Most cases of epilepsy following brain injury are curable. Some patients with epilepsy may experience a few seizures, but after a few years, the brain may recover spontaneously as its function repairs itself. In addition to treating the brain injury, epilepsy following brain injury requires antiepileptic drugs. The dosage should be gradually increased from a small dose to effectively control seizures without significant side effects. If this is not achieved, partial control is preferable to avoiding serious side effects. For epilepsy caused by brain injury, the primary goal is to eliminate the underlying cause of the epilepsy to improve the patient's prognosis. For example, in cases of epilepsy caused by open injuries, early trauma and effective wound treatment are crucial. If the wound is not effectively treated in the first stage and subsequently causes epilepsy, a second trauma should be considered to remove the foreign object and the affected area, thus effectively controlling the occurrence of epilepsy.
What precautions should be taken for epilepsy caused by brain trauma?
The clinical manifestations of epilepsy following brain injury should reflect the metabolic disturbances caused by the brain injury, manifesting as a thermal reaction. Treatment is best achieved through relevant physical examinations, nutritional adjustments to neurotrophic factors, and symptom supportive care. Close monitoring of changes is crucial for adjusting the treatment plan and overall well-being. For epilepsy caused by brain injury, regular antiepileptic medication should be taken to control seizures. Maintaining a regular lifestyle, ensuring sufficient sleep and rest, avoiding staying up late, emotional excitement, alcohol consumption, overexertion, and colds/infections are essential. The treatment of sequelae of epilepsy following brain injury largely depends on the severity of the epilepsy.
Can epilepsy caused by traumatic brain injury in children be cured?
Brain injury can also cause epilepsy in children. Brain injuries caused by intracranial hemorrhage, skull fracture, brain contusion, and trauma can lead to epilepsy, but the incidence is related to the degree and location of the injury. Most patients with epilepsy due to brain injury can be cured with various treatments. For some patients with epileptic foci, the location of the foci can be determined through examination, and most patients can be cured with surgery. Children must avoid fever, as it can easily trigger seizures.