Epilepsy in American Indians is often, but not always, a direct result of alcohol/drug abuse and/or liver disease. It is estimated that one of twenty American Indians who suffer from one of the above diseases will have an epileptic seizure.

SYMPTOMS

Seizures episodes of abnormal mental or muscular activity are the basic indicator of epilepsy. They vary widely:
  • Staring straight ahead and lapsing into complete immobility for a few seconds characterize a petit mal seizure.
  • Loss of consciousness, rhythmic jerking motions and incontinence are among the signs of a grand mal seizure, which may last up to 30 minutes.
  • Repetitive lip smacking, aimless fiddling movements, and a sense of detachment from surroundings may indicate a temporal lobe seizure.
  • Rhythmic twitching of a hand, a foot or the face, often followed by a period of weakness or paralysis, indicates a Jacksonian seizure.
  • Convulsions in an already ill child 3 months to 3 years old, resulting from a sudden climb in fever, indicate a febrile seizure.

CAUSES

Most cases of epilepsy are of unknown origin. Sometimes, however, a genetic basis is indicated, and other cases may be traceable to birth trauma, lead poisoning, congenital brain infection, head injury, alcohol or drug addiction, or the effects of organ disease. Triggers for the attacks also vary widely. Among the factors that can bring on attacks are certain chemicals or foods, sleep deprivation, stress, flashing lights, menstruation, some prescription and over-the-counter medications, and possibly oral contraceptives.

DIAGNOSTIC AND TEST PROCEDURES

An electroencephalogram (EEG) performed on a sleep-deprived individual can reveal abnormal brain waves characteristic of epilepsy, and imaging tests such as an MRI or CT scan can identify physical trauma that may be causing seizures.

TREATMENT

Epilepsy can often be well controlled by medication. A recommended precaution for epileptics is to wear a Medic Alert bracelet so that other people can quickly recognize what is happening during a seizure and lend effective assistance.

Source: Greater L.A. Epilepsy Foundation

 


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