05 Epilepsy

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Fits, convulsions and seizures all mean the same thing – when your muscles move or spasm without you meaning them to.  Lots of ordinary people have one or two fits in their life.  However, when it happensmore than a couple of times, it’s called Epilepsy.

What Are Fits?

A seizure happens when a piece of the brain turns on when it isn’t supposed to.

This sends strong electrical impulses through the rest of the brain like an electrical storm – causing the person to become unconscious and all the muscles to spasm.

As the person is unconscious, they don’t know it is happening – and often they lose control of their bladder and wet themselves. This type of all-over seizure is called a generalised or “grand mal” fit.

Sometimes only a small part of the brain is affected – called partial epilepsy.

                 

What Causes Fits?

In most people, we don’t know the cause.

Sometimes an abnormality of the brain such as a cyst or a scar from past damage causes the brain cells to fire off without warning.  Some types of epilepsy disappear as you grow older – but some types stay for life.

Doctors work out the type of fit someone has from their EEG (electroencephalogram) – a brain-wave scan that diagnoses epilepsy.

What Are Fever Fits?

Fever-fits (febrile convulsions) are a type of fit that happens in young children with a very high fever.

They are not true epilepsy, as they are caused by the brain becoming irritable with a very high temperature.

Can You Prevent Fits?

Fever fits in young children can be prevented by stopping their temperature going too high – using paracetamol.  Other fits can only be prevented by medications called anti-convulsants – such as Carbamazepine or Valproate.  These medications work to damp down abnormal electrical activity in the brain.

What Do You Do If Someone Is Having A Fit?

Roll them onto their side with their mouth pointing downwards – this is called the Recovery Position.

It’s the safest position for ANY unconscious person.  Then call an ambulance and stay with the person.

Three Important Don’ts:

– don’t try to give mouth to mouth to a fitting person;

– don’t try to stop their arms or legs shaking;

– don’t worry that they will swallow their tongue, and don’t try to get their tongue out (you will just get bitten).