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Page 1: Children with epilepsysearch3.openobjects.com/mediamanager/sheffield/fsd/... · Children with epilepsy 5 About seizures Electrical activity is happening in our brain all the time

epilepsy.org.ukEpilepsy Helpline: 0808 800 5050

Children with epilepsy

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Epilepsy Action aims to improve the quality of life and promote the interests of people living with epilepsy.

Our work... • Weprovideinformationtoanyonewithaninterestinepilepsy.• Weimprovetheunderstandingofepilepsyinschoolsand

raise educational standards.• Weworktogivepeoplewithepilepsyafairchanceoffinding

and keeping a job.• Weraisestandardsofcarethroughcontactwithdoctors,

nurses,socialworkers,governmentandotherorganisations.• Wepromoteequalityofaccesstoqualitycare.

Epilepsy Action has local branches in most parts of the UK. Each branch offers support to local people and raises money to help ensure our work can continue.

Your supportWehopeyoufindthisbooklethelpful.Asacharity,werelyondonations to provide our advice and information. If you would liketomakeadonation,herearesomewaysyoucandothis.

• Visitepilepsy.org.uk/donate• TextACTNOWto70700(Thiswillcostyou£5plusyour

usualcostofsendingatext.EpilepsyActionwillreceive£5.)• SendachequepayabletoEpilepsyAction.

Did you know you can also become a member of Epilepsy Actionfromlessthan£1amonth?Tofindoutmore,visit epilepsy.org.uk/joinorcall01132108800.

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ContentsIntroduction 4

About epilepsy 4

About seizures 5

Seizureclassifications 5

Focal(partial)seizures 7

Generalised seizures 8

Febrileseizures 11

Epilepsysyndromes 11

Seizuresatdifferentages 12

Diagnosingepilepsy 12

Treatingepilepsy 14

NICEandmovingtoadultservices 16

Risksofhavingepilepsy 17

Epilepsyandbehaviour 17

Learningandeducation 19

Unfairtreatmentandthelaw 20

Localservices 21

Helpandsupportforparentsandcarers 21

Furtherinformation 23

Firstaidforseizures 26

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IntroductionAroundonein240childrenunder16intheUKhasepilepsy.Withafewsensibleprecautions,mostwillbeabletodothethingsotherchildrencando.However,somechildrenhave morecomplexepilepsyandneedspecialisthelpandsupport.Thisinformationwilltellyouaboutsomeoftheissuesthataffectchildrenwithepilepsy,andwhereyoucangoforanyhelpor support you need.

Epilepsy Action has more information about all the issues discussed.

About epilepsyTherearemanytypesofepilepsy.Ifyourchildhasepilepsy,itmeanstheyhaveatendencytohaveseizures(sometimescalledfits).Epilepsycanbeginatanyage.

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About seizuresElectrical activity is happening in our brain all the time. A seizure happens when there is a sudden burst of intense electricalactivity.Thisintenseelectricalactivitycausesatemporarydisruptiontothewaythebrainnormallyworks,meaningthatthebrain’smessagesgetmuddled.Theresultisanepileptic seizure.

Your child’s brain is responsible for all the functions of their body.Whathappenstothemduringaseizurewilldependonwhereintheirbraintheseizurebegins,andhowwidelyandrapidlyitspreads.Forthisreason,therearemanydifferenttypesofseizureandeachchildwillexperienceepilepsyinawaythatisunique to them.

Seizure classificationsTherearemanydifferenttypesofseizure.Theycanbeclassedbywhereinthebraintheepilepticactivitystarts.TheInternationalLeagueAgainstEpilepsy,aworld-wideorganisationofepilepsyprofessionals,hascompiledalistofthenamesofdifferentseizuretypes.Thenamesgiventodifferenttypesofseizures in this information are based on this list.

Givingseizurestherightnamesisimportantfordoctors,becausespecificdrugsandtreatmentscanhelpsomeseizuretypes but not others.

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Focal (partial) seizuresIntheseseizures,theepilepticactivitystartsinjustapartofachild’sbrain.Theymaystayalertduringthistypeofseizure,ortheymaynotbeawareofwhatishappening.Theymayhaveunusualsensationsorfeelings.Thesearesomeexamples.

