A pretty busy and epilepsy patients often complain about your commute losing consciousness so if youve got seizures what are your symptoms i have to be jerking movements especially in the morning with. One or 2 seconds most before reduce of consciousness into whole often do you have seizures once a day once a day this quite often it sounds quite often from you it was quite often in the beginning but now its got used to for me its quite normal so. I. Want to have enough sleep for it so. I try to prevent its epileptic that well continue to talk in just a moment but 1st epilepsy is a chronic disease with a sudden onset but once it hits you it stays with you for your whole life. Bendish was on holiday with his family in spain when suddenly in the middle of the night his body started to shake and his muscle spasms sign ups as in his brain were firing like mad and there was a huge shock for his family. Thats come on any. Social and like contrary described how awful it was toms whole body was in a spot. And he was thrashing around. Already he saw it was a horrible thing to see pushbutton says in. It was so intense that his family thought he was dying skipped the amount for somebody who has never seen a seizure its extremely dramatic and even traumatic. Secret soon. Thomas family called an ambulance. But the doctors who saw him couldnt make a diagnosis. Of most is done this for by once a seizure is over its like detective work you have to look for clues as to what happened is that a serious disease in the brain been affected the talk is there any damage and whats the cause. Back home in germany tom vendettas had more seizures and always that night so he went to senior ologist thomas maya. And electroencephalogram tracks and records electrical signals in the brain. Thom hartmann e. G. During the day time and again at night. The resulting brain wave patterns can help with the diagnosis. Here you can see a sudden spike followed by a slow wave thats a typical way for epilepsy so you can pretty much only occurs in people with epilepsy dont want to glimpse the heart in the brain stimuli and information passed between neurons continuously with the help of neurotransmitters during an epileptic seizure thats suddenly an excessive release of neurotransmitters induced or sometimes compared to a storm and the brain will be so it really is like a neuron or place or an avalanche that spreads and knocks out other functions on seeing things with a stroke its the loss of activity thats the problem for loose fun activity. Where that see its an excess of activity in which the patient suddenly loses functional control. While tom is having a seizure he doesnt actually know its happening. Its importer. For people close to someone with epilepsy to remain alert. Is how are you smiling here that law whenever tom got out of bed say to go to the bathroom. Id always get up to see if he was ok. But my mother in fact he did quite often have a seizure in the bathroom my husband would bring the pillows the tom wouldnt bang his head against the tile floor but seizures during the night are of great concern because a really bad one could prove fatal to sleep so the primary goal is to prevent seizures. Its important to determine the area of the brain where an uptick seizure originates thats the precondition for proper treatment. This test for example aims to show how well the region of the brain is working thats associated with logic and spatial awareness. And thats because if we need this information to determine which drug or what kind of treatment is appropriate or if surgery might be advisable in this case surgeries not needed and thats a great relief for tom and his girlfriend the drugs he takes succeed in preventing seizures. I hope it stays this way that i remain free of seizures in the years to come or even forever. And for. Tom and his girlfriend a members of an accordion orchestra and theyre rehearsing for their next performance. Hes doing well again and enjoying life despite living with a collapsing. Now all patients can we get an e. G. D. But 1st i will have a little talk with you. So youll be getting in just a minute but theres still time to have a little chat right now so could you give me an update on how would was for. Yet you 1st see the 1st seizure was the. Seizure. Was a seizure with the lose of consciousness for less than one or 2 seconds like you must go to a chink in my. Legs. When i didnt. Enough sleep and sleep deprivation. There was like 4 or 5 if you. Got the 1st big seizure so you were really young so what would what kind of age should have been when there was a procedure that started when i was 1516 so and time off developments and you didnt recognize it but you thought well maybe thats normal yeah exactly so i thought maybe im a little bit different from other persons as you can see from other person. I thought thats the fault of the alcohol excess of dancing. Went on until the. First big lose of consciousness few months ago and then i thought i have to make some aches so it was a grand mal it would have been you just fall down and loss to consciousness for how many minutes exactly it was about one or 2 minutes so i dont know because i lost my country i. Was at home or was it was on the street when i fell down and people. When i woke up. And yet changed my life more in the way of being aware of. What i am doing for. You had to have stress like consume of alcohol and having seizures can be related to having stress actually so but now you think you are studying law right now so what would you want to cry lawyer. Joe. This could be some really stressful patients and so are you afraid about your future im not afraid but im more aware of my future so i think i want to try it and im ready to try it but if it doesnt work. I want continue with this job. To look for opportunities