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NINDS Epilepsy Information Page

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Synonym(s):   Seizure Disorder
Condensed from Seizures and Epilepsy: Hope Through Research

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What is Epilepsy?

Epilepsy is a brain disorder in which clusters of nerve cells, or neurons, in the brain sometimes signal abnormally. In epilepsy, the normal pattern of neuronal activity becomes disturbed, causing strange sensations, emotions, and behavior or sometimes convulsions, muscle spasms, and loss of consciousness. Epilepsy is a disorder with many possible causes. Anything that disturbs the normal pattern of neuron activity - from illness to brain damage to abnormal brain development - can lead to seizures. Epilepsy may develop because of an abnormality in brain wiring, an imbalance of nerve signaling chemicals called neurotransmitters, or some combination of these factors. Having a seizure does not necessarily mean that a person has epilepsy. Only when a person has had two or more seizures is he or she considered to have epilepsy. EEGs and brain scans are common diagnostic test for epilepsy.

Is there any treatment?

Once epilepsy is diagnosed, it is important to begin treatment as soon as possible. For about 80 percent of those diagnosed with epilepsy, seizures can be controlled with modern medicines and surgical techniques. Some antiepiletic drugs can interfere with the effectiveness of oral contraceptives. In 1997, the FDA approved the vagus nerve stimulator for use in people with seizures that are not well-controlled by medication.

What is the prognosis?

Most people with epilepsy lead outwardly normal lives. While epilepsy cannot currently be cured, for some people it does eventually go away. Most seizures do not cause brain damage. It is not uncommon for people with epilepsy, especially children, to develop behavioral and emotional problems, sometimes the consequence of embarrassment and frustration or bullying, teasing, or avoidance in school and other social setting. For many people with epilepsy, the risk of seizures restricts their independence (some states refuse drivers licenses to people with epilepsy) and recreational activities. People with epilepsy are at special risk for two life-threatening conditions: status epilepticus and sudden unexplained death. Most women with epilepsy can become pregnant, but they should discuss their epilepsy and the medications they are taking with their doctors. Women with epilepsy have a 90 percent or better chance of having a normal, healthy baby.

What research is being done?

Scientists are studying potential antiepileptic drugs with goal of enhancing treatment for epilepsy. Scientists continue to study how neurotransmitters interact with brain cells to control nerve firing and how non-neuronal cells in the brain contribute to seizures. One of the most-studied neurotransmitters is GABA, or gamma-aminobutyric acid. Researchers are working to identify genes that may influence epilepsy. This information may allow doctors to prevent epilepsy or to predict which treatments will be most beneficial. Doctors are now experimenting with several new types of therapies for epilepsy, including transplanting fetal pig neurons into the brains of patients to learn whether cell transplants can help control seizures, transplanting stem cells, and using a device that could predict seizures up to 3 minutes before they begin. Researchers are continually improving MRI and other brain scans. Studies have show that in some cases, children may experience fewer seizures if they maintain a strict diet - called the ketogenic diet - rich in fats and low in carbohydrates.

NIH Patient Recruitment for Epilepsy Clinical Trials

Organizations

Citizens United for Research in Epilepsy (CURE)
223 W. Erie
Suite 28W
Chicago, IL   60654
info@CUREepilepsy.org
http://www.CUREepilepsy.org
Tel: 312-255-1801 800-765-7118
Fax: 312-255-1809

Epilepsy Foundation
8301 Professional Place
Landover, MD   20785-7223
postmaster@efa.org
http://www.epilepsyfoundation.org
Tel: 301-459-3700 800-EFA-1000 (332-1000)
Fax: 301-577-2684

Epilepsy Institute
257 Park Avenue South
New York, NY   10010
website@epilepsyinstitute.org
http://www.epilepsyinstitute.org
Tel: 212-677-8550
Fax: 212-677-5825

Family Caregiver Alliance/ National Center on Caregiving
180 Montgomery Street
Suite 900
San Francisco, CA   94104
info@caregiver.org
http://www.caregiver.org
Tel: 415-434-3388 800-445-8106
Fax: 415-434-3508

National Council on Patient Information and Education
200-A Monroe Street
Suite 201
Rockville, MD   20850
ncpie@ncpie.info
http://www.talkaboutrx.org
Tel: 301-340-3940
Fax: 301-340-3944

National Family Caregivers Association
10400 Connecticut Avenue
Suite 500
Kensington, MD   20895-3944
info@thefamilycaregiver.org
http://www.thefamilycaregiver.org
Tel: 800-896-3650
Fax: 301-942-2302

National Organization for Rare Disorders (NORD)
P.O. Box 1968
(55 Kenosia Avenue)
Danbury, CT   06813-1968
orphan@rarediseases.org
http://www.rarediseases.org
Tel: 203-744-0100 Voice Mail 800-999-NORD (6673)
Fax: 203-798-2291

International RadioSurgery Association
3002 N. Second Street
Harrisburg, PA   17110
irsa@irsa.org
http://www.irsa.org
Tel: 717-260-9808
Fax: 717-260-9809

Charlie Foundation to Help Cure Pediatric Epilepsy
1223 Wilshire Blvd.
Suite #815
Santa Monica, CA   90403
ketoman@aol.com
http://www.charliefoundation.org
Tel: 310-393-2347
Fax: 310-453-4585

Epilepsy Therapy Project
P.O. Box 742
10. N. Pendleton Street
Middleburg, VA   20118
info@epilepsytherapyproject.org
http://www.epilepsy.com
Tel: 540-687-8077
Fax: 540-687-8066

Antiepileptic Drug Pregnancy Registry
Massachusetts General Hospital
121 Innerbelt Road Room 220
Somerville, MA   02143
info@aedpregnancyregistry.org
http://www2.massgeneral.org/aed/
Tel: 888-AED-AED4 (233-2334)
Fax: 617-724-8307

Dravet.org
P.O. Box 797
Deale, MD   20751
info@Dravet.org
http://dravet.org
Tel: 443-607-8267

Intractable Childhood Epilepsy Alliance
PO Box 365
6360 Shallowford Road
Lewisville, NC   27023
info@ice-epilepsy.org
http://www.ice-epilepsy.org
Tel: 336-946-1570
Fax: 336-946-1571

Hope for Hypothalamic Hamartomas (Hope for HH)
P. O. Box 721
Waddell, AZ   85355
admin@hopeforhh.org
http://hopeforhh.org/

RE Children's Project
79 Christie Hill Road
Darien, CT   06820
swohlberg@rechildrens.com
www.rechildrens.org
Tel: 917-971-2977

 
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National Institute of Neurological Disorders and Stroke
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Last updated February 7, 2012