Seizures differ, depending on which portion of the brain is involved. Nerve
impulses are constantly being transmitted from brain cells and processed by
neurotransmitters. Seizures occur as a result of abnormal and excessive
discharges of nerve impulses originating from certain brain cells. Some of these
excess impulses reach skeletal muscle fibers and trigger the violent
contractions witnessed with a variety of seizures.
Cerebral Palsy and Epilepsy are a common association. I mean Cerebral Palsy
means that you have some kind of motor problem. Cerebral Palsy can be as mild as
someone limping to someone who can’t walk at all. So a lot of people that have
Cerebral Palsy, what people usually think of as Cerebral Palsy, are people who
are in a wheelchair. It’s called Spastic Quadriplegia, they can’t use their arms
or their legs. Now not all the time, but oftentimes with that there is some sort
of abnormality on an an MRI. And there’s a huge increased risk of Epilepsy in
people who have Cerebral Palsy. So again not every person who has Cerebral Palsy
has Epilepsy, but a lot do. The problem sometimes is though, what you think
might be a seizure in a patient with Cerebral Palsy, cause they’re so stiff and
contracted. Not everybody, but some of them, they can look like seizures, the
twitching and jerking, and they actually not be seizures. So it’s important to
be able to differentiate, because sometimes what happens is we end up treating
what is reported as seizures and they’re not actually seizures. There just the
stiffness and the tightening of their muscles. And you treat that also, but in a
different way. So to be a good practitioner you got to be able to differentiate
what’s being caused, the movements being caused by the Cerebral Palsy and which
one are seizures. It’s important if you’re not sure to do a Video EEG, so you
can see the episodes of jerking and twitching, and see what’s going on in the
brainwaves. And then that will help to determine if medication is indicated or
not and then help to make the patient feel better.
children with cerebral palsy suffer from seizures, just as not all children
who experience seizures or epilepsy have cerebral palsy. Additionally, although
learning disabilities are common with children who experience seizures, not all
children who suffer with seizures experience learning disabilities.
Depending on the severity of the trauma and cerebral injury, infants who
suffer injury due to a birthing trauma may experience seizures immediately after
birth. In the case of my daughter who suffered severe global cerebral insult as
a result of neonatal asphyxia, she experienced 3 days of uncontrollable seizures
immediately after birth.
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