where i can have the same job but in a different way for example to. Relax ation getting enough me time for example or giving not getting enough sleep is this very important for you from me its the most important thing. Biggest trade for seizure. Sleep deprivation and consumption of alcohol all these 2 things like the biggest triggers from me and its individuals so you just told me that this really changed your life so what did change what is different now the change of the most important change was happening and my minds psychological aspects to think i cant be seizures when im doing certain activity or going to a party or having like an excess. Whats going to happen right i can control it whats going to happen and thats the thinking what do i want to do before going out. Trying to get a balance between. Between doing nothing to get the balance of my life you have so to be getting read you just a moment in the law to be around because it would mess around with the results because its a fair fight to tax evasion but i will use this time by sleep and they get someone from ation suitability. And e. G. Is a test that detects electrical activity in the brain its useful in diagnosing inflammation and injuries of the brain and also epilepsy. I with professor hold come he is the head of. Here at the department for neurology at the berkeley thanks for having me today and youre treating cutlets other patients we just have met so what is the special challenge in treating patients with perhaps some of the overall aim of our treatment is that the patients have a normal life and they have a good quality of life and they are 2 lets call it aims and one this seizure freedom optima future control but on the same level and equally important is that they have no side effects or at least only a small side effects from the medication they have to take for years or for decades and the sometimes is a small pathway to find the correct doses of affront to correct my to medication to reach the aim of quality of life is every seizure is sure sign for perhaps. No 6 elliptic seizure this is just a reaction of the brain of the neurons in the brain to changes in environment for example if i would have a lot of salt in my body then my brain would react was an epileptic seizure but epilepsy means that you have an increased risk for recurrent epileptic seizures and in germany and other western European Countries the risk is 0. 7 percent to develop epilepsy so its very very important to to have a clear diagnosis and to do a lot of tests after the 1st seizure yes of course because on the one hand you have to figure out if it was only one serial or if the e. G. Indicates we have an increased risk of more serious that would be epilepsy and the 2nd level is that you have to decide what kind of c. Is this and there are 2 major types its focal epilepsy where the seizures are coming from one part of the brain focus or if its a generalized epilepsy where the seizures are touching both sides of the brain and this can be differentiated by the igi for example and its supported because treatment is different and prognosis is different having frequency zhorzh or you can change the patients life and yes because there are some rules where they have to follow for example there are some are. Was driving a car you have to be seizure free for at least 12 months to be allowed to drive a car this is ruled by the government but there are also other restrictions when you look at swimming or taking a bath or Something Like this can have a risk if you have a seizure and patients should be aware of this so what about jobs and education and occupation can you do every single kind of job with if you can do almost everything for example if you want to be a bus driver lorry driver this is not a lot if you have epilepsy before you cant be a pilot and you cant have a job where you have to carry a weapon for example working at the Police Department or in the army but this is maybe one percent of all the jobs and 99 percent you can do with epilepsy mainly because youre a danger to other people and yes yes you can do harm yourself but its more important that its a danger to other people this and what about working as an 18 specialist in front of mommy tours every day because this is flickering lights coming off those devices which could lead to seizures but this affects only patients who have socalled photosensitive epilepsy that means that they react to lights light and dark and this affects only one percent of the patient was epilepsy and the money to know what days they dont have the sticker and license 50 her sticker ring anymore so its not a problem usually you treat it with medication but sometimes you need to do surgery on epileptic patients where the new surgeon removes part of the brain as it myself can this really work. 18 year old david bangle is attending one of his regular checkups the nurses are getting him ready for an e. G. D. And electro and to follow. He underwent surgery 6 months ago neurosurgeons removed the part of the brain where his seizures originated. I feel i have much more freedom now i can stay out late with friends and my parents dont have to worry so much they specifically so. David seizures began out of the blue when he was 7 probably triggered by a brain model from asian he was given medication but the problem only got worse. 