• Flushing,sweating,goingverypale,havingachurningfeelingintheir stomach

• Seeingthingsassmallerorbiggerthantheyreallyare• Seeingorhearingsomethingthatisnotactuallyhappening• Smellingnon-existentsmells• Tastingnon-existenttastes• Feelingfrightened,panicky,sadorhappy• Feeling detached from what is going on around them• Feeling sick• Having movements they can’t control• Chewing,smackingtheirlips,swallowingorscratchingtheir

head• Fumbling with their buttons or taking their clothes off• Having problems speaking or understanding• Wanderingoff,withoutanyawarenessofwhattheyaredoing,

or where they are going

Focalseizurescanbeverybrieforlastforminutes.Sometimes,focalseizuresareawarningthatyouaregoingtohaveatonic-clonicseizure.Thisiscalledanaura.

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Generalised seizuresTheseseizuresinvolveepilepticactivityinbothhemispheres(halves)ofachild’sbrain.Theywillusuallyloseconsciousnessbutthismaybesobriefthatno-onenotices.Theirmusclesmaystiffenand/orjerk.Theymayfalldown.

Tonic-clonic seizures

Thisisthemostcommonandwidelyrecognisedgeneralisedseizure.Therearetwophasestothistypeofseizure:the‘tonic’phase,followedbythe‘clonic’phase.

The tonic phaseThechildlosesconsciousnessand,ifstanding,willfalltothefloor.Theirbodygoesstiffbecausealltheirmusclescontract.Theymayalsocryoutbecausetheirmusclescontract,forcingairoutoftheirlungs.Theirbreathingpatternschange,sothereislessoxygenthannormalintheirlungs.Becauseofthis,thebloodcirculatingintheirbodyislessredthanusual.Thiscausestheirskin(particularlyaroundtheirmouthandundertheirfingernails)toappearblueincolour(called‘cyanosis’).Theymaybite their tongue and the inside of their cheeks.

The clonic phaseAfterthetonicphasehaspassed,theclonicphaseoftheseizurebegins.Thechild’slimbsjerknowbecausetheirmusclestightenandrelaxinturn.Theymayoccasionallylosecontroloftheirbladderand/orbowels.Itisnotpossibletostoptheseizure,and

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youshouldnottrytocontroltheirmovements,asthiscouldcause injury to their limbs.

Afteratonic-clonicseizure,somepeoplemaybeveryconfused,tired,orhavememoryloss.Thisisknownasapost-ictalstate,and can last from minutes to days.

Absence seizures

Duringanabsenceseizure,achildisverybrieflyunconscious.Theyappeartobedaydreamingorswitchingoff.Theydon’tknowwhatishappeningaroundthem,andtheycan’tbebroughtoutofit.Becauseanybodycandaydreamatanytime,absencescanbeveryhardtospot.Somechildrenhavehundredsofabsenceseizuresaday,stoppingthemfromfullytakingpartindailyactivities.Theycouldalsomisstinypiecesofinformationorevents.Thismaybemistakenforlackofattentionorconcentration.

Myoclonic seizures

Thewordmyocloniccomesfrom‘myo’meaningmuscle,and‘clonus’meaningjerk.So,ifachildhasamyoclonicseizure,theirmusclesjerk.Theseseizurescansometimescausetheirwholebodytojerk.Moreusually,theyonlycausejerkinginoneorboth of the child’s arms and sometimes their head. Although it maynotbeobvious,duringtheseizure,theyareunconsciousforaverybrieftime.Eventhoughtheseizuresarebrief,theycanbeextremelyfrustrating.Forexample,ifachildisholdingadrinkwhentheyhaveamyoclonicseizure,theyarelikelytospillit.

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Tonic seizures

Inatonicseizure,allthechild’smusclestighten.Theirbodystiffensandtheyfalloverunlesstheyaresupported.Tonicseizuresusuallylastlessthan20secondsandmostoftenhappenduring sleep.

