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A brain injury can cause seizure(s) because of the unusual amount of energy that is discharged across of the brain when the injury occurs and thereafter. A disruption of the supply of oxygen may cause damage to the temporal lobe of the brain. [35] The risk of seizure(s) from a closed head injury is about 15%. [36]
A seizure is a paroxysmal episode of symptoms or altered behavior arising from abnormal excessive or synchronous brain neuronal activity. [5] A focal onset seizure arises from a biological neural network within one cerebral hemisphere, while a generalized onset seizure arises from within the cerebral hemispheres rapidly involving both hemispheres.
It is recommended to start with one anti-seizure medication. [5] [59] Another may be added if one is not enough to control the seizure occurrence. [59] Approximately 70% of people can obtain full control with continuous use of medication. [60] The type of medication used is based on the type of seizure. [5] [59]
Seizures that impact specific areas of the brain these ways are known as partial seizures - while generalized seizures can affect more than one brain structure at a time or occur throughout the ...
However, most physicians believe that even palliative surgery where the burden of seizures is reduced significantly can help in achieving developmental progress or reversal of developmental stagnation in children with drug-resistant epilepsy and this may be achieved in 60–70% of cases. [164]
Seizures begin before 20 months of age and in most cases, the first seizures occur with fever and are generalized tonic-clonic (grand mal) or unilateral (one-sided) convulsions. These seizures are often prolonged, and may lead to status epilepticus, a medical emergency. In time, seizures increase in frequency and begin to occur without fever.