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Dr. Raghunathan Natrajan

Consultant - Neurosurgery

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Dr. Raghunathan Natrajan

Consultant - Neurosurgery

Manipal Hospitals, Salem

Managing Patients With Post Traumatic Epilepsy

Posted On: Jun 08, 2023

blogs read 3 Min Read

Post Traumatic Epilepsy in Salem

Post-traumatic epilepsy (PTE) is a serious condition that affects individuals who have suffered a traumatic brain injury (TBI). TBI can result from a variety of causes, including falls, motor vehicle accidents, and blows to the head.

PTE is characterized by recurrent and unprovoked post-traumatic seizures that may occur weeks, months, or even years after the injury. The frequency, type, and severity of seizures can vary greatly from person to person, but seizures typically develop within two years of the injury. The likelihood of developing PTE increases with how severe the trauma was and the presence of other risk factors, as well as the age at which the injury occurred. Visit a top multispecialty hospital if you require treatment for post traumatic epilepsy in Salem

Classification of Post-Traumatic Epilepsy

Post-traumatic epilepsy (PTE) is classified based on the time between the traumatic brain injury (TBI) and the onset of seizures. The two main types of PTE are early-onset PTE and late-onset PTE.

  • Early-Onset PTE

Early-onset PTE refers to seizures that occur within the first week after the TBI. These seizures are typically caused by a direct injury to the brain or by a change in the brain's metabolism.

  • Late-Onset PTE

Late-onset PTE indicates seizures that occur more than a week after the TBI. The underlying cause of late-onset PTE is not understood well, but it may be due to changes in the brain's structure or function after head trauma.

Symptoms of Post Traumatic Epilepsy

The symptoms of Post Traumatic Epilepsy can range from mild and infrequent seizures to frequent and severe episodes of seizures. These seizures can cause symptoms such as

  • Loss of consciousness.

  • Muscle twitching.

  • Fatigue and weakness.

  • Altered awareness or confusion.

How to Manage Patients with Post-Traumatic Epilepsy?

Managing patients with Post Traumatic Epilepsy (PTE) requires a comprehensive and individualized approach. It can be a long and difficult journey, but it's important to know that there is help available. 

Diagnosis of Post-Traumatic Epilepsy

The first step is to accurately diagnose post-traumatic epilepsy (PTE) which can help patients receive the best possible treatment plan. Thus, looking for the presence of a TBI and determining when the seizures first started could be helpful. A seizure diary can be a useful tool for tracking the frequency, duration, and type of seizures.

A thorough neurological evaluation, including a medical history and a physical examination along with medical imaging tests (CT scan or MRI), can help detect changes in the brain related to the TBI and rule out other causes of seizures. An electroencephalogram (EEG) can also be performed to monitor brain activity and determine if the seizures are of epileptic origin.

Treatment and Management of Post-Traumatic Epilepsy

Treatment for PTE often involves a combination of antiepileptic drugs (AEDs), surgery, rehabilitation, psychotherapy, and lifestyle modifications. 

  • Antiepileptic drugs (AEDs) are the mainstay of medical treatment for post-traumatic epilepsy. AEDs can help control seizures. Psychotherapy can help cope with the emotional and social challenges of PTE.

  • Lifestyle modifications such as regular exercise, good sleep hygiene, and stress management can help reduce the risk of seizures and improve overall health and well-being. 

  • Regular monitoring and follow-up with a neurosurgeon are important to monitor the response to treatment and make necessary adjustments to manage PTE and lead fulfilling lives.

Consult an expert neurosurgeon in Salem for diagnosis and treatment of post-traumatic epilepsy. 

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