Atonic seizures (drop attacks or akinetic seizures)

Inanatonicseizure,achildlosesallmuscletoneanddropsheavilytothefloor.Theseizureisverybriefandtheyareusuallyabletogetupagainstraightaway.Theyarenotconfusedafterwards.Becausetheyusuallyfallforwardinanatonicseizure,they are at risk of banging their head on furniture or other hard objects.Ifyourchildhasfrequentatonicseizures,extrasafetyprecautions – like protective headgear – make sense. Epilepsy Action can provide further information on this.

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Febrile seizuresFebrile seizures happen to around three out of every hundred childrenundertheageoffive.Theyareusuallylinkedtoachildhoodillnesssuchastonsillitis,orteething.Febrileseizuresarenotepilepsy.However,childrenwhohavehadfebrileseizureshave a slightly higher chance of developing epilepsy later on than children in general.

Epilepsy syndromesSomechildrenhaveepilepsyaspartofasyndrome.Asyndromeisagroupofsignsandsymptomsthat,addedtogether,suggestaparticularmedicalcondition.Inepilepsy,examplesofthesesignsand symptoms would be things like the age at which seizures begin,thetypeofseizures,whetherthechildismaleorfemaleandwhethertheyhavedifficultieswithlearning.

Ifachildisdiagnosedwithaparticularsyndrome,itallowsdoctors to provide more information about what is most likely tohappentotheminfutureyears.Thisisnotonlyfromthepointofviewoftheepilepsy,butalsoinrelationtootherfeatures such as learning skills.

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Seizures at different agesChildrencanhavedifferenttypesofseizures,atdifferentages.Inbabies,seizuresmaynotbeobvioustoanonlooker.Theirseizuresmayshowaschangesinbreathingpatterns,ormovementsoftheireyelidsorlips.Theymayhavebicyclingmovementsoftheirlegs,briefjerksorepisodesofstiffeningoftheirbodyandlimbs.Astheirbrainmatures,olderchildrenhaveseizuresthataremoreeasilyrecognised,suchastonic-clonicseizures.Somebabiesandchildrencanhaveseveraldifferenttypes of seizures.

Diagnosing epilepsyIfyourchildhashadaseizure,theywillusuallybeseenbyapaediatrician(children’sdoctor).Tohelpdecidewhetheryourchildhasepilepsy,thisdoctorwillaskwhatyourchildexperiencedbefore,duringandaftertheseizure.Theymightaskwhether you have taken a video recording of your child’s seizure forthemtolookat.Theywilllookattheirmedicalhistory,andmay arrange for them to have some of the following tests.

Electroencephalogram (EEG)

TheEEGtellsdoctorsabouttheelectricalactivityinthebrain.DuringtheEEG,atechnicianplacesharmlesselectrodesonthescalp,usingaspecialglueorstickytape.ThentheelectrodesareconnectedtotheEEGmachine,whichrecordstheelectricalsignals in the brain on a computer.

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Computed tomography (CT scan)

ThisisatypeofX-ray.Itshowsthestructureofthebrain.Itdoesn’tshowifyourchildhasepilepsy.However,itmightshowan abnormality that could cause epilepsy.

Magnetic resonance imaging (MRI scan)

TheMRIusesradiowavesandamagneticfield,ratherthanX-rays.Itcanshowifthere’sastructuralcauseforsomeone’sepilepsy.TheMRIismorepowerfulthantheCTscanner,soitcanpickupsmallorsubtleabnormalitiesthattheCTscannercan’tfind. 

NotallchildrenwithepilepsywillneedaCTorMRIscan.

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Treating epilepsyEpilepsy medicines

Most children with epilepsy are prescribed epilepsy medicines. Theaimoftreatingseizureswithepilepsymedicinesistocontrolyourchild’sseizures,sothattheycangetonwiththeirlife.Therearemanydifferentepilepsymedicinesavailableandyour child’s epilepsy specialist will recommend the best one for yourchild.Theywillmaketheirchoicebylookingatyourchild’stypeofseizures,anyothermedicalconditionstheyhave,andyour and your child’s preferences.

Itmaytakeawhiletofindtherightdoseoftherightmedicineforyourchild.Butonceitisfound,theyhaveaverygoodchanceofbeingseizurefree.Infact,aroundsevenin10childrenwithepilepsycanbecomeseizurefree.Oncetheirseizuresarecontrolled,theywillstillusuallyneedtotakeepilepsymedicineforawhile.Sometimes,theymayneedtotakeitformanyyears.

