This question is answered by Wang Mengyang of Sanbo Brain Hospital of Capital Medical University, looking forward to your attention~

　　Epilepsy is a common disease of the nervous system, with a prevalence rate of 5 per 1,000. The cause of epilepsy is related to heredity, cerebral complementary diseases and other causative factors. The common symptoms of seizures include loss of consciousness, generalized rigidity, stiffness or twitching of the limbs, and in some cases, dizziness, behavioral abnormalities, emotional or mental anomalies, and in some cases, a sudden cessation of the activity being undertaken by the patient. Due to the diversity of epilepsy types and seizure symptoms, the diagnosis cannot be based on symptoms alone, but needs to be combined with an EEG.

　　So, can epilepsy be cured? Currently the preferred treatment for epilepsy is medication, if you have been taking medication for more than three years without seizures and the EEG has returned to normal (we usually check the 24-hour video EEG once a year) for more than one year. At this point, you can enter the drug reduction stage, and it will take some time from drug reduction to stopping, which varies from person to person and from the type of medication taken.

　　Some patients think that they have been completely cured after two or three years of seizure-free treatment, so they stop taking their medication privately, which results in another seizure. Therefore, patients with epilepsy should remember not to reduce or stop taking their medication privately in the course of treatment, and they must follow the doctor's instructions.

　　For epilepsy patients after formal and standardized anti-epileptic treatment most patients can get satisfactory results, that is, 70-80% of patients can be seizure-free. The remaining 20-30% belong to refractory epilepsy, these patients take antiepileptic drugs effect is not obvious, but does not mean that drug-refractory epilepsy can not be cured, epilepsy surgical treatment for this part of the patient to provide a new means of treatment, drug-refractory epilepsy patients can be operated to make seizures are controlled or cured, to a certain extent, to improve the prognosis of refractory epilepsy.

　　The treatment of epilepsy is a long process, during which epileptic patients need to plan their life, study, work and treatment, understand the procedure of treatment, have regular review and choose the regular treatment to avoid delaying their condition.

　　Capital Medical University Sanbo Brain Hospital is a Wukong Q&A contracted organization, this article is an original article, first published in today's headlines Wukong Q&A! (Disclaimer: The content of this article is for reference only, and does not serve as a basis for diagnosis, medication and use, and cannot replace the diagnosis, treatment and recommendations of doctors and other medical personnel.)

What exactly are some of the people with epilepsy that can be cured?

First of all, I have to say that not all epilepsy diseases can be cured, according to my fifty years of clinical experience, the treatment of epilepsy patients have long passed more than a thousand people. Generally speaking, trauma-induced epilepsy is more difficult, especially if the trauma is more prolonged. Because this kind of patient's brain lesions have been sent on the organic damage and lesions, the Division of belonging to, there is nothing to be done.

Secondly, it is more difficult to treat patients with encephalitis who have been in a coma for several days or even dozens of days. Long-term persistent high fever often causes substantial damage to the brain, but this damage is often multiple and diffuse, and often not visible by MRI or CT because of the extremely delicate structural features of the brain. However, the vast majority of these patients improve clinically, with fewer or even no more seizures.

At present, the vast majority of clinical epilepsy is fever convulsions and shock triggered, this kind of epilepsy patients in the clinic have mature treatment methods, the difficulty is not very big. These patients are usually treated with the traditional Chinese medicine treatment program of expelling phlegm and opening the orifices, calming the mind and driving away the wind and fixing the root cause, and the results are often very good. Of course, the timing of treatment is also very important, and timely treatment in the first few months after the onset of the disease is very critical, especially for children.

Generally speaking, if the treatment is timely, the improvement rate of this kind of patients is extremely high, and the cure rate is also good. However, patients need to insist on taking the medication, and the treatment cycle may last for more than a year in some cases.

As a practitioner of Chinese medicine for more than 50 years, I do not recommend that children take Western medicine for a long period of time, and it is undeniable that the vast majority of patients who have just had a seizure tend to choose to take Western medicine to control the symptoms of the seizure. The onset of epilepsy is characterized by abnormal discharges in the brain nerves and a low threshold of excitation of the brain nerves.

Because clinical western drugs are often neuroleptics, lowering the stimulus excitation threshold of the nerve and reducing sensitivity. Patients, especially pediatric patients, can experience adverse effects such as drowsiness, increased piben fatigue, memory loss, and even intellectual decline.

