essential oil of the fruits of anise, a folkloric remedy in the Iranian traditional medicine, against seizures induced by pentylenetetrazole (PTZ) or maximal electroshock (MES) in male mice. Anise essential oil suppressed tonic convulsions induced by PTZ or MES. It also elevated the threshold of PTZ-induced clonic convulsions in mice. Anise essential oil produced motor impairment. However, this effect was not observed at the doses and time courses needed for anticonvulsant activity. seizure natural therapy seizure vitamins herbs for seizures.
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