Review

Your child should have a review of their epilepsy and treatment withtheirepilepsyspecialistatleastonceayear.Thisistomakesure that they are still on the right dose of the right medicine for their epilepsy. It is also to make sure they are not having any side-effectsfromtheirepilepsymedicine.

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Epilepsy surgery

Somechildrenhaveseizuresthatarenotcontrolledbyepilepsymedicines.Thesechildrenmaybesuitableforepilepsybrainsurgery.Theaimofepilepsybrainsurgeryistocontrol,orreduce,thenumber of seizures a child has and to improve their quality of life.

Diet

Generally,thereisnospecificdietforpeoplewithepilepsytofollow.However,somechildrenwithepilepsycanbenefitfromfollowing the ketogenic diet.

Theketogenicdietisahighfatdietthatcanhelptotreatseizuresinchildrenwithdifficulttocontrolepilepsy.Onestudyof children with epilepsy who had been on the ketogenic diet for around10years,foundthataroundsevenoutof10hadfewerseizures than before.

Triggers

Ifyourchildisoldenough,theymightbeabletorecognisethingsthatmaketheirseizuresmorelikely.Thesearecalledtriggers.Tiredness,lackofsleepandstressaresomeofthemorecommon triggers in children. A very small number of children with epilepsy have their seizures triggered by flashing or flickeringlights.Thisisphotosensitiveepilepsy.

Somechildrensaythattheycanavoidseizuresbyavoidingtheirtriggers.Butnotallchildrenhavethingsthattriggertheirseizures.

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NICE and moving to adult servicesNICE(NationalInstituteforHealthandCareExcellence)istheindependent organisation responsible for providing national guidelinesontreatmentandcareforpeopleusingtheNHSinEngland,NorthernIrelandandWales.

Atsomepointduringtheirteenageyears,childrenwithepilepsywill be transferred from children’s services to adult services. Thiscanbeabigchange,andNICErecommendsthatthisisdone through a transition clinic.

Sometransitionclinicsarejointlyrunbyadultandpaediatric(children’s)specialists,whowillreviewyourchild’sepilepsyandtreatment.Theyshouldgiveyourchildanyepilepsyinformationtheyneed,anddetailsofsupportgroupsthatmightbeabletohelp them.

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Risks of having epilepsyChildrenwithepilepsyareatriskofseizurerelatedinjuries.Childrenwhohaveepilepsybecauseofanothercondition,orhave only recently been diagnosed with epilepsy are at highest risk.Thisisbecausetheyaremorelikelytobehavingseizuresthan other children.

Everyyear,around40to80childrenintheUKdiebecauseoftheirepilepsy.Forexample,achildcouldhaveaseizureinadangerousplace.Ortheseizureitselfmaybethecauseofdeath.Butthereasonsforthesedeathsarenotalwaysknown.Whereachildwithepilepsyhasdiedsuddenly,andnoreasoncanbefound,itiscalledsuddenunexpecteddeathinepilepsy(SUDEP).

Knowing about the risks means you can do things to keep the risks to a minimum. It’s a good idea to talk to your child’s doctor or epilepsy nurse about this.

Epilepsy and behaviourBehaviourproblemsarecommoninchildren.Thisistruewhetherornottheyhaveepilepsy.However,somechildrenhavebehaviour problems that are related to their epilepsy or epilepsy medicine.Ifyouareconcernedaboutyourchild’sbehaviour,speaktotheirepilepsydoctor,epilepsynurse,orhealthvisitor,to see if they can help.

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Learning and education Many children and young people with epilepsy go to mainstream schools.Andsomedoverywell.However,somechildrenwithepilepsydon’tachieveasmuchastheycould.Thismayormaynot be related to their epilepsy or epilepsy medicine. If you believeyourchildisnotdoingaswellastheycould,speaktotheirteacherorspecialeducationalneedsco-ordinator(SENCO).Theywillbeabletoassessyourchildtotrytofindwaystohelpthem.Iftheystillhavedifficulties,youcanaskforthemtobeassessedforspecialeducationalneeds(SEN).

