How to treat refractory epilepsy

summary

Last year, he was diagnosed with epilepsy. When he had seizures, his eyes turned white and his whole body became stiff. He took a lot of drugs, but later he gradually improved. Do you want to know how to treat refractory epilepsy? Today, let me talk about how to treat refractory epilepsy.

How to treat refractory epilepsy

Treatment 1: medication according to seizure type: antiepileptic drugs have the best effect on one type of seizure, but have poor or ineffective effect on other types of seizures, or even have the opposite effect. For example, Ethylsuccinate has the best effect on absence attack, but has no effect on other types of attack. Phenytoin (phenytoin sodium) is effective for tonic clonic seizures. It has been reported that phenytoin sodium can induce absence seizures. Clinically, antiepileptic drugs can be selected according to the types of epileptic seizures.

Treatment 2: the choice of medication time: clear diagnosis of epilepsy is the premise of medication. If there are two or more seizures within one year, medication should be given. The recurrence rate after the first attack was 27% - 82%. The higher recurrence rate was found in patients with progressive or organic encephalopathy, patients with definite paroxysmal spikes and slow waves or frequent focal spikes in EEG, and patients with neurological signs, mental retardation or mental disorder. If there was no such situation at the first attack, the risk of recurrence was high It can be delayed for clinical observation. If the patients have definite predisposing factors, such as drug and alcohol, fatigue, tension and photosensitivity, these factors should be removed first. After observation, medication should be given according to the situation.

Treatment 3: long term drug use: once the drug and dose that can completely control the attack are found, it should be used continuously. Generally, if there is no adverse reaction after the attack is completely controlled, it can be considered to stop taking the drug for 3-5 years. Different treatments should be made according to the etiology, attack type and attack frequency. If there is a history of encephalitis, birth injury history of symptomatic epilepsy medication time should be long, complex partial seizure withdrawal should be careful. Patients with frequent seizures and abnormal EEG should also take long-term medication. The dosage should be reduced gradually when the drug is stopped, and it should not be less than half a year from the beginning to the end.

matters needing attention

Wine, strong tea and coffee should be absolutely prohibited, and pepper, pepper, mustard, scallion, garlic (garlic food) and other spicy condiments (condiment food) should also be appropriately limited.