Epilepsy is not terrible, most controllable
There are more than 9 million patients in China, and the rate of visits is less than 40%.
Common types of seizures are:
The sudden onset of absence of seizures usually lasts less than 30 seconds, mainly in children and adolescents, and is rare in adults.
An upright contraction of the central axis of the body, the proximal limbs, or the continuous muscles of the whole body, usually lasting 2 to 10 seconds, occasionally up to several minutes, clonic seizures, bilateral limb rhythmic tics, with or without consciousness Obstacles, lasting for a few more minutes.
Myoclonic seizures are involuntary, rapid, and electrokinetic-like muscle twitching, usually lasting 10 milliseconds to 50 milliseconds, rarely exceeding 100 milliseconds.
Sudden onset of sudden onset or reduction of muscle tension in the head, trunk or limbs. The lighter only nods and the heavy one can cause a fall, and the episode lasts about 1-2 seconds or longer.
According to statistics, there are more than 9 million people with epilepsy in China, and about 400,000 people with epilepsy are newly added each year. However, such a high patient population, the situation is not optimistic. The survey shows that the rate of visits to patients with epilepsy in China is less than 40%.
Many people have misunderstandings about the disease and believe that epilepsy cannot be controlled or cured. In fact, patients receive timely and regular treatment, 70% can be controlled; 50% to 60% of patients, after 2 to 5 years of treatment, can be cured. Therefore, early detection, early diagnosis, and early treatment are the key, and the earlier the intervention, the better the control effect will be.
In addition, many people care about whether epilepsy can be prevented. In fact, the causes of epilepsy are both internal genetic factors and external environmental factors, but their proportion may be different. For how to prevent, a family survey can be conducted to find out whether there is a history of epilepsy in close relatives of the parents, and a prenatal diagnosis should be made for a serious hereditary disease that can cause epilepsy.
The drug of choice for treatment, refractory epilepsy can be considered for surgery
At present, epilepsy has become the second most common disease in neurology after cerebrovascular disease in China.
For the treatment of this disease, the vast majority of patients are based on age, type of symptoms, severity and other factors, oral anti-epileptic drugs are preferred. Partially clear surgically resectable lesions, such as intracerebral tumors, abscesses, etc., can be operated on. There are also some drug-refractory epilepsy, which can be considered for surgery, such as implanted brain pacemaker, palliative treatment, neuromodulation therapy. According to statistics, more than 3 million patients with drug-refractory epilepsy, for this part of the patient, accurate, reliable, safe and minimally invasive deep brain stimulation therapy has become a new hope for treatment. Recently, the first brain deep electric stimulation epilepsy training center was established in Xuanwu Hospital of Capital Medical University. The functional neurosurgery as a training and education base will be opened to clinicians interested in minimally invasive surgery for epilepsy.
Xuanwu Hospital is a pioneering base for neuroscience in China. In addition to its commitment to the field of functional encephalopathy, the hospital also shoulders the responsibility of nurturing neuroscience talent. The establishment of the training center aims to provide relevant doctors with technical guidance and exchange learning platforms to better regulate the diagnosis and treatment of epilepsy diseases and promote the application of new technologies. According to the training needs of clinicians at different stages, the center will provide a variety of training courses, pre-operative evaluation of epilepsy patients, standardized surgical procedures and long-term training in postoperative, treatment, management, etc., and will use classroom teaching and surgical demonstrations. And hospital visits and other forms to promote the standardized diagnosis and treatment of epilepsy, and ultimately benefit more patients.
Source: Guangming Daily
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