Fits are defined as an uncontrolled disturbance in the brain. This can further lead to changes in behavior and feelings. They usually last from 30 seconds to two minutes. Fits that last for a longer are a medical emergency. Several times the cause of the fits is unknown but it might be because of a stroke, head injury, or any illness. Most of the fits can be controlled but some do have a great impact on their daily lives.
The signs of the fits can be mild or can be even severe. This includes temporary confusion, a staring spell, fear, anxiety, uncontrolled jerking movements of arms and legs, and loss of consciousness. In some cases, the origin of the condition goes undetected. It can be because of high fever, injury, or an illness.
Types of Fits
Fits are mainly classified into two major types- Focal onset fits and Generalized onset fits.
Focal onset fits cause abnormal electrical activity in one area of the brain. This can be either with consciousness or without consciousness. The other involvement in this kind of fit is there is a loss of consciousness and the person will continuously stare in space without any response. Focal fits without losing consciousness alter the emotions and there is a change in the way things look. smell, taste or sound. The person will be conscious but there could be jerking of the body part.
Generalized onset fits starts on both sides of the brain. The generalized onset fits are further classified into tonic clonic, absence and atonic.
Tonic-clonic refers to muscle stiffening. There will be jerks in arms and legs. Usually one will lose the consciousness in such types of fits
Absence fits lasts only for a few seconds. They cause blinking action.
Atonic fits are those where the muscles suddenly will go limp and the head may nod and fall to the ground. This will last about 15 seconds.
Some fits are not known as they start suddenly and no one can analyze how they would have started. These are known as unknown fits.
Some of the risk factors involved in this are;
The newborn babies that are born are small according to their age.
Babies can have fits even in their first month.
They are born with abnormal areas in the brain.
Sometimes there could be bleeding in the brain.
Lack of oxygen supply to the brain.
It leads to strokes which further results in the blockage of arteries.
Sometimes doctors will find it difficult to know the types of fits. He will advise with certain tests to know the accurate type of fits so that proper medication is given which will be effective.
The doctor will check the full medical history to know the exact cause. The symptoms might be sleep disorders or extreme psychological tests.
The doctor will advise for some lab tests like the blood test, spinal tap and toxicology screening which is done mainly to test for drugs and poisons. Tests like electroencephalograms can help the doctor to know the type of fits. CT and the MRI scan also is conducted to know the exact image of the brain.
The doctors will not immediately go for any medication with just one fit. The main intention of the doctors would be to find the best therapy to stop the occurrence of the fits.
This mainly involves medications like anti-fit medicines. The main intention is to find the best medicine that could be the best to stop the occurrence. The doctors will do all possible to find the best medicine considering the condition and the frequency of the fits, age and many other factors. Considering all the factors the doctors will prescribe the best medicine for you.
Surgeries and other therapies.
Surgeries are recommended only if the medications are not able to curb the condition. During the procedure, the surgeons will locate the area in the brain where the fits occur and remove them. The surgery will be the best therapy for that person who has fits that start in the same area. Another best and the easy way that can be followed is through diet therapy. The diet has to be followed, which is high in fat and low in carbohydrates. This type of diet which is called a ketogenic diet can help to control fits.
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