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Abstract
Epilepsy has been defined as recurrent convulsive or non convulsive seizures caused by partial or generalized epileptogenic discharges in the cerebrum. Epilepsies represent a group of diseases of which recurrent seizures represent their principal manifestation.
A seizure is a transient event, a symptom of disturbed brain function.
Although seizures are the cardinal manifestation of epilepsy, not all seizures imply epilepsy Over all, at least 30% of patients with epilepsy continue to have seizures despite optimal drug therapy(Intractable seizures).
Accurate diagnosis of epileptic seizures and syndromes should be done through, history taking, clinical examination, laboratory investigation,
electroencephalogram and neuroimaging.
Poorly controlled epilepsy has been associated with higher rate of mortality, unemployment and cognitive impairment.
Modes of treatment include, anti epileptic drugs, non pharmacological options and surgery.
Lines of treatment:
1) Pharmacological options which include:
V. Conventional anti epileptic drugs 7. Sodium valproate
8. Carbamzepine
9. Phenytoin
10.Benzodiazepines
11.Ethosuximide
12.Phenobarbitone
VI. Recent anti epileptic drugs
10.