Case Notes

  • The reason there is electrical activity in the brain is because of communication. The neurons in our brain communicate with each other in order for us to be able to function as we do. To communicate the neurons send messages, via electrical activity, down a “highway” known as an axon to a different neuron.
  • During a seizure, there is a burst of, or interruption in, the regular electrical currents within the brain.
  • Epilepsy is described as a condition in which a person may have recurring, unprovoked seizures. It can be diagnosed by blood tests, EEGs, MRIs, CT scans, and spinal taps to measure the pressure surrounding the brain and spinal cord and to test the CSF.
  • During an EEG, the patient will have electrodes attached to his/her head that will measure the electrical activity within the brain. An MRI will create detailed images of the brain by using magnets and radiofrequencies.
  • There are many other causes of seizures other than epilepsy, such as: head trauma, infection, high fever, brain tumors, medications, and genetic factors.
  • I believe that Jarrod is having what is known as Absence Seizures based on the following information.
  • Absence seizures (also called petit mal seizures). These seizures are characterized by a brief, altered state of consciousness and staring episodes. Typically, the person’s posture is maintained during the seizure. The mouth or face may twitch or the eyes may blink rapidly. The seizure usually lasts no longer than 30 seconds. When the seizure is over, the person may not recall what just occurred and may go on with his or her activities, acting as though nothing happened.” (hopkinsmedicine.org)
  • Due to the type of seizures that he is having, only light restriction on some of his activities is necessary. Be sure to document all of the medicine he take and when he does so, as well as the information about his seizures.
  • The main treatment for seizures is just basic medication. This being said, there may be an option of surgery or a Vagus Nerve Stimulation (the control of seizures by sending small currents of electricity to the brain through a large nerve in the neck) however this is for children twelve and older.

http://www.hopkinsmedicine.org/healthlibrary/conditions/nervous_system_disorders/epilepsy_and_seizures_85,P00779/

————————————————————————————————————————————————————————

CASE NOTES PART TWO

  • Rasmussen’s disease is characterized as an autoimmune process that effects one hemisphere of the brain with deterioration and inflammation.
  • Jarrod’s EEG showed that the abnormal electrical activity in the brain was located in only one specific part of the brain, not caused by a tumor, but had only caused slight damage on the second MRI.
  • In the hemispherectomy, the temporal lobe, frontal lobe, parietal lobe, and the occipital lobe would be removed from Jarrod’s brain. The temporal lobe organizes sensory input and memory; the frontal lobe controls decision making, problem solving, and empathy; parietal lobe controls language processing; occipital lobe is over visual perception and color recognition.
  • Other than reducing his seizures, the removal of these sections may cause Jarrod difficulties with sensations of the right side of his body, and maybe some issues with memory and language comprehension.
  • All in all, his senses should remain intact as well as his motor control.
  • After having the surgery, Jarrod would undergo rigorous physical and speech therapy in order to help regain his motor control and speech as much as possible.
  • If Jerrod had the surgery, his ability to function would rise as he would be rid of the weakening seizures and brain damage, to allow his IQ to increase and live as much like a normal child as possible.
  • My main question is on the success rate of this surgery, and I have found that more than 75% of patients experience complete, or nearly complete, control over his/her seizures.
  • I recommend going through with the surgery. Although it may seem scary, and there are risks involved, he would have a much better chance at a normal life after the surgery. If he didn’t have the procedure done, his seizures would continue to worsen and would result in severe brain damage. With the surgery he would have a good chance at having a normal(ish) life.

 

 

hopkinsmedicine.org

symptomtreatment.org

epilepsy.med.nyu.edu

 

Leave a Reply

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