Absence Seizures - Maximed Turkey
What Are Absence Seizures?
Absence seizures are types of seizures that originate
in the temporal lobes of the brain. They are characterized by brief episodes of
unconsciousness lasting between one and three minutes, which occurs when a
person is asleep or transitioning between states.
These seizures manifest as an interruption in awareness
which results in physical symptoms, such as loss of muscle control, rapid eye
blinking, twitching or shaking, vocalizations (especially speech), and
occasionally delusions or hallucinations. The symptoms associated with absence
seizures typically subside without any intervention after several seconds to
several minutes.
What Causes Absence Seizures?
The cause for absence seizure is unknown at this time,
but genetics appear to be the most likely factor involved. Epilepsy is the most
common cause of absence seizures. Absence seizures can be divided into two
broad categories: epileptic and non-epileptic simple partial epilepsy.
Despite this fact, approximately 10% of people with
epilepsy experience absence seizures, and these individuals will go on to
experience another type of seizure (e.g., tonic-clonic, drop attack) in the
future. People with neurofibromatosis type 1 (NF1) also have a greatly
increased likelihood of developing absences than other people.
What Are The Symptoms Of Absence Seizures?
The symptoms of absence seizures can vary widely based
on the brain region that is affected. The most frequent symptoms associated
with absence seizures include: - Loss of awareness (loss of consciousness) -
Random jerking (like someone turned a switch on and off) - Rapid eye blinking -
Vocalization (speaking) - Muscle twitching or shaking, usually in limbs -
Sudden jerking movements - Difficulty breathing or slurred speech
What Medications Are Used To Treat Absence Seizures?
There are currently no medications that have been
approved by the FDA for use as a treatment for absences. However, many doctors
prescribe a medication known as Lamotrigine for this type of seizure.
Lamotrigine does not treat absences directly; however,
it is thought to lower overall seizure severity and frequency. Several other
medications (such as valproic acid and ethosuximide) have also been used in the
past to treat absences; however, their effectiveness is unclear at this point.
What Non-Drug Therapies Can Be Used To Treat Absence Seizures?
Many doctors recommend that people who experience the
symptoms of absence seizures adopt a healthy lifestyle to prevent future
seizure activity. These lifestyle changes include:
·
Avoiding certain medications (e.g., alcohol,
caffeine, amphetamines)
·
Keeping food intake to regular times during the
day - Getting adequate sleep (i.e., 7-8 hours/night)
·
Engaging in aerobic exercise for at least 30
minutes daily
· Maintaining a healthy weight
In addition to these recommendations, doctors may also
prescribe a device known as a vagus nerve stimulator for people with severe
absences that do not respond well to medications alone. However, this treatment
is controversial and its effectiveness has been questioned by studies that have
been conducted on it.
Same general mechanism (absence seizure), different
brain circuits promote the different types of seizures. This is the reason why
infants can't intentionally induce absences too because they don't have that
path.
Shorter-duration absences are thought to be spontaneous
remission pain-free (painless) generalized generalized absence seizures (GGA)
(29%) which appear to arise from the temporal lobes. This type of absence
seizure resembles petit mal seizures in an infant without other features
suggestive of other types of absence attacks.
Absence seizures usually start at night or in sleep,
especially in children who are over two years old.
Frequently Asked Questions Absence Seizures
What Is The Diagnosis?
Diagnosis of epilepsy is based mainly on seizure types.
A doctor may also do a physical exam, chemical tests, and sometimes an MRI or
CT scan to see if there are any brain abnormalities. Generally, the doctor
looks at the symptoms (seizure type) and what parts of the brain they happen in
(seizure focus).
What Are The Types Of Seizures?
There are three main types of seizures: simple partial,
complex partial, and generalized.