Children's Mercy

Fall 2013

Safe & Sound is a magazine published by Children’s Mercy Hospital & Clinics in Kansas City. This quarterly publication features health and safety news from pediatric care experts at Children's Mercy.

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na O rent Diffe Wavelength Many people associate epilepsy with dramatic convulsions, but epileptic seizures can be much more subtle. If your child has epilepsy, the neurology experts at Children's Mercy go to the source to treat this complex disease. INSIGHT INTO EPILEPSY Each of the four major regions of the brain— the frontal, temporal, parietal and occipital lobes— controls a different set of mental and physical processes. During an epileptic seizure, these processes are disrupted. Many people associate epilepsy with alarming physical convulsions, but its effects can be much more varied and subtle. "Epileptic seizures can arise in several areas of the brain," says Ahmed T. Abdelmoity, MD, Chief, Section of Epilepsy and Neurophysiology at Children's Mercy and Associate Professor of Pediatrics at UMKC School of Medicine. "The outward signs of an epileptic seizure differ depending on what part of the brain is affected." TEMPORAL LOBES: CONTROL HEARING, SMELL, EMOTIONAL PROCESSING, AND MEMORY FORMATION AND STORAGE. Seizures may involve: • staring at a fixed point, similar to daydreaming • making involuntary, repetitive movements such as lip smacking • experiencing changes in personality • tasting a metallic taste in the mouth • smelling a bad odor that others do not smell. FRONTAL LOBE: CONTROLS HIGHER MENTAL FUNCTIONS AND INFORMATION PROCESSING, SUCH AS PLANNING, DECISION MAKING, SOCIAL BEHAVIOR AND SPEECH. Seizures may involve: • nocturnal body shaking • odd behavior or abrupt change in behavior • circular or pacing motion. Frontal lobe seizures can progress to tonicclonic (grand mal), with loss of consciousness, convulsions and drooling. D ID YO U KN O W ? • Contrary to com mon belief, epileps y is not contagious • Epilepsy affects . nearly 3 million Am ericans. • In the United St ates, almost 500 ne w cases of epileps are diagnosed ever y y day, 30 percent of them in children. • Some children ou tgrow epilepsy as their brains mature. 4 Safe & Sound Fall 2013

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