Psychomotor Seizures Treatment
The successful treatment of temporal lobe epilepsy will require your participation in avoiding behaviors that can increase your risk for seizures. It is important that you avoid alcohol and caffeine and get plenty of rest. Treatment for temporal lobe epilepsy usually includes anticonvulsant medications. Your doctor may try you on several anticonvulsant medications before finding the medication that works best for you. In the majority of cases the seizures can be controlled with a single drug.
Additional treatments for temporal lobe epilepsy include surgery or a vagus nerve stimulation implant, which sends electrical impulses through a nerve in the chest to the brain. The impulses suppress the electrical activity in the brain that causes the seizures.
Specific treatment of temporal lobe epilepsy may include:
- Avoid alcohol.
- Avoid caffeine.
- Get plenty of rest.
- Ketogenic diet for seizures:
- For children with severe temporal lobe epilepsy
- Medications for temporal lobe epilepsy:
- Carbamazepine (Tegretol, Carbatrol, Epitol)
- Oxcarbazepine (Trileptal)
- Phenytoin (Dilantin)
- Valproate (Depacon, Depakene, Depakote, Depakote ER)
- Phenobarbital (Barbita, Luminal)
- Lamotrigine (Lamictal)
- Gabapentin (Neurontin)
- Topiramate (Topamax)
- Tiagabine (Gabitril)
- Zonisamide (Zonegran)
- Levetiracetam (Keppra)
- Felbamate (Felbatol)
- Pregabalin (Lyrica)
- Rufinamide (Banzel)
- Vagus nerve stimulation implant:
- Also known as a VNS implant
- Approved for partial seizures in adults and children who cannot be controlled with medications
- Sends small electrical impulses to the brain via the vagus nerve, which starts at the base of the brain, travels through the neck, and then into the abdomen.
- Impulses are delivered every few minutes
- The implant is usually placed below the collarbone
- Thin wires are threaded into the vagus nerve in the neck
- About 2 out of every 3 people who have a VNS implant experience some improvement.
- Temporal lobectomy for temporal lobe epilepsy:
- Surgery to remove the temporal lobe of the brain
- May be used for those with severe epilepsy that does not respond to medications
Psychomotor Seizures First Aid
- Do not place anything into the patient's mouth or grab the tongue.
- Do not try to give liquids during, or immediately after, the seizure.
- Notify emergency medical personnel by calling 911.
- Protect the person from nearby hazards.
- Reassure the person when consciousness returns.
- Role the person onto the left side if he or she starts to vomit.
- Try to keep the seizing patient away from objects that may cause an injury.
Psychomotor Seizures Questions For Doctor
The following are some important questions to ask before and after the treatment of temporal lobe epilepsy.
Questions to ask before treatment:
- What are my treatment options?
- Is surgery an option for me?
- What are the risks associated with treatment?
- Do I need to stay in the hospital?
- How long will I be in the hospital?
- What are the complications I should watch for?
- How long will I be on medication?
- What are the potential side effects of my medication?
- Does my medication interact with nonprescription medicines or supplements?
- Should I take my medication with food?
Questions to ask after treatment:
- Do I need to change my diet?
- Do I need to lose weight?
- Are there any medications or supplements I should avoid?
- When can I resume my normal activities?
- When can I return to work?
- Do I need a special exercise program?
- Will I need physical therapy?
- Will I need occupational therapy?
- What else can I do to reduce my risk for having seizures?
- How often will I need to see my doctor for checkups?
- What local support and other resources are available?
Psychomotor Seizures Specialist
Continue to Psychomotor Seizures Home Care
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- Fogarasi A, Jokeit H, Faveret E, Janszky J, Tuxhorn I. The effect of age on seizure semiology in childhood temporal lobe epilepsy. Epilepsia. 2002 Jun;43(6):638-43. 
- Franzon RC, Montenegro MA, Guimaraes CA, Guerreiro CA, Cendes F, Guerreiro MM. Clinical, electroencephalographic, and behavioral features of temporal lobe epilepsy in childhood. J Child Neurol. 2004 Jun;19(6):418-23. 
- Maillard L, Vignal JP, Gavaret M, Guye M, Biraben A, McGonigal A, Chauvel P, Bartolomei F. Semiologic and electrophysiologic correlations in temporal lobe seizure subtypes. Epilepsia. 2004 Dec;45(12):1590-9.