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why is epilepsy more common in males

why is epilepsy more common in males插图

The prevalence and the incidence of epilepsy are slightly higher in men compared to women and tend to peak in the elderly, reflecting thehigher frequency of stroke, neurodegenerative diseases, and tumorsin this age-group. Focal seizures are more common than generalized seizures both in children and in adults.Author:Ettore BeghiPublish Year:2020

Is epilepsy more common in men or women?

Overall, no gender difference was found in localization-related epilepsy, but localization-related symptomatic epilepsies were more frequent in men, and cryptogenic localization-related epilepsies we … More women than men were diagnosed with idiopathic generalized epilepsy in two epilepsy populations.

Does epilepsy affect hormones in men?

Does epilepsy affect hormones? Yes, epilepsy is associated with hormonal changes. For instance, experts estimate that approximately 40 percent of men with epilepsy (MWE) have low levels of testosterone, the hormone that stimulates the development of male sex organs, sexual traits and sperm.

Why is epilepsy more likely to develop in older adults?

Epilepsy is more likely to develop in older adults because some risk factors for epilepsy are more common in older adults, 3 such as: 1 Strokes. 2 Head injuries due to falls. More ...

How common are low testosterone levels in men with epilepsy?

For instance, experts estimate that approximately 40 percent of men with epilepsy (MWE) have low levels of testosterone, the hormone that stimulates the development of male sex organs, sexual traits and sperm.

What percentage of MWE have bioavailable testosterone?

A recent study demonstrated that approximately 40 percent of MWE possess bioavailable testosterone levels below the normal control range. This is a significant finding because researchers now know that bioavailable testosterone levels, rather than total testosterone levels, affect libido.

What is the BAT in MWE?

A large percentage of MWE have been found to have low levels of bioavailable testosterone (BAT), the portion of total testosterone available for use. Abnormally low BAT levels have been tied to sexual dysfunction.

How likely are MWE to father a pregnancy?

One study found that MWE were only 36 percent as likely as their male siblings without epilepsy to father a pregnancy.

How much risk of epilepsy is there for offspring?

As a man with epilepsy, your offspring are at a slightly higher risk than the general population for developing this disorder. Recent studies show that offspring of men with epilepsy (MWE) have a 2.4 percent risk of developing it, as opposed to the general population, whose risk is estimated at 1 percent.

What is the brain responsible for sexual desire?

Changes in the brain due to seizures . Sexual desire requires appropriate function of specific regions of the cerebral cortex, especially frontal and temporal lobes. People with complex partial seizures seem more prone to problems with sexual desire, particularly when seizures originate in the temporal lobe.

What medications can cause bone loss?

These include Dilantin, Tegretol, Phenobarbital and Depakote.

What is the biggest impact on reproductive dysfunction?

The type of epilepsy, age of onset and family history appear to have the biggest impact on reproductive dysfunction and infertility. Specifically, studies find that: Men with early age onset of epilepsy (less than 10 years of age) are more reproductively disadvantaged than men who develop epilepsy at a later age.

What is the condition that causes seizures?

Epilepsy is a chronic disease of the brain characterized by an enduring (i.e., persisting) predisposition to generate seizures, unprovoked by any immediate central nervous system insult, and by the neurobiologic, cognitive, psychological, and social consequences of seizure recurrences. Epilepsy affects both sexes and all ages with worldwide ...

What is the epidemiology of epilepsy?

Epilepsy is a chronic disease of the brain characterized by an enduring (i.e., persisting) predisposition to generate seizures, unprovoked by any immediate central nervous system insult, and by the neurobiologic, cognitive, psychological, and social consequences of seizure recurrences. Epilepsy affe ….

Is epilepsy a disease?

Epilepsy is a chronic disease of the brain characterized by an enduring (i.e., persisting) predisposition to generate seizures, unprovoked by any immediate central nervous system insult, and by the neurobiologic, cognitive, psychological, and social consequences of seizure recurrences. Epilepsy affe …

Is epilepsy a favorable prognosis?

The overall prognosis of epilepsy is favorable in the majority of patients when measured by seizure freedom. Reports from low/middle-income countries (LMIC; where patients with epilepsy are largely untreated) give prevalence and remission rates that overlap those of HICs.

Is epilepsy more common in men or women?

The prevalence and the incidence of epilepsy are slightly higher in men compared to women and tend to peak in the elderly, reflecting the higher frequency of stroke, neurodegenerative diseases, and tumors in this age-group. Focal seizures are more common than generalized seizures both in children and in adults.

Abstract

Epilepsy is one of the most common neurological conditions. We aimed to identify sex differences in the demographic, clinical features, and treatment strategies in epileptic patients.

Introduction

Epilepsy was defined in 2005 as a disorder of the brain characterized by an enduring predisposition to generate epileptic seizures and by the neurobiological, cognitive, psychological, and social consequences of this condition [ 1 ].