If patients, especially infant patients, take these drugs for a long period of time they tend to have adverse reactions such as memory loss and mental retardation.

Glad to come and answer your questions.

Because of the complexity of the causes of epilepsy, the long course of the disease and its tendency to recur, it brings a lot of concern to patients and their families, who worry that it can never be cured.

In fact, epilepsy is not an incurable disease, as long as early medical attention and regular treatment as prescribed, 70% to 75% of patients' seizures can be controlled, and some patients are tracked for a long period of time without recurrence.

An important reason for the failure of treatment is that the patient has to change hospitals and doctors many times, add or reduce medicines at will, or stop taking medicines too early. Therefore, the treatment must emphasize that patients should have good "compliance", that is, listen to the guidance of specialists, regular medication, so as to obtain a more satisfactory therapeutic effect, and even to achieve the purpose of stopping the drug does not recur.

In addition, epilepsy can cause irreversible damage to the brain if seizures recur, so it is important to control seizures early. If epilepsy is diagnosed, medication is the treatment of choice.

Since epilepsy is a chronic disease, medication is also a long-term process, and it is impossible to see immediate results. Standardizing medication is the key, and both using and stopping medication must be done under the guidance of a doctor.

Self-medication or stopping medication can easily make epilepsy recur or even induce refractory epilepsy. Moreover, frequent epileptic seizures can cause brain damage, which is really not worth the cost.

It is worth noting that surgery is an effective treatment for refractory epilepsy. Surgical removal of epileptogenic foci has been used to treat epilepsy for more than 50 to 60 years. With the development of digital EEG technology and functional brain imaging technology, the preoperative localization of epileptogenic foci has become more accurate, and more and more epilepsy patients can receive surgical treatment, and the success rate has taken a qualitative leap.

The purpose of epilepsy surgery is to determine the location of the epileptic lesion through examination and then remove the lesion to resolve the origin of the epilepsy. In addition, the pathways for the transmission of epileptic discharges can be cut off, stopping the spread of abnormal discharges and decreasing the excitability of the cerebral cortex.

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Epilepsy has always been a topic of concern for the general public. It is commonly known as "crohn's wind" or "sheep's epilepsy", and has become the second most common neurological condition in China after headaches. The treatment of epilepsy takes a long time.And in the course of treatment, it is necessary for the patient to use medication to manipulate the progression of the condition. That's why medication for epilepsy is crucial.

Since patients often have different degrees of adverse reactions during the taking of antiepileptic drugs, some patients are therefore unwilling to adhere to the medication, and stop taking the medication without authorization after the seizures have stopped for a period of time. There are also some patients who are not satisfied with the effect of the original medication and are disturbed by some publicity, so they take some so-called prescriptions and secret prescriptions, which are actually very dangerous.

Failure to take medication as prescribed is a common cause of antiepileptic drug treatment failure.. For epilepsy, which is a chronic, seizure disorder, it is very important that the drugs produce a continuous and stable effect. The metabolism of drugs has its own rules, and irregular medication often leads to unstable concentration of drugs in the body, which on the one hand, makes the anti-epileptic drugs not able to play a role all the time, and it is difficult to completely control the seizures; on the other hand, it also increases the body's resistance to the drugs, so that the original cases that can be completely controlled become incurable epilepsy.

Summary of adverse effects of medications for epilepsy

Some people think that anti-epileptic drugs have a lot of adverse effects, and they are afraid of taking anti-epileptic drugs, thinking that these drugs will lead to liver and kidney function damage, or even mental retardation, so they refuse to take the drugs.

Blood system:

Frequently reported, such as aplastic anemia, thrombocytopenia, pancytopenia, and leukopenia.

Central and Nervous System:

Most of them are transient, with insignificant symptoms and no obvious effect on normal life and study. Such as headache, dizziness, fatigue, fatigue, poor concentration, etc., and with the prolongation of the time to take the drug or reduce the amount of symptoms gradually alleviate.

Rash:Most are benign rashes, a few are severe skin lesions. Carbamazepine, phenobarbital, phenytoinna, and lamotrigine can cause Stevens-Johnson syndrome, and antiepileptic drugs containing a benzene ring may cause hypersensitivity reaction syndrome.

