How should convulsions be treated?

Sep 26, 2024 Source: Cainiu Health
Disease description:

I have always had epilepsy, and the sudden onset of symptoms really affects my normal life. I haven't told my current girlfriend about it yet. May I ask how epilepsy should be treated?

Doctor's answer (1)
Dr. Lv Zhiqin

Convulsions, commonly referred to as seizures or epileptic attacks, are mainly treated through the following approaches:

1. Medication: Long-term treatment for epilepsy involves selecting appropriate anti-epileptic drugs based on the patient's specific condition. Commonly used medications include carbamazepine, sodium valproate, and oxcarbazepine. These drugs can effectively control epileptic seizures but must be taken regularly under a doctor's guidance, with ongoing monitoring of their effectiveness and potential side effects.

2. Surgical treatment: For drug-resistant epilepsy that cannot be controlled with medication, surgical intervention may be considered. Surgical options include stereotactic procedures and anterior corpus callosotomy, aiming to disrupt the areas of the brain associated with epileptic activity, thereby reducing or eliminating seizures.

3. Other treatments: These include neuromodulation therapy and ketogenic diet therapy. Neuromodulation therapy uses electrical currents or pulse signals to target areas of the brain or spinal cord, regulating abnormal electrical activity. The ketogenic diet is a special dietary therapy that reduces epileptic seizures through a high-fat, low-carbohydrate diet with adequate protein intake.