Nonpharmacological treatment of epilepsy

Nonpharmacological treatment of epilepsy includes surgery, vagal nerve stimulation, ketogenic diet, and other alternative/complementary therapies, e.g., yoga, Ayurveda, electroencephalography (EEG) biofeedback technique, aerobic exercise, music therapy, transcranial magnetic stimulation, acupuncture...

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Main Authors: V S Saxena, V V Nadkarni
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2011-01-01
Series:Annals of Indian Academy of Neurology
Subjects:
Online Access:http://www.annalsofian.org/article.asp?issn=0972-2327;year=2011;volume=14;issue=3;spage=148;epage=152;aulast=Saxena
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author V S Saxena
V V Nadkarni
author_facet V S Saxena
V V Nadkarni
author_sort V S Saxena
collection DOAJ
description Nonpharmacological treatment of epilepsy includes surgery, vagal nerve stimulation, ketogenic diet, and other alternative/complementary therapies, e.g., yoga, Ayurveda, electroencephalography (EEG) biofeedback technique, aerobic exercise, music therapy, transcranial magnetic stimulation, acupuncture, and herbal remedies (traditional Chinese medicine). Alternative therapies, despite the term, should not be considered as an alternative to antiepileptic medication; they complement accepted drug treatment. Alternative therapies like yoga, through techniques that relax the body and mind, reduce stress, improve seizure control, and also improve quality of life. Ketogenic diet is a safe and effective treatment for intractable epilepsies; it has been recommended since 1921. The diet induces ketosis, which may control seizures. The most successful treatment of epilepsy is with modern antiepileptic drugs, which can achieve control of seizures in 70-80% cases. Patients opt for alternative therapies because they may be dissatisfied with antiepileptic drugs due to their unpleasant side effects, the long duration of treatment, failure to achieve control of seizures, cultural beliefs and, in the case of women, because they wish to get pregnant Surgical treatment may lead to physical and psychological sequelae and is an option only for a minority of patients. This article presents supportive evidence from randomized controlled trials done to assess the benefit of non-pharmacological treatment.
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spelling doaj.art-68516a5e7b63452ca595f6f3632d49a62022-12-21T18:45:44ZengWolters Kluwer Medknow PublicationsAnnals of Indian Academy of Neurology0972-23271998-35492011-01-0114314815210.4103/0972-2327.85870Nonpharmacological treatment of epilepsyV S SaxenaV V NadkarniNonpharmacological treatment of epilepsy includes surgery, vagal nerve stimulation, ketogenic diet, and other alternative/complementary therapies, e.g., yoga, Ayurveda, electroencephalography (EEG) biofeedback technique, aerobic exercise, music therapy, transcranial magnetic stimulation, acupuncture, and herbal remedies (traditional Chinese medicine). Alternative therapies, despite the term, should not be considered as an alternative to antiepileptic medication; they complement accepted drug treatment. Alternative therapies like yoga, through techniques that relax the body and mind, reduce stress, improve seizure control, and also improve quality of life. Ketogenic diet is a safe and effective treatment for intractable epilepsies; it has been recommended since 1921. The diet induces ketosis, which may control seizures. The most successful treatment of epilepsy is with modern antiepileptic drugs, which can achieve control of seizures in 70-80% cases. Patients opt for alternative therapies because they may be dissatisfied with antiepileptic drugs due to their unpleasant side effects, the long duration of treatment, failure to achieve control of seizures, cultural beliefs and, in the case of women, because they wish to get pregnant Surgical treatment may lead to physical and psychological sequelae and is an option only for a minority of patients. This article presents supportive evidence from randomized controlled trials done to assess the benefit of non-pharmacological treatment.http://www.annalsofian.org/article.asp?issn=0972-2327;year=2011;volume=14;issue=3;spage=148;epage=152;aulast=SaxenaAyurvedaepilepsynon-pharmacological treatmentketogenic dietyoga
spellingShingle V S Saxena
V V Nadkarni
Nonpharmacological treatment of epilepsy
Annals of Indian Academy of Neurology
Ayurveda
epilepsy
non-pharmacological treatment
ketogenic diet
yoga
title Nonpharmacological treatment of epilepsy
title_full Nonpharmacological treatment of epilepsy
title_fullStr Nonpharmacological treatment of epilepsy
title_full_unstemmed Nonpharmacological treatment of epilepsy
title_short Nonpharmacological treatment of epilepsy
title_sort nonpharmacological treatment of epilepsy
topic Ayurveda
epilepsy
non-pharmacological treatment
ketogenic diet
yoga
url http://www.annalsofian.org/article.asp?issn=0972-2327;year=2011;volume=14;issue=3;spage=148;epage=152;aulast=Saxena
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