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Home >> Sine , Symptoms And Homeopathic Treatment For Epilepsy :

Sine , Symptoms and Homeopathic treatment for Epilepsy :

Epilepsy is a brief recurrent disorder of cerebral function due to sudden electrical discharge of cerebral neurons and is usually associated with disturbance of consciousness.
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Management

  • Immediate treatment of an attack of fit :
    • The patient should be protected from injury. He should be moved away from fire and sharp or hard objects.
    • Padded mouth gag should be inserted between the teeth to avoid tongue injury.
    • Tight clothing should be untied and adequate clear airway should be maintained.
    • Diazepam 5-10 mg should be given slowly intravenously till the fits subside. It can be repeated if required. However, care should be taken as it may cause sudden respiratory arrest.
  • Long term drug therapy :
    • The drugs should be given in adequate doses for an adequate period such that there is cessation of convulsions. It should be continued for at least 3 years after the last fit.
    • Abrupt discontinuation of the drugs must be avoided as it may precipitate status epilepticus. Drugs must be increased of decreased gradually.
    • Preferably convulsions must be controlled with a single drug. However, if required, combination of drugs may be given.
      • A. Grand-mal epilepsy can be controlled by one or more of the following drugs:
        • Phenytoin sodium 200-400 mg. daily.
        • Carbamazepine 600-1800 mg daily in divided doses.
        • Sodium valproate 0.25- 1.0 gm daily.
        • Phenobarbitone 60-180 daily.
        • Primidone 750-1500 mg daily in divided doses.
      • B. Focal epilepsy can be controlled by one or more of phenobarbitone, phenytoin sodium, primidone and carbamazepine. Sodium valproate is not very useful for focal epilepsy.
      • C. Petit mal epilepsy can be controlled by:
        • Ethosuximide 750-1500 mg daily.
        • Sodium valproate 250-1000 mg daily.
  • Social and psychological aspects :
    • The patient and the relatives should be educated about the nature of the illness, its precipitating factors and its consequences.
    • Restrictions should be minimum especially in children as they are in danger of being over protected. Cycling driving and swimming alone at sea should be avoided.
    • The patient should be advised to take occupation in which neither he, nor the community is put at risk by propensity of fits. Exposure to moving machinery and work at height should be avoided.

Status Epilepticus :

Status epilepticus is alternate period of convulsions and unconsciousness without any intervening normal period. It is a medical emergency because it may be fatal if not rapidly controlled.
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Management

  • Maintenance of airway : The airway should be clear to prevent asphyxia. Hence
    • A. Throat suction must be done frequenthy.
    • B. Oral airway may be inserted.
    • C. The head must be turned to one side to prevent aspiration.
  • Protection from inhuries :During as epileptic fir, the patient is prone to develop injuries. Hence
    • A. Side railings should be applied to the bed to prevent a fall.
    • B. Padding should be applied around the joints.
    • C. Mouth gag should be applied to prevent tongue bite.
  • Management of unconscious patient : As above.
  • Subsequent treatment :
    • A. The dose of anti-convulsant drugs must be adjusted.
    • B. Infections if present must be treated with appropriate antibiotics as they may precipitate status epilepticus.

Homoeopathic approach to Epilepsy Treatment:

The homoeopathic approach to the Treatment for epilepsy patients is more individualistic. This means, homoeopathy believes that migraine is a personality disorder and hence the treatment should be determined only on the basis of in-depth study of the patients' personality. This approach helps treating most cases of migraine successfully.