Patients and methods

The aim of the current study was to investigate the differences in the demographic and social characteristics between epileptic male and female patients to compare its impact and define gender differences in various types of epilepsies and epileptic syndromes and treatment strategies.

Results

We analyzed, in depth, 1000 randomly selected data records of 500 male and 500 female patients with epilepsy who visited the epilepsy outpatient clinic, in the period from January 2012 until January 2015.

Discussion

Sufficient knowledge of gender differences in epilepsy is still lacking, and the consequences of epilepsy on both sexes are not adequately approached.

Conclusion

While epidemiological studies did not find persistent differences in the incidence of epilepsy in males and females, our study revealed significant differences in the psychosocial impact of epilepsy on both sexes in certain areas, such as education, marriage, and hazardous job exposure.

Acknowledgments

Our principal acknowledgement is to our colleagues who interviewed the patients and recorded the data which we reviewed and analyzed in our study.

How Do I Know If It’s Epilepsy?

It isn’t always easy to tell when you or someone you care for develops epilepsy later in life. That’s because seizures may be hard to recognize in older adults and may go unnoticed. For example, memory problems, confusion, falls, dizziness, or sensory changes like numbness are often blamed on “getting older.” 4,5 However, sometimes these can actually be signs of seizures. 4,5

How many people have seizures?

Seizures can be easy to miss. Learn how to recognize the signs and how you can help. Epilepsy is a brain disorder that causes repeated seizures. About 3 million US adults aged 18 or older have active epilepsy. 1 Nearly 1 million of those adults are 55 or older. 2 As our population ages, there will be even more older people with epilepsy in ...

Why is epilepsy more common in older adults?

Epilepsy is more likely to develop in older adults because some risk factors for epilepsy are more common in older adults, 3 such as: Strokes. Head injuries due to falls. Diseases that affect brain function (such as Alzheimer’s disease ).

What are the risk factors for epilepsy?

Epilepsy is more likely to develop in older adults because some risk factors for epilepsy are more common in older adults, 3 such as: 1 Strokes. 2 Head injuries due to falls.

How long does a seizure last?

The person has trouble breathing or waking after the seizure. The seizure lasts longer than 5 minutes. The person has another seizure soon after the first one. The person is hurt during the seizure. The seizure happens in water. The person has a health condition like diabetes, heart disease, or pregnancy.

What is the first aid for a seizure?

Seizure first aid is easy to give and involves keeping the person safe until the seizure stops on its own and knowing when to call 911 for emergency help. If you work at a senior center, long-term care facility, nursing home, in home health care, or another senior-serving organization, you can take special training.

What are the signs of seizures?

Wander. Make unusual movements. Be unable to answer questions or talk. When these signs occur more than once and often in the same pattern, they could be signs of seizures. If an older adult is showing these signs, it’s important for them to talk to a health care provider.

What are the different types of seizures?

Generalized seizures. This type of seizure tends to involve all the parts of your brain. There are six kinds of generalized seizures: 1 Absence seizures happen mostly in children and involve small movements such as lip smacking or eye blinking. 2 Tonic seizures make you stiffen the muscles in your arms, legs, back and sometimes fall down as a result. 3 Atonic seizures take away your muscle control. They’re also called drop seizures, because they can make you collapse onto the floor. 4 Clonic seizures often make you repeat jerking movements in your neck, face, and arms. 5 Myoclonic seizures involve short, twitching and jerking motions in your arms and legs. 6 Tonic-clonic seizures, which used to be called grand-mal seizures, can make you lose consciousness, stiffen your whole body, and shake. You may also bite your tongue or lose control of your bladder.

What is a short, twitching, and jerking motion?

Myoclonic seizures involve short, twitching and jerking motions in your arms and legs.

What is the term for a burst of electrical impulses in the brain that can be transmitted to the muscles?

A seizure occurs when a burst of electrical impulses in the brain escape their normal limits. They spread to neighboring areas and create an uncontrolled storm of electrical activity. The electrical impulses can be transmitted to the muscles, causing twitches or convulsions.

What does it mean when you have a tonic seizure?

Tonic seizures make you stiffen the muscles in your arms, legs, back and sometimes fall down as a result.

Why do older people get epilepsy?

Brain conditions. Most cases of epilepsy in people older than 35 happen because of brain damage from a stroke or even after brain surgery. Other brain problems that can trigger epilepsy include:

What is generalized seizures?

Generalized seizures. This type of seizure tends to involve all the parts of your brain. There are six kinds of generalized seizures: Absence seizures happen mostly in children and involve small movements such as lip smacking or eye blinking.

What is the cause of epilepsy?

What Are the Causes of Epilepsy? Epilepsy is a general term for the tendency to have seizures. Epilepsy is usually diagnosed