24/01/2022
Epilepsy
Epilepsy - a chronic neurological disease, which is characterized by recurrence, incontinence, epileptic seizures. In dependence on the form of epilepsy, the approach is seen in motor, sensory, vegetative, psychiatric disorders. Approaches can lead to cognitive impairment of varying degrees. Some forms of epilepsy are caused by only or very little known disorders - abscesses, with minimal motor symptoms. The most dramatic character is the generalized tonic-clonic approach - the morning of knowledge, then the general tonic tension of the bodies, with the last rhythmic intelligible movements (finally) movements.
There are generalized and focal (partial) approaches. In generalized approaches, epileptic activity occurs practically simultaneously in both hemispheres of the cerebral cortex. In focal areas, one (often less) desperation - this is called epileptogenic zone. Under certain conditions, the activity is not limited, but spreads to the proximal part of the head brain, causing a characteristic symptom to occur. In some cases of focal epilepsy, the development of secondary generalized disorders is possible.
The duration of the approach usually does not last more than 2-3 minutes, the approach is very short - all in less than a second. These approaches follow another for another, which follows the assessment of the horrible complication of the disease - epileptic status. Epileptic status can also be uncontrollable - when the epileptic seizure activity is disturbed, cognitive impairment does not lead to motor impairment. In such situations, establishing an accurate diagnosis is possible only with the help of ЭЭГ.
Epilepsy can have a hereditary character, or be acquired. The most common cause of epilepsy is cerebral palsy, for example, craniocerebral trauma, or injury to the cerebral cortex during complicated births. Hereditary epilepsy can be accompanied by generalized seizures, which are characterized by the age of onset, when some of them reach a certain age. In such cases, reception of antiepileptic drugs is delayed. On the other hand, there are forms of epilepsy, in which the reception of anti-epileptic preparations is practically more severe.
Proper diagnosis is followed by a thoroughly collected anamnesis, obligatory examination of NG and MRT. At the appointed time, routine NG, NG with deprivation, video-NG monitoring can be performed. In the case of observations of patients with epilepsy, routine NG is usually deficient; After the diagnosis, exclusion of non-epileptic natural approach, the doctor prescribes treatment against epileptic preparations. The choice of preparation depends on the form (syndrome) of epilepsy, the type of approach. In case of unfaithful diagnosis, the preparations do not help much, but they can also suffocate the flow of the approach. It follows that what is more important than the diagnosis and treatment is the observation of the patient with the medication and other regimen, prescribed prescription (thus called complementarity). It has been established that the most common cause of "ineffectiveness" is incompetence of the prescribed regimen, self-replacement of the preparation, change of dosages.