2013 i sometimes had seizures every 10 minutes that happen several times a week now they dont happen at all. If medication doesnt help surgery is also an effective option before the operation electrodes are implanted on the surface of the cerebral cortex to pinpoint the origin of the seizure activity then a team of cross disciplinary specialists decide if its viable to operate in this location. Were told. Well see if they treat patients of all ages. Traditional as the doctors are discussing the sight of the neurons that triggered this patient seizures after identifying it was implanted electrodes the surgeons remove the relevant parts of the brain the patients now fully recovered from the surgery. This could feel there are several areas in the brain not all of them but many where its possible to operate without causing deficiencies. Other parts of the brain can take over the tasks previously performed by the part of the brain thats removed without any signs of deficiency if its a tough treat. The patients remain in hospital under observation for several days with e. G. Tracking their brain wave patterns. If a patient suffers a seizure the recordings help the doctors diagnose the problem. David sanger has never regretted having the surgery hes planning on taking his driving test and traveling across europe hes looking forward to leading a completely normal life. So the igi examination is over use some gel in your hair some time for you to talk we just saw in the report that brain surgery might be in treatment option but now theres something new yes another approach the concept of deep brain stimulation that means that you have 2 electrodes that are put into operated into the brain and stimulate was the current and the patient but it increases the he in the brain that causes the consequence. Pathway and if you would suggest surgery you can even use a laser this is even new. So this is a poor has been approved in europe lets say 12 months ago and that means that you dont have an open operation into large craniotomy and operate on the patients but you would just make a small bore hole or for 0. 5 centimeters put in some probes to the region where you think the teachers are coming from and then you can put in some. Temperature and that blade the region of the structure the region of the brain and the success with respect was identical to open surgery so its a very very interesting new approach. You do need surgery youre taking medication so its a whole will be a work they work really well so i dont have big seizures. And sometimes i have to go to it mostly in the morning but theyre more take care of taking. Epilepsy and occurs often in very young patients so what about the compliance of those patients for taking all the medication i think of their children are very young adolescents and the parents take care of this when they are 131415 years old and older than they have to work on this on their own and i think the more they understand of their condition and the more they understand why they need the medication the compliance is better and thats why we spend some time to explain to them and we dont want them only to do what we say we want them to understand why they have to do this so you just completed the igi examination from car is to Something Special in it so that e. G. That we recorded today is normal and this is what i would expect because as we have before he is free of the seizures the big seizures and so that e. G. The normal e. G. Is a confirmation of what he has told us before what it via his which you give a patient who was diagnosed by relapsing today so i would recommend to the patients that they really under. Try to understand what is the basis of this that they use the time they have was the doctor was the expert to ask questions on epilepsy on the prognosis on the ways of treatment also on the side effects or possible side effects of treatment and i think this is the best prerequisite to have an optimal treatment situation and optimal quality of life and do you have a final message to someone whos affected fine on my search was very similar to the. Midst of so and my opinion its very important find a way to understand the cross and the consequences of our condition in your life. Maybe. Part of psychological. Last thing it is important to have the courage to accept. For us thank you so much for sharing all your personal story with us and thank you for the information and if youve got any questions you need to ask the experts be sure to write me email. In good shape your reclean house show on t w that covers many aspects of health care we look at whats new in medical treatment nutrition fitness and beauty we discuss these topics in depth with specialists and offer you opportunities to pose your own questions so get in touch. Do you want to lower your Blood Pressure get rid of stress injury duce pain you say there is no such miracle drug that could do the door yes this its your breathing. Lower your as if you are gathering breath and its you straight not exhale. On the hunt. Breathing is the most natural thing in the world but many of us are doing it all wrong these people are practicing breathing technique. Cloudier and hiker harder are breathing therapists they help people breathe better which improves their overall wellbeing. 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And when youre doing that with your full consciousness the breath flows naturally its like little waves the body adjusts to the flow. Now im going to work on your legs. A loosen the muscles to allow the breath to flow more freely through the item of the wall. She helps lower my stress levels pain and sickness are stressful and im very susceptible to stress breathing therapy helps calm me down i can concentrate better im calmer and more relaxed and that reduces my pain. Try to straighten up from your sacrum and then exhale. Breath Therapy Works on 3 levels physical mental and emotional conscious breathing helps you understand your body better and also makes you more alert. Exactly how this works has yet to be fully researched it all sounds a bit anyway 2 but even ancient civilizations knew that breathing properly has mental benefits in yoga the art of breathing is called pranayama. 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