Several common misconceptions about epilepsy

  Epilepsy is an ancient and common disease, commonly known as “sheep epilepsy”. The majority of patients and their families do not have medical knowledge, and the symptoms of epilepsy are special, so there are often misconceptions in the understanding and treatment of the disease, which are briefly explained.  The first thing you need to do is to get a good idea of what you are getting into. And some types of epileptic patients do not have convulsion symptoms, such as aphasic seizures, psychomotor seizures in temporal lobe epilepsy, etc. Therefore, convulsions cannot be equated with epilepsy.  2, convulsive movements are large seizures, small movements are small seizures: grand and small seizures of epilepsy are not distinguished by the magnitude of convulsive movements. A major seizure is a convulsion of the whole body and limbs, while a typical petit seizure refers to a loss of consciousness, a brief loss of consciousness, a pause in movement, and no convulsive action. Some patients or their family members refer to all other forms of seizures other than generalized grand mal seizures as petit mal seizures, which is obviously inaccurate. The physician must accurately typed according to the patient’s medical history and onset symptoms, and reasonably selected drugs in order to achieve better results. For those who cannot be accurately typed, long-range video EEG can be used.  The majority of patients have loss of consciousness at the onset of seizures, but some types of epilepsy, such as simple partial seizures, myoclonic epilepsy and other patients are clearly conscious at the onset of seizures. The diagnosis of epilepsy should not be denied because the patient has no loss of consciousness, and treatment should not be delayed.  4, epilepsy is hereditary, epileptic patients can not have children: most epilepsy is non-hereditary. The effect of epilepsy on the next generation is not 100%. However, from a eugenic point of view, it is best for epileptics to avoid marrying people with low convulsive thresholds (including epileptics and those with a history of febrile convulsions); in addition, epileptics should have children after their condition is stable and their seizures are basically controlled.  5, EEG normal can not be diagnosed as epilepsy: EEG examination has a very important value for the diagnosis and differential diagnosis of epilepsy, and is an essential auxiliary examination for the diagnosis of epilepsy. However, not all epileptic patients have abnormal EEG. According to statistics, 60-70% of epileptic patients have abnormal EEG, about 5-30% of epileptic patients have normal interictal EEG examinations, and some people with abnormal EEG never have seizures. Moreover, the detection rates of EEG topography, dynamic EEG, and video EEG are different. Therefore, the diagnosis of epilepsy cannot be ruled out clinically because the EEG is normal, nor can the diagnosis of epilepsy be made because the EEG is abnormal. It must be analyzed in combination with medical history and clinical symptoms.  The majority of patients with epilepsy can satisfactorily control their seizures by choosing a suitable dose of antiepileptic drugs under blood concentration monitoring, and there is no need to take multiple drugs at the same time. If the seizures cannot be controlled with a single drug, the reasons should be analyzed and a combination of drugs should be selected under the guidance of a physician.