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WHAT IS EPILEPSY
Epilepsy is not a disease. It is not a mental illness. The word (from the Greek) literally means ‘to take hold of or seize’. To have epilepsy is to have recurrent seizures (or fits or convulsionsthey all mean the same thing). And a seizure is a temporary state of abnormal electrical activity within the brain. Note the word temporary – it is important. People with epilepsy sometimes have occasional seizures, but they do not have an illness any more than someone who has occasional headaches.
The brain is one of the most complex organs in the galaxy. It consists of over ten million million neurones, each connected to about 6,000 other neurones. When the brain is functioning normally, myriads of neurones fire (that is, give out a burst of electrical energy) transmitting information from cell to cell. This whole process continues 24 hours a day and is responsible for our emotions, feelings, understanding, movements and behaviour -in fact everything we think or feel or do.
What is amazing is that most of the time the system works so well – the processes are always carried out correctly. Sometimes, however, the brain becomes too excitable. This can happen because it is damaged, or because of an inherited genetic tendency to excitability. This super-excitability occasionally leads to areas of the brain going out of control with many cells firing together. Sometimes cells in the surrounding area are drawn into the process and start to fire abnormally too. These dischargesbursts of abnormal electrical firinglast from seconds to minutes and then the brain returns to its normal functioning state. While the discharge lasts it causes a temporary change in our emotions, consciousness, intellect or behaviour. This is known as a seizure.
Anyone can have a seizure under certain conditions. In fact, fits are very common; one person in 20 will have a major fit during their life, but two-thirds of people who have a single fit never have another. The brain can become temporarily more excitable than normal during drug or alcohol withdrawal, and so people who are trying to ‘dry out’ or to withdraw from drugs are quite likely to have seizures, but only under these conditions. Seizures may follow extreme sleep deprivation or prolonged hunger too, because these conditions make the brain temporarily more excitable, so that it occasionally produces the sudden burst of electrical firing that leads to a seizure.
Children’s brains are more excitable than those of adults, so children are always more seizure-prone. Some babies and young children also have an inherited tendency to have seizures when they are running a high temperature, but this does not mean that they have or will develop epilepsy. The fact that you have one fit does not mean that you have epilepsy any more than one swallow makes a summer. You won’t be regarded as suffering from epilepsy unless your fits recur.
The usual yardstick for a diagnosis of epilepsy to be considered is for two fits with no obvious cause (such as drug withdrawal or a high fever) to occur within two years. This definition of epilepsytwo fits within two yearsalso means that epilepsy is by no means a life-long sentence. Many people outgrow their epilepsy, and if you have had a two year period free from fits you will be regarded as no longer suffering from epilepsy. However, once you have had epilepsy, there is always a small chance that your fits may recur at a later date, because you don’t necessarily lose the tendency to have fits.
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