More than three million Americans live with epilepsy – a neurological condition involving the brain in which people have seizures. A seizure occurs when part of the brain produces abnormal electrical signals that temporarily interrupt normal electrical brain function.
Michael R. Sperling, MD is director of the Jefferson Comprehensive Epilepsy Center and Baldwin Keyes Professor of Neurology at Jefferson Medical College of Thomas Jefferson University. Here, he addresses a patient’s question about treatment options.
Question: It’s been four years since I was diagnosed with epilepsy. My medication is no longer working. What are my options?
Answer: Between 35 and 40 percent of people with epilepsy or a seizure disorder have seizures not completely controlled by medication. Uncontrolled seizures limit independence, restrict employment and educational opportunities, and can cause accidents and injuries, brain damage or dysfunction – and even death.
Most people with epilepsy know within the first two years of taking a medication whether or not it is working. As a rule, if you continue to have seizures after trying two drugs, it’s time to have an evaluation by an epilepsy specialist to verify the diagnosis and determine which treatments might be most effective.