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REFRACTORY EPILEPSY

Dr. Sita Jayalakshmi, Thursday, November 7, 2019

Epilepsy surgery specialists in Hyderabad explain that seizures that don’t get controlled even after two or more cycles of seizure medicationsmay definitely affect the patients’ quality of life. This condition is termed with different names such as “intractable” “refractory”, “uncontrolled” and “drug resistant”.


CAUSES FOR UNCONTROLLED SEIZURES:

The two main possibilities for uncontrolled seizures include

  • Diagnosis is wrong
  • Treatment is wrong

A] OTHER FACTORS WOULD BE

  • Life style factors that triggers the seizures
  • Medications being unresponsive

WHEN THE DIAGNOSIS IS WRONG:

There are chancesthat the diagnosis for refractory epilepsy is wrong. They may simply imitate the symptoms of refractory epilepsy.They are:

  • Fainting
  • Mini strokes
  • Hypoglycaemia
  • Migraine with confusion
  • Sleep disorder
  • Panic attacks
  • Fluctuating problems with body metabolism
  • Psychogenic (non-epileptic) reasons

Epilepsy specialists in Hyderabad are the ones who can determine the condition whether or not the patient is showing the symptoms of refractory epilepsy based on his physical examination, medical history, lab tests.


B] WHEN THE TREATMENT IS WRONG:

Based on the case studies best hospitals for epilepsy surgery have come to a conclusion thatthe inadequate doses and other factors would have been the reason for non-improvementsin the seizures. The reasons include:

  • Wrong Medication: Not all seizure medications can be used generally for one type of seizures. The medicines will vary for each person and the typeof seizure he is having. To quote an example carbamazepine holds good for complex partial seizures while ethosuximide is advised for absence seizures.
  • Inadequate Doses: Each patient may respond to medicines differently. Incase the patient is put on a high dosage while he needed a considerably lesser dosage or vice versamay not be fruitful in controlling the seizures. He may also have side effects in the worst case. The best epilepsy treatment in Hyderabad would check the possibilities based on the patients symptomatic conditionswhich include:
  • Some people may respond really well with a higher dosage and may become seizure-free
  • For some others, the same dosage wouldn’t work out and may need a lesser dosage
  • The recently formulated medications have proven to improve the seizures
  • Polypharmacy and Toxicity: Polymarphacy is adviced for those patients whose seizures are not getting controlled with one type of medications. Hence, a combination of two different drugs is given to control them. This may lead to side effects. A high dosage drug that controls the seizures without causing any side effects is yet to be formulated.
  • Poor Compliance (missing the doses): Missing the medication could potentially lead to another seizure. The dosage that’s prescribed for the patient has to be complied.
  • Illness, Sleep Deprivation, and Stress: One of the factors such as lack of sleep, stress, missing medications, and another illness could also lead to a seizure.


WHY KIMS?

KIMS specialises in epilepsy treatments that also include epilepsy treatment brain surgery. These procedures or treatments are given by the most experienced epilepsy specialists who have dealt with different cases and knows how each case works with different patients.

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