Special educational needs

IfachildhasSEN,itmeanstheyneedsomeextrahelporsupporttoreachtheirfullpotential.TherearethreedifferentSENsupportframeworksforchildrenintheUK,dependingonwhereyoulive.EachoftheseframeworkswillexplainaboutSENinthatparticularcountry,andwilltellyouwhatyoushouldexpectforyourchild.

England and WalesSpecialeducationalneeds(SEN)frameworkWebsite:education.gov.uk

ScotlandTheEducation(AdditionalSupportforLearning)ScotlandAct2009Website:scotland.gov.uk

Northern IrelandCodeofPracticeontheIdentificationandAssessmentofSpecialEducationalNeedsandaSupplementtotheCodeofPracticeWebsite:northernireland.gov.uk

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Unfair treatment and the lawIfyourchildlivesintheUK,thereareequalitylawsthatmakeitillegaltodiscriminateagainstthembecauseoftheirepilepsy.TheEqualityActcoverschildreninEngland,ScotlandandWales.TheDisabilityDiscriminationAct(DDA)coverschildreninNorthernIreland.

Theequalitylawsmeanthatanyonewhoprovidesanykindofgoods or services must make sure that children with epilepsy are treated fairly.

Theequalitylawsalsomeanthatserviceprovidersmayneedtomake reasonable adjustments to make sure that your child is not atadisadvantagebecausetheyhaveepilepsy.Forexample,ateacher could provide written information for them if they have missed some of their lesson because they have had a seizure.

Your child is covered by the equality laws if they have epilepsy now,oriftheyhavehaditinthepast.Thelawsapplytothemeven if they take epilepsy medicines that control their seizures.

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Local servicesLocal authorities have a duty to provide a range of services for childrenwithepilepsy,whomayhavespecialneeds.Theseservices include the following.

• Medical care• Day care• Advice,informationandcounselling• After school activities• Help with transport and holidays • Shorttermorrespitecare• Cultural,socialandleisureactivities

Yourfamilydoctor,epilepsyspecialistnurse,healthvisitor,staffatyour local social services agency or local authority can advise you about these services.

Help and support for parents and carersComing to terms with your child’s epilepsy

It’snaturaltofeelanxiouswhenyouaretoldthatyourchildhasepilepsy. You may worry about how their epilepsy will affect them,andbeconcernedaboutside-effectsfromtheirepilepsymedicines.Youmayworrythatfamily,friends,andneighbourswillnotknowmuchaboutepilepsy,orhowtodealwithit.Findingout as much as possible about your child’s epilepsy and treatment,andsharingthatinformationwithotherpeople,couldbehelpful.Oncetheyunderstand,theyaremorelikelytoofferyou support.

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Talking about your concerns

Yourfamilydoctorcangiveyouinformationandadvice,butisunlikely to have time for long discussions. You could ask whether there is a children’s epilepsy specialist nurse attached to the epilepsyclinic.Thesenurseshavealotofexperienceofchildhoodepilepsy,andcanofferyouadviceandsupport.

Anothersourceofsupportisforum4e,EpilepsyAction’sonlinecommunity for people with epilepsy and their carers. You have tobe16orovertojointhisforum.So,althoughyourchildmaynotbeabletojoin,youcouldfinditarealhelpforyou,asaparent or carer.

Supporting your child with epilepsy

Somechildrendealwiththeirepilepsyandseizuresinaverymatteroffactway.Othersfeelembarrassedabouthavingseizures,particularlyiftheyhappenatschoolorwiththeirfriends.Oneofthebestwaystosupportyourchildisbytalkingtothemabouttheirepilepsy,andfindingoutwhattheirmainconcernsare.Youcouldtakeinformationintoschool,sothatstaffcanexplainepilepsytotheotherchildren.Theycanfindinformation for themselves on Epilepsy Action’s children’s and teenagewebsites.Goto:kids.epilepsy.org.uk/educationor

youngpeople.epilepsy.org.uk

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Further informationEpilepsy Action has more information about different aspects of epilepsy.