Cardiovascular system:

Some antiepileptic drugs may cause cardiac arrhythmias such as sinus bradycardia, sinus arrest, frequent premature ventricular beats, and Asperger's syndrome.

Digestive System:

There are severe liver abnormalities, chronic pancreatitis, gastric hemorrhage, and esophageal-tracheal fistula.

Endocrine system:

The main manifestations are gynecomastia, amenorrhea, and breast overflow. The mechanism may be related to the induction of hepatic microsomal enzymes to accelerate the metabolism of hormones, interference with the function of the hypothalamus and or anterior pituitary gland and direct effects on endocrine glands.

Lymphatic system:

The main adverse reactions are enlarged lymph nodes, pseudolymphoma syndrome, and lymphoma.

Pharmacist Summary:

Having learned so much, I'm sure you realize that.Although antiepileptic drugs do have different degrees of adverse reactions, as long as they are taken scientifically and correctly under the guidance of a specialist, the adverse reactions can be well controlled and resolved, epilepsy can be controlled, and the patient can live a life like a normal person!Answers to this article were provided by PSM Drug Safety Cooperative Alliance volunteer: Yuling Bao, Department of Pharmacy, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology!

Dr. Duan, neurosurgeon 👆 epilepsy treatment

Epilepsy is a common condition in our neurosurgery department, and there are epilepsy patients nationwide of aboutAbout 4.9 million., affecting physical and mental health and daily life. Can epilepsy be cured?

Causes of Epilepsy

Many causes can lead to epilepsy, such asCraniocerebral injuries, encephalitis, traumatic brain injury, hemorrhage, tumors, congenital heredity, caused during delivery of newbornsAnd so on. The most fundamental reasonAbnormal discharges of nerve cells in the brain causeThe.

Epilepsy is a seizure disorder that is almost like normal when it is not happening. The diagnosis of epilepsy requires a combination of repeated patient history and EEG-related tests.

Treatment of epilepsy

Most children with epilepsy have seizures that stop or resolve by the age of 11 to 19. As epilepsy medications continue to be developed and are used appropriately under the guidance of a physician, theSeizures can be completely controlled or significantly reduced in 70-80% of patients after treatment, thus improving the patient's quality of life.

But there are still20-30%.We call it intractable epilepsy. This part of the patients look at their morbidity, in fact, we are also very painful inside, which seriously affects their daily life and work.

However, as the level of medical technology continues to improve, we in neurosurgery are also focusing on the surgical treatment of epilepsy as a priority for in-depth research. This group of patients requires surgical treatment, and most of them can have their seizures controlled or improved after surgery, which improves their quality of life.

Dr. Duan, Neurosurgery - your neighborhood health gatekeeper. Thank you for your likes, concerns and comments.

First of all epilepsy is similar to what we usually call epilepsy, but there are many differences. Epilepsy is a chronic disease characterized by abnormal discharges of neurons in the brain and temporary brain dysfunction, with different clinical manifestations due to different parts of the discharges.

There are many factors that trigger epilepsy, epilepsy has primary and secondary epilepsy, the main causes are viral infections, fungal and bacterial infections, traumatic brain injury, cranial brain tumors, cerebral hemorrhage, cerebral arteriosclerosis, hypoxia and respiratory toxicity, uremia, diabetes mellitus, and other various reasons can be triggered by an abnormal release of neurons in the brain. Triggering factors are emotional excitement, alcohol consumption, exertion and so on can lead to epileptic seizures, epilepsy can occur at any age, and most of them are triggered by unclear factors, the pathogenesis may be complex, and related to a variety of factors, epilepsy can be a partial seizure or a generalized grand mal seizure.

The main clinical manifestations are intermittent, transient disorders of consciousness and local or generalized convulsions, and is inclined to one side of the convulsions, which last for a few seconds or a few minutes and then terminate on their own, with visual, auditory and olfactory impairments or special sensations, headache and vomiting, abdominal pain and palpitations, fear, a loud cry during the seizure, dilation of the pupils, foaming at the mouth, elevated blood pressure, tachycardia, and generalized fatigue, and other symptoms. And all of them will go into drowsiness and coma after the seizure is over. The main treatment is to control the convulsions as soon as possible and give symptomatic treatment.

