Absence epileptic syndrome, not intractable digital illustration

Absence epileptic syndrome, not intractable Save


ICD-10 code: G40.A0

Chapter: Diseases of the nervous system

Absence Epileptic Syndrome, not Intractable: Understanding the Condition

Absence epileptic syndrome, also known as petit mal epilepsy, is a type of epilepsy that typically begins in childhood. It is characterized by brief, sudden lapses in consciousness that can occur multiple times a day. These episodes, also known as absence seizures, typically last for only a few seconds and may go unnoticed by others.

Unlike other types of epilepsy, absence epileptic syndrome is not considered intractable. Intractable epilepsy refers to seizures that cannot be controlled with medication or other treatments. While absence seizures can be challenging to manage, most people with absence epileptic syndrome can achieve seizure control with medication.

The exact cause of absence epileptic syndrome is unknown, but it is believed to be related to abnormal electrical activity in the brain. There may also be a genetic component, as the condition tends to run in families.

Symptoms of Absence Epileptic Syndrome

The primary symptom of absence epileptic syndrome is the sudden onset of absence seizures. During these seizures, the individual may appear to be staring off into space, with a blank expression on their face. They may also exhibit repetitive movements, such as lip-smacking or blinking. Other symptoms may include:

  1. Brief loss of muscle tone
  2. Difficulty speaking or understanding speech
  3. Confusion or disorientation after the seizure
  4. Fatigue or drowsiness

It is important to note that absence seizures do not typically cause convulsions or loss of consciousness, although they can be disruptive to daily life and activities.

Treatment and Management of Absence Epileptic Syndrome

The primary treatment for absence epileptic syndrome is antiepileptic medication. The goal of treatment is to achieve seizure control while minimizing side effects. Some commonly prescribed medications include:

  • Ethosuximide
  • Valproic acid
  • Lamotrigine

In addition to medication, individuals with absence epileptic syndrome may benefit from other treatments, such as:

  • Behavioral therapy
  • Sleep hygiene practices
  • Dietary modifications

It is important for individuals with absence epileptic syndrome to work closely with their healthcare team to find the most effective treatment plan for their specific needs. With proper management and treatment, most people with absence epileptic syndrome can lead full and productive lives.

Conclusion

Absence epileptic syndrome is a type of epilepsy that typically begins in childhood