Frontal Lobe Seizures - Diagnosis And Treatment - Mayo Clinic
Frontal lobe epilepsy can be difficult to diagnose because its symptoms can be mistaken for psychiatric problems or sleep disorders, such as night terrors. It's also possible that some seizure effects found in the frontal lobe might be the result of seizures that begin in other parts of the brain.
The doctor will examine your medical history, review your symptoms, and perform a physical examination. You might also have a neurological exam, which will assess:
- Muscle strength
- Skills in the senses
- Speech and hearing
- Harmony and balance
The following might be suggested by your doctor.
Brain scans. Brain imaging is usually MRI and can reveal where the frontal lobe seizures are coming from. An MRI scan is a combination of radio waves with a magnetic field that produces detailed images. This allows for the identification and analysis of brain soft tissue.
A MRI scan requires you to lie on a small, narrow platform that is inserted into a tube. The entire process takes around an hour. MRI machines are often uncomfortable for some, even though they don't cause any pain.
Electroencephalogram (EEG). A series of electrodes are placed on your scalp to monitor the electrical activity in the brain. While EEGs can help diagnose epilepsy in some cases, they are not always useful in frontal epilepsy. Video EEG. Video EEG can usually be performed in a hospital or at night. A video camera as well an EEG monitor can run continuously throughout the night. The doctor can match the EEG with the physical symptoms of a seizure. More Information EEG (electroencephalogram) MRI Treatment Over the past decade, treatment options have increased for frontal lobe seizures. If medications fail, there are many options for surgical treatment.
While all anti-seizure medication seem to have the same effectiveness in controlling frontal lobe seizure, not everyone can be free from seizures. The doctor may recommend that you try different kinds of anti-seizure medication or recommend that you use a combination of medications to reduce your seizures. The search continues for better and newer medications.
Vagus nerve stimulation
An implanted pulse generator or lead wire is used to stimulate the vagus nervous system. It results in stabilization and reduction of brain abnormalities.
Surgery might be an option if your seizures aren't controlled by medication. The procedure involves pinpointing areas in the brain that are responsible for seizures.
Newer imaging technologies, single-photon emission coregistered to MRI and subtraction ictal SPECT (SISCOM), can be used to help locate the areas generating seizures.
A brain mapping technique is another imaging tool that's commonly used in conjunction with epilepsy surgery. The procedure of brain mapping is the process where electrodes are inserted into a specific area of your brain. This stimulates electrically to assess if that area serves an important function. If it does, then surgery would be avoided. Functional MRI (fMRI), is another method used to map brain language areas.
If your surgery was for frontal lobe seizures you will need the same anti-seizure medicine, but at a reduced dose.
Deep brain stimulation
Deep brain stimulation Deep brain stimulating involves placing an electrode within your brain. A pacemaker, a device that looks like a pacemaker, is used to control the amount of stimulation the electrode delivers. It can be placed underneath your skin on your chest. An electrode and the device are connected by a wire running under your skin.
The following might be required for surgery to treat epilepsy:
The focal point can be removed. You might be able to reduce your seizures if your seizures start in one area in your brain. It is important to isolate the central point. Surgery may be necessary to locate the exact area responsible for seizures. This stops seizures spreading to other parts of your brain. Stimulating your vagus nervous. It involves implanting an electronic device similar to a heart pacemaker to stimulate your vagus nervous system. This reduces the likelihood of having seizures. A response to a seizure. The responsive neurostimulator, a more recent type of implanted device is available. The device activates when the brain experiences a seizure. Deep brain stimulation (DBS). The new procedure uses an electrode to implant into the brain. It's attached to a stimulation device similar to a heart pacemaker. This stimulating device is located under your skin. This device signals the electrode to stop seizure-inducing signals.
Lifestyle and home remedies
Smoking, alcohol, and lack of sleep could all trigger seizures. Evidence also suggests that seizures can be triggered by severe stress. This can be done by avoiding triggers that could cause seizures.
Some people with common neurological conditions, including seizures, turn to complementary and alternative medicine, such as:
- Herbal medicines
- Mind-body techniques
These therapies are being investigated by researchers to assess their effectiveness and safety. However, there is still very little evidence. Some evidence suggests that strict ketogenic (ketogenic) eating habits might prove to be beneficial, especially for young children.
People with epilepsy often resort to herbal treatments. There is little to no evidence that they are effective and can increase the risk of seizures.
Although marijuana (cannabis), is a common herbal remedy for epilepsy treatment, most evidence does not support its effectiveness. There is limited data available, and ongoing research on its effectiveness. If you are a cannabis user, let your doctor know.
Food and Drug Administration doesn't regulate herbs. Herbal products can be harmful if they interact with any anti-epileptic medication you are taking. Before you take herbal supplements or dietary supplement for seizures, consult your physician.
Coping with and Support
People with epilepsy can feel embarrassed and frustrated. Frontal lobe seizures are especially annoying if they include loud speech or sexual movement.
For parents with children suffering from frontal-lobe seizures, there are many resources available to them. They can also find support groups that offer information, emotional connections and other resources. It is also possible to seek counseling. Support groups for epilepsy sufferers can be found online and in person.
Get ready for your appointment
First, you'll likely see your family doctor. They might also refer you for a neurologist.
Here's what you can do
You can ask your family members or friends to bring you with you to the doctor in order to remember what you have been told.
You can make a list with:
- All symptoms, including those not related to your appointment reason, how they started and how often they happen
- All medicines, vitamins, supplements, dosages, etc.
You can ask questions to your doctor
Ask these questions:
- Is there a reason for my symptoms?
- Are there more chances of me having seizures?
- Are there different types of seizures that I might experience?
- Which tests are necessary?
- Are they able to be prepared?
- Which treatments do you suggest?
- Other medical conditions are affecting me. Which of these problems can you manage together?
- Are there any alternatives to surgery?
- Are there any restrictions to my activities?
- What are my chances of driving?
- Can I get brochures, or any other printed materials?
- Do you have any recommendations for websites?
How to get the best from your doctor
You may be asked questions by your doctor, including:
- Have you noticed any other sensations or symptoms before having seizures?
- Is it common for seizures to occur?
- Can you describe a typical seizure?
- Do seizures usually last for a long time?
- Are seizures more common in groups?
- Are they the same? Or are there differences in seizure behavior that you and others have observed?
- Are you aware of seizure triggers such as sickness or sleep deprivation?
- Is there anyone in your immediate circle who has ever suffered from seizures?