hamburger icon
A
Read in Hindi

Young adults more likely to die from epilepsy: Here’s how you can help someone having a seizure

Patients in their early 20s and 30sare at the highest risk of epilepsy-related death. Read to know the factors that can provoke seizures in epilepsy patients and how to help someone having a seizure.

WrittenBy

Written By: Longjam Dineshwori | Updated : May 27, 2020 9:17 AM IST

Epilepsy is the fourth most common neurological disorder and it is estimated to affect nearly 50 million people worldwide. The other top three common neurological disorders are migraines, stroke, and Alzheimer's. Epilepsy affects people of all ages, but young adults are at increased risk of epilepsy-related death, reveals a new study.

Epilepsy patients are known to be at a higher risk of early death than the general population. But the new study, presented at the European Academy of Neurology (EAN) Virtual Congress, found that patients in their early 20s and 30s at the highest risk of epilepsy-related death.

Young adults aged between 16 and 24 were found to have a six-fold increased risk of epilepsy-related death. According to the study, the most common causes of death were sudden unexpected death in epilepsy (SUDEP), aspiration pneumonia, cardiac arrest, congenital malformation and alcohol-related deaths.

However, it also found that 78 per cent of epilepsy-related deaths are potentially avoidable for under the age of 55 years. The researchers from the University of Edinburgh in Scotland suggested that understanding the risk factors, and identifying those that could be prevented, might lead to fewer epilepsy-related deaths.

Things you should know about this disease

Epilepsy is a chronic disease of the brain that causes seizures, commonly known as fits. Epilepsy may be caused due to previous injury to the brain or genetic factors, but neurologists have also found occurrence of recurrent seizures in healthy individuals too. The causes are not known in most cases.

According to experts, a seizure occurs when the brain's electrical rhythms become imbalanced. Sudden and synchronized bursts of electrical energy disrupt the normal electrical pattern in the brain that lead to seizures.

The symptoms of a seizure depend on which part of the brain the abnormal electrical signals occur. The most common symptom is convulsion, in which the patient loses consciousness, collapses, and has rhythmic jerking of arms and legs. The person may also bite his/her tongue or lose control of bowel or bladder. After the convulsion stops, the patient may feel sleepy and confused for some time.

Some seizures may cause involuntary muscle movements, odd sensations, or sometimes even hallucinations. Sometimes a seizure may just be a change in the patient's behaviour that looks intentional but is not. For example, lip smacking, picking at clothes, etc.

Factors that can provoke seizures in epilepsy patients

Though the exact cause of epilepsy is usually not known in most cases, certain factors can provoke seizures in epilepsy patients. These include

  • Not taking medication properly
  • Heavy alcohol consumption
  • Use of cocaine or other drug, such as ecstasy
  • Sleep deprivation
  • Other drugs that interfere with seizure medications

People with epilepsy should try to avoid these triggers to prevent seizures from occurring. For women with epilepsy, seizures occur more around the time of their menstrual periods. Your doctor may recommend changing or adding certain drugs during menstrual periods to avoid seizures.

How to help someone having a seizure

If you witness a person having seizure, call an ambulance. You can do anything to stop a seizure once it starts, you can protect the patient from injury by taking a few steps. You can do these before the medical team arrives.

  • First keep other people out of the way.
  • Don't try to hold her down or stop the movements.
  • Remove hard or sharp objects nearby prevent the patient from hitting his or her head on them.
  • Do not put anything in the person's mouth. A patient may "swallow his or her tongue" during seizure is just a myth.
  • After the seizure stops, roll the patient on his or her side to help keep his/her airway clear.