When it comes to causes of epilepsy, the truth is that for many people with epilepsy, they themselves do not know what causes seizures. There is neither a family history of epilepsy in the family, nor has anyone around them, so why do they have seizures? In fact, scientists are now working on this issue and we have categorized the causes of seizures into eight major groups. They are structural causes, metabolic causes, genetic causes, infections, poisoning, cerebrovascular disease, intracranial tumors or immune factors. In our clinical work, we encounter more patients with structural causes. When we talk about structural causes, many people may not understand. For example, when a patient with epilepsy sees a doctor, the doctor may ask you to go for an MRI or CT to check whether there are any structural problems in the brain. Like we had a 12 year old some time ago who had one or two disoriented seizures during the school day. He suddenly froze, and then a classmate told him about it. Then the parents led him to our center to take a look and did a nuclear magnet and then an EEG. It turned out that there was a little bit of abnormal lesion in the temporal lobe of the magnetized child. Craniocerebral trauma is categorized into craniocerebral trauma in childhood and craniocerebral trauma in adulthood. What is craniocerebral trauma in childhood? For example, a mild craniocerebral trauma that occurs when the head bumps against a wall or is touched. If there is a little bit of bleeding at that time, and there are no symptoms, gradually when he grows up, the bleeding area will form a soft spot, and eventually cause epilepsy. In some cases, the patient may have a severe traumatic brain injury in adulthood, such as a traffic accident or other causes of severe brain damage. Such patients may have seizures for up to ten years. In addition to structural causes, traumatic brain injury, tumors and other causes. Let’s talk about the causes of epilepsy caused by congenital diseases, which are also divided into two, one is metabolic problems, that is to say, there are a large proportion of patients who are deficient in B vitamins, resulting in a metabolic problem, which requires some tests, if it is determined that the epilepsy is caused by a lack of B vitamins, then after supplementing enough B vitamins, the seizures will be stopped. The seizures will stop. I would like to remind you that just because I said today that vitamin B deficiency causes seizures, everyone should not take vitamin B supplements, but you have to be diagnosed in the hospital and by the doctor that you are suffering from epilepsy due to vitamin B deficiency, and only then you may need to take supplements. The other thing is poisoning, poisoning is also an external cause of an infection in the central nervous system. One of the cerebrovascular diseases is cerebral vascular malformations or cavernous hemangiomas are the cause of our seizures, and in cerebrovascular diseases, the incidence is one of the highest. Another is said to be infections, such as encephalitis, viral encephalitis or meningitis. And then one more, there are degenerative diseases in the elderly, which, besides children, have the highest incidence of seizures in the elderly population. This is caused by the fact that older people often develop degenerative diseases such as cerebral infarction and Alzheimer’s disease. For patients, seizures occur. It is best to go to a regular epilepsy center as soon as possible to find out the cause. Most of the epilepsy patients, we are still able to find out some causes, or find some clues when asking for medical history, and then analyze according to the specific situation. For example, premature birth, lack of oxygen or a family history of epilepsy, and so on.