Other organisations

ACE Education AdvicelineFor independent advice on a wide range of education issues Tel:03000115142Website:ace-ed.org.uk

Carers UKCarersUKprovideinformation,adviceandsupportforcarersTel:08088087777Website:carersuk.org.uk

Contact a familySupportsthefamiliesofdisabledchildrenTel:08088083555Website:cafamily.org.uk

Disabled Living Foundation DLFcanprovideinformationaboutbedalarms,safetyhelmetsand other equipment your child might needTel:02072896111Website:dlf.org.uk

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Independent Panel for Special Education Advice (IPSEA)OffersfreeandindependentadviceonLocalAuthorities’legalduties to assess and provide for children with special educational needsTel:08000184016Website:ipsea.org.uk

Local servicesThefollowingorganisationscantellyoumoreaboutservicesinyour area.EnglandandWales–yourlocalSocialServicesofficeNorthernIreland–DepartmentofHealth,SocialServicesandPublicSafetyScotland–yourlocalSocialWorkDepartmentAllofUK–yourlocalCitizensAdviceService:Tel:02078332181(fordetailsofyourlocalbranch)Website:adviceguide.org.uk

Mencap Supportspeoplewithalearningdisabilitytolivetheirlivesasthey chooseTel:08088081111Website:mencap.org.uk

NHS ChoicesNHSChoicesistheonline‘frontdoor’totheNHS.Itisthecountry’s biggest health website and gives all the information you need to make choices about your healthWebsite:nhs.uk

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About this publicationThisbookletiswrittenbyEpilepsyAction’sadviceandinformationteam,withguidanceandinputfrompeoplelivingwithepilepsy,andmedicalexperts.Ifyouwouldliketoknowwhereourinformationisfrom,orthereisanythingyouwouldliketosayaboutthebooklet,pleasecontactus.

Epilepsy Action makes every effort to ensure the accuracy of information in its publications but cannot be held liable for any actions taken based on this information.

Date:September2013;Dueforreview:September2015;Code:B002.03

AcknowledgementsEpilepsyActionwouldliketothankBernieConcannon,paediatricspecialistnurseinepilepsy,BirminghamChildren’sHospitalforhercontribution.BernieConcannonhasdeclaredno conflict of interest.

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First aid for tonic-clonic seizuresThepersongoesstiff,losesconsciousnessandfallstothefloor.

Do... • Protectthepersonfrominjury(removeharmfulobjectsfromnearby)• Cushiontheirhead• Aid breathing by gently placing the person in the recovery position

whentheseizurehasfinished(seethepictures)• Staywiththemuntilrecoveryiscomplete• Becalmlyreassuring

Don’t... • Restrain the person’s movements • Putanythingintheirmouth• Trytomovethemunlesstheyareindanger• Give them anything to eat or drink until they are fully recovered • Attempt to bring them round

Call 999 for an ambulance if... • Youknowitistheperson’sfirstseizure• Theseizurecontinuesformorethanfiveminutes• Oneseizurefollowsanotherwithoutthepersonregaining

consciousness between seizures• Thepersonisinjured• You believe the person needs urgent medical attention

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1

2

3

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First aid for focal (partial) seizuresThepersonmaynotbeawareoftheirsurroundingsorofwhattheyaredoing.Theymaypluckattheirclothes,smacktheirlips,swallowrepeatedly or wander around.

Do... • Guide the person away from danger • Staywiththepersonuntilrecoveryiscomplete• Becalmlyreassuring• Explainanythingthattheymayhavemissed

Don’t... • Restrain the person • Actinawaythatcouldfrightenthem,suchasmakingabrupt

movements or shouting at them • Assumethepersonisawareofwhatishappening,orwhathas

happened • Give them anything to eat or drink until they are fully recovered • Attempt to bring them round

Call 999 for an ambulance if... • Youknowitistheperson’sfirstseizure• Theseizurecontinuesformorethanfiveminutes• Thepersonisinjured• You believe the person needs urgent medical attention

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Further informationIfyouhaveanyquestionsaboutepilepsy,pleasecontacttheEpilepsy Helpline.

Epilepsy Action has a wide range of publications about many different aspects of epilepsy. Information is available in the followingformats:booklets,e-books,factsheets,posters,booksandDVDs.

Informationisalsoavailableinlargetext.

