What are the alternative treatments for Epilepsy? – AngelmanUK

What are the alternative treatments for Epilepsy? – AngelmanUK


The treatment of epilepsy is usually
pharmacological that is based on on drugs on molecules that you take and
they go to they go all over your body and and some some of it will got to your
brain and will have an action there but with understanding of epilepsy we also
know of other ways Now usually those other ways are either
less good or less safe or less okay to start with if drugs work so the first
line is always a drug treatment you start with a drug, if that drug doesn’t work
the neurologist must prescribe a second one maybe the combination works
if it doesn’t they might try a third one remove the first one and get through all
sorts of combinations, and then after some time it can work alright and in
many cases it does work alright even when there’s one drug people who are on
several drugs may not realize this but the rule is that epilepsy is really not
all that difficult to treat but in some people all for some periods in your
life epilepsy can be more difficult to treat and sometimes you you have been
through the drugs and combinations and you can’t get any further and you still
have the impression that it’s important to go further despite the difficulty in
doing this and you can try something completely different. One thing is a diet,
the ketogenic diet The ketogenic diet is basically eating a
lot of fat and not a lot of sugar at all and not a lot of proteins at all
so that’s your body, you’re trying to convince your body to use the fat as
fuel as energy for your brain whereas the brain usually likes to use sugars as
the primary source of energy. When people fast this they they have hardly any
sugar left in their reserves and they start using fats and they make ketones,
ketone bodies with their fast, these are small molecules which can be used by
the brain and they design a diet when you do get energy and you can live on it
but you get so little sugar that you are going to make ketone bodies you don’t
get fat because you don’t get too much energy and this is a diet which can go
on for, for years even and we sometimes use it in very difficult to treat
epilepsy we sometimes use this ketogenic diet it’s difficult it’s difficult
because even though we have had so many advances where the dieticians who are
able to make the right sort of milkshakes and and foods that would
vary so it would be attractive enough for the person, it’s still difficult to
keep it attractive and appealing and also and even more so because their body
does everything it can to revert to using sugars rather than
fat and so people on a ketogenic diet check the levels of their ketone bodies
in the urine to make sure that they’re still in ketosis. I don’t think that it
because it’s a diet it’s like a natural treatment
oh no it’s against nature our nature is to use sugar primarily and and not fat.
So this is one treatment the ketogenic diet which can help and there is some
experience in Angelman syndrome this is something that you do with a specialist
team, a team with known expertise in the ketogenic diet it’s a multidisciplinary
team with a neurologist a dietician and and other people and it’s something that
you really need to follow up very closely. There are also other treatments
which are not drug based for epilepsy and one of them is a sort of brain
stimulation which is not directly stimulating the brain but stimulating a
nerve here in the neck, a nerve called the vagus nerve or the vagal nerve the
treatment is a device which is inserted by a surgeon under the skin in the neck
and that device sends electric impulses to this vagal nerve very fast
and at a high frequency so you have this device implanted with the stimulator
with a battery which lasts for several years
and the hope is that the stimulation will go not only down but also up to the
brain and will restore a balance between excitation and inhibition in brain cell
networks again this treatment is for very difficult to treat epilepsy and
it’s even a small proportion of people with Angelman syndrome and refractory
epilepsy which would be good candidates to undergo this surgery and have this
device implanted. V ery often they have this device and keep the drugs at the
same time so usually it remains difficult epilepsy but perhaps less
difficult to live

One Reply to “What are the alternative treatments for Epilepsy? – AngelmanUK”

Add a Comment

Your email address will not be published. Required fields are marked *