Therefore, it can be said that epilepsy is an incurable disease, because some people have this disease for a long time to take antiepileptic drugs, although the number of seizures is reduced, but it is impossible to eradicate. Others are on medication for life and have seizures when the medication is stopped. Some even develop drug resistance. Therefore, Xiao Ke suggests taking epilepsy drugs should be timely and regular review of liver and kidney function, but also check the electroencephalogram and so on. Timely control of convulsions, because convulsions are also very harmful to the human body.

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Let's start with a clear answer. Epilepsy is curable.

What is epilepsy all about? An example will make it clear. We know that as we grow from newborns to children, to youth, adults, middle-aged, and elderly, our skin goes from young to old, and often even the slightest irritation on our skin when we are young causes us to feel a lot of pain, but as we get older our skin becomes less sensitive and has a lower threshold for pain, and the same irritation doesn't hurt us as easily.

This is the same as the brain stimulation, epilepsy patients is for the brain nerve stimulation threshold is very low, the slightest stimulation will lead to abnormal discharge of the brain, causing seizures, so this is when we need to take medication to raise the stimulation threshold for seizures, so that it is not so easy to seizure. And when we can raise the threshold of stimulation through long-term medication, so that ordinary stimulation will not cause abnormal discharge of the brain and lead to seizures. That's when a patient asks, "So is this a cure?" Of course not. This stage is just a temporary absence of seizures, and we don't know if there will be any more seizures when the medication is stopped? Does the brain still have abnormal discharges anymore?

So, we have to keep taking the medication for at least 2-3 years after the seizures continue to be seizure-free, and if there are still no seizures, we have to combine it with EEG monitoring to see if there are still abnormal discharges. Because sometimes although the seizure is not seizure, but the brain still has abnormal discharge, this is also not to stop the drug. If, say, after the seizure is gone, you keep taking the medication for 2-3 years, and there are no more abnormal discharges on the EEG monitor, then your doctor will recommend a very slow withdrawal. Only then will the doctor recommend stopping the medication very slowly, and the process of stopping the medication usually lasts for a long time, sometimes even for several months. Only then can it be said to be cured.

So does being cured make it okay to drink and stay up late? Never. Alcohol and staying up late are the most important culprits that trigger epilepsy. Even patients with cured epilepsy need to have a regular life and a healthy diet. Once epilepsy recurs, it is far more difficult to treat it again than it was the first time.

The authoritative interpretation of Pharmaceutical Affairs, unauthorized reproduction, plagiarism will be punished.

Epilepsy is caused by a variety of reasons and there are different means of treating it. The prognosis for epilepsy from different causes varies greatly, so I'll explain the main treatments and the prognosis for different epilepsies.

Epilepsy is caused by the presence of abnormal discharging foci within the brain, resulting in abnormal neuronal discharges within the brain, causing a variety of symptoms. If epilepsy is left uncontrolled and seizures occur over a long period of time, it can lead to a decline in the patient's memory, cognitive and intellectual abilities. Therefore, it is very important to control seizures.

The main treatments for epilepsy are antiepileptic drugs, surgical treatment, magnetic stimulation, ketogenic therapy, and vagus nerve stimulation. One of the most dominant treatments remains medication control.

Taking antiepileptic drugs is still the mainstay of treatment today. The vast majority of patients, through long-term medication, can control their epilepsy well and basically do not have seizures. However, a small number of patients, after combining multiple medications, still can not effectively control seizures, this part of epilepsy is known as refractory epilepsy.

The commonly used antiepileptic drugs are carbamazepine, oxcarbazepine, sodium valproate, levetiracetam and lamotrigine. Different types of epilepsy, different groups of people doctors will choose different drugs (for example, sodium valproate has fetal teratogenicity, so female patients with epilepsy who are preparing for pregnancy usually do not use this)

With the development of surgical techniques, surgical treatment of epilepsy is now being applied more and more. For epilepsy caused by temporal lobe epilepsy and hippocampal sclerosis, surgical techniques are now more mature and the cure rate can reach seventy percent after surgery. In case of epilepsy caused by brain tumors, cerebrovascular malformations, brain abscesses, etc., epilepsy can basically be eliminated after removing the lesions.

There are also patients with severe epilepsy who can have a hemispherectomy, where the diseased half of the brain is removed outright. As scary as this sounds, it actually has very good results. This type of surgery is mainly used in children, and the earlier it is done, the better the results. For example, one of my patients, a four-year-old child, was born with a hemorrhage in the brain, causing the left side of the brain to be pressurized and atrophied, and this part of the brain produces abnormal discharges, leading to epilepsy in the patient. And because of the daily abnormal discharges, the patient's speech and motor functions did not develop. We used surgery to remove and dissect the patient's left hemisphere directly so that its abnormal discharges could not affect the normal right side of the brain. In this way, the patient's epilepsy was controlled. In addition, due to the strong plasticity of the child's brain, it slowly replaced the functions of the left side of the brain, and with continuous rehabilitation training, the child gradually learned to speak, and the manipulation of the right and left hands and feet was gradually controlled by the right side of the brain, and the patient recovered very well.

Magnetic stimulation and vagus nerve stimulation are newer therapeutic maneuvers that can be very ameliorative for some refractory epilepsies.

The ketogenic diet for epilepsy is primarily used in infants and children with epilepsy and requires a specialized physician and dietitian to evaluate and develop a treatment plan.

In addition, cannabis oil is very effective in the treatment of certain intractable epilepsy, and there are currently experiments in Australia and Canada, and we have not yet begun to use the drug for epilepsy treatment.

Epilepsy that occurs after trauma, brain hemorrhage, or brain surgery is treated with good results, primarily by taking medication.

What I would like to tell you is that different epilepsy prognoses and treatments vary, but with the advancement of scientific medical technology, there are more and more methods we can use, and we must have confidence.

I will summarize a few more points of attention for epileptic patients in life, attention to these points, can effectively improve the cure rate

1. Work and rest on time, resolutely do not stay up late, and go to bed before ten o'clock every day.

Staying up all night can induce seizures, and it's effective

2. Do not drink Coke, coffee, tea, Red Bull and other functional beverages

These drinks contain caffeine, which excites nerve cells, induces abnormal discharges, and can also disrupt sleep

3. Don't stop taking medication at will, don't skip doses, and don't change medication at will.

Epilepsy medication needs to be taken for a long period of time, and there will be serious consequences if the medication is missed or stopped without authorization. Epilepsy medication is usually taken for more than three years, and you must be prepared for a long battle!

4. Do not use Chinese medicine treatment, do not take drugs of unknown origin. There are many scammers who cheat epileptic patients out of their money and kill them under the banner of traditional Chinese medicine and ancestral secret recipes. I know of several ancestral secret recipes, which are nothing more than grinding several Western anti-epileptic drugs into powder and then making them into pills. The dosage is so large that it is ridiculous. After the patient has eaten it, the epilepsy does not occur, but due to the overdose, it leads to serious side effects.

Epilepsy patients must go to the national public formal hospitals to see epilepsy, do not go to private hospitals and some small clinics to see epilepsy.

Epilepsy cannot be cured, but it can still be cured and treated like a normal, average, healthy person. I am a person with epilepsy, I was diagnosed with epilepsy when I was 14 years old (2nd year), and today I have 36 years of history. I have taken both western and Chinese medicines and all of them work. But still the attending professor was right all epileptics are no different from normal healthy people as long as they are able to achieve self-control and emotional stability. I just deal with all my life affairs according to the rules, and my life is very stable, happy and blessed for so many years.

Most people with epilepsy can get their seizures under control with medication.

Epilepsy is divided into two main categories in terms of etiology:secondary and primary epilepsy.

In the case of secondary epilepsy, this type of epilepsy is potentially curable if the primary pathology causing the epilepsy can be removed.

Common secondary causes of epilepsy include brain tumors, brain softening foci following traumatic brain injury or cerebral hemorrhage, hydrocephalus, cerebral vascular malformations, and more.

For these causes, epilepsy can be controlled or cured by surgically removing epileptogenic foci such as brain tumors, brain softening foci, and vascular malformations, and by treating hydrocephalus through shunt or fistula surgery.

There are also some pediatric benign epilepsies that go away on their own as they get older.

Most people with epilepsy can get their seizures under control with medication. Some patients with intractable primary epilepsy can also have their seizures controlled or reduced by neurostimulation, brain resection, and other surgeries.