PleasecontactEpilepsyActiontorequestyourfreeinformationcatalogue.Ordownloadacopyatepilepsy.org.uk/catalogue

Epilepsy Action’s support servicesLocal meetings: a number of local branches offer support acrossEngland,NorthernIrelandandWales.

forum4e: our online community is for people with epilepsy and carersofpeoplewithepilepsy.Forpeopleaged16yearsorover.Join at forum.epilepsy.org.uk

Epilepsy awareness: Epilepsy Action has a number of trained volunteers who deliver epilepsy awareness sessions to any organisationthatwouldliketolearnmoreaboutepilepsy.Thevolunteers are able to offer a comprehensive introduction to epilepsy to a range of audiences.

Ifyouwouldlikemoreinformationaboutanyoftheseservices,pleasecontactEpilepsyAction.Contactdetailsareatthebackofthis booklet.

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Children with epilepsyWewouldliketoknowifthisbooklethasbeenhelpfultoyou.

Asaresultofreadingtheinformation,pleaseletusknowifyouagreewithanyofthefollowingstatements.Tickanyboxesthatapplytoyou.

I feel more informed about issues surrounding epilepsy.IfeelmoreconfidentabouttalkingtomyGP/epilepsyspecialist/epilepsy nurse.

Ifeelmoreconfidentabouttalkingaboutmyepilepsywithotherpeople.

Ihavetalkedtomyemployer/colleague/teacher/familyandtheyhave improved how well they support me.

IhaveusedotherEpilepsyActionservices,suchasthewebsite,theEpilepsyHelpline,supportgroupsoronlinecommunity(forum4e).

Ihaveusedothersupportservicesmentionedinthebooklet,andfound them helpful.

Please tell us how you think we can improve this information

Pleasereturnthecompletedformto:EpilepsyServices,EpilepsyAction,FREEPOSTLS0995,LeedsLS197YY

Ifyouwouldprefertotellusoverthetelephone,pleasecontacttheEpilepsyHelpline,freephone08088005050.

Thankyou!

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Epilepsy ActionFREEPOSTLS0995LEEDSLS197YY

RegisteredcharityinEngland(No.234343)

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Children with epilepsy 31

How to contact the Epilepsy HelplineTelephonetheEpilepsyHelplinefreephone0808 800 5050MondaytoThursday9.00amto4.30pmFriday9.00amto4.00pmOurhelplinestaffareTextRelaytrained

Writetousfreeofchargeat FREEPOST LS0995, Leeds LS19 7YYEmail us at [email protected] or visit our website: epilepsy.org.ukTextyourenquiryto0753 741 0044SendaTweetto@epilepsyadvice

About the Epilepsy HelplineThehelplineisabletoofferadviceandinformationin150languages.

Weprovideconfidentialadviceandinformationtoanyonelivingwithepilepsybutwewillnottellthemwhattodo.Wecangivegeneral medical information but cannot offer a medical diagnosis orsuggesttreatment.Wecangivegeneralinformationonlegalandwelfarebenefitissuesspecificallyrelatedtoepilepsy.Wecannot,however,takeuppeople’scasesontheirbehalf.

Ourstaffaretrainedadviserswithanextensiveknowledgeofepilepsyrelatedissues.Wherewecannothelpdirectly,wewill do our best to provide contact details of another service or organisationbetterabletohelpwiththequery.Indoingthis,Epilepsy Action is not making a recommendation.

Wewelcomecomments,bothpositiveandnegative,aboutourservices.

Toensurethequalityofourserviceswemaymonitorcallsto the helpline.

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Epilepsy Helpline: freephone 0808 800 5050

epilepsy.org.uk

Environmental statementAllEpilepsyActionbookletsareprintedonenvironmentallyfriendly,low-chlorinebleachedpaper.Allpaperusedtomakethisbookletis

fromwell-managedforests.

Epilepsy ActionNewAnsteyHouse,GateWayDrive,Yeadon,LeedsLS197XY

tel01132108800email [email protected]

EpilepsyActionisaworkingnameofBritishEpilepsyAssociation.Acompanylimitedbyguarantee(registeredinEnglandNo.797997)

RegisteredcharityinEngland(No.234343)

Date:September2013;Dueforreview:September2015

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