Simulating Real Life: Epilepsy A Battle Between Mind and Body Presentation By: Paul D. Acquaro Outline Identify Epilepsy Discuss Two Particular Types Introduce Person with the Disorder Hear from Family as to effects of Disorder on family life Hear from Co-workers as to effect on professional life Outline Discuss what to do for someone having a seizure Hear from people who have observed a seizure Discuss effects of treatments Assistive Technology Questions and Answers Getting Started “Seizures are episodes of disturbed brain function that cause changes in attention and/or behavior. They are caused by abnormal electrical excitation in the brain” (http://www.nlm.nih.gov/medlineplus/ency/ article/000694.htm). What is Epilepsy? Epilepsy is a disorder in which a person experience seizures or episodes of abnormal brain function that occur on a regular basis. There are five types of seizures: • • • • • Tonic-Clonic Seizures Tonic Seizures Absence Seizures Complex Seizures Simple Partial Seizures Experiencing Two Types Tonic Clonic: also known as grand mal seizures these seizures often are characterized by loss of consciousness, bladder control, twitching of muscles and brief periods of confusion. Absence Seizures: also known as petit mal seizures these seizures are characterized by loss of consciousness, apparent day dreaming, and flushness in complexion. Case Study Paul D. Acquaro 32 years old, married for seven years Father of a 3 week old baby Retired Naval Officer Cause of seizure disorder is believed to be from Brain Tumors and subsequent surgeries in February 2001 and May 2003. Interviews with Case Study and Wife A brief interview from me explaining • The types of seizures • How seizures have effected my life • What to do if you witness seizure • Video Clip 7 Interviews with Wife My loving, supportive and understanding wife: • Stacey Munsky Acquaro • Video clips 3 and 4 Interviews at Work Dean of Students • Jane Owen • Video Clip 1 part 1 Director of Student Life • Rachael Lerner • Video Clip 1 part 2 How can you help? Be mindful of the student’s warning signs and auras. Support the student’s use of a proper identification regarding their disorder (id bracelets). Encourage the student or the student parents to visit the class and talk about the disorder. How can you help? On the onset make the student comfortable such as a pillow under the head, loosening tight clothing or removing sharp objects from area around the student. Do not place anything in or near the students mouth. During the seizure keep other students calm. During the seizure make room for the student. How can you help? Send a student to get the school nurse. Pay attention and note any attributes of the seizure so that the student may provide documentation to their doctor. Interviews with Witnesses Associate Director of Student Life • David Owyero • Video Clip 4, 5 and 8 Student Assistant and Friend • Robert Greco • Video Clip 9 What a person with seizures can do as a precaution. There are countless numbers of medications for epilepsy. The student’s doctor will work with the student to come up with the best medication. • Some medications are: Nueronton, trileptal, depakote, pamalor, topamax, elival, etc. It is important to understand however a side effect of all seizure disorder medication is lethargy. Assistive Technology One relatively new option is the implantation of a vagus nerve stimulator which is used to assist in the stimulation of the brain in cases where medication has not provided satisfactory control of the seizures. Assistive Technology The VNS Therapy System delivers VNS Therapy in two ways. First, a doctor programs a 24-hour a day, 7-day a week "dose" of periodic stimulation. “The second way VNS Therapy is delivered is when a patient, a family member or a caregiver senses a seizure coming on and passes the magnet over the area in the chest where the generator is implanted to activate an extra, on-demand stimulation” (VNS Therapy, 2005). Conclusion Some friends and family have at times used my disorder as the brunt of jokes and cause for hostility, but I have come to deal with it. At times my situation is frustrating not only because of I sometimes feel weakened in my abilities but also because I feel as though I am a burden on others. This is because of my not being able to drive, hold the baby at times and in situations when I wake up to find I might have embarrassed myself. I have learned that the smile on my child’s face is all I need to have to feel better. Helpful Links www.epilepsyfoundation.org/longisla nd/ http://www.nlm.nih.gov/medlineplus/ency/a rticle/000694.htm http://www.tiresias.org/guidelines/seizure_d isorders.htm http://www.vnstherapy.com Resources Medline Plus Medical Encyclopedia. (n.d.). Retrieved March 13, 2006 from http://www.nlm.nih.gov/medlineplus/ency/a rticle/000694.htm. VNS Therapy Patient Essentials. (2005). Cyberonics, INC. Houston, Texas. Questions & Comments