Prognosis of Seizure

By  , Expert Content
Aug 31, 2012

Prognosis of seizures depends on the type of seizures and their cause. Seizure is a common neurological (brain) disorder that affects people of all age, race, social status and sex. According to research, an estimated 5% of people in the world may experience at least one seizure in their lives.

Prognosis of seizure

Prognosis of seizure with treatable condition: If you have seizure because of a treatable condition, such as alcohol dependency, infection, low blood sugar or low blood calcium, the prognosis is good. After the treatment of the underlying cause, you may not have another seizure.

Prognosis of seizures in people with epilepsy: If seizure is caused because of epilepsy, prognosis depends on many factors including the type of seizure and adherence to medications. Seizures because of epilepsy can be controlled in up to 70% of newly diagnosed cases (both children and adults) with anti-epileptic drugs. If you remain seizure-free for over 2-5 years after the start of the antiepileptic medication, it can be slowly withdrawn in about 70% of children and 60% of adults without relapses (i.e. without further seizures). Seizures because of epilepsy, however, may not get controlled in about 30% of people with medications. They may need other treatments, such as a surgery, ketogenic diet or vagus nerve stimulation to control seizures. Surgery is recommended as an option to be employed only after trying two or three different medications for a period of time without success. Experts say that the prognosis of any type of seizure is better when treatment is started early and the medications are taken as recommended. Delay in starting treatment or poor compliance with treatment makes it more difficult to control seizures. Prognosis is poorer if the person has seizures due to an underlying brain disease as compared with people without any abnormality in the brain.

Prognosis of febrile seizures: Prognosis of children with febrile seizures (seizures that occur with fever) is good. Most children "outgrow" them, but can experience repeated seizures with fever untill 5 years of age. Only rarely do some children with febrile seizures develop epilepsy.

Prognosis of generalised and partial seizures: Prognosis is better for people with generalised seizures as compared with partial seizures. If partial seizures are caused because of some abnormality or pathology in the brain, it is more difficult to control than generalised seizures. Seizures may not cause any harm unless an injury occurs or status epilepticus develops. The risk of death and brain damage increases in people, who develop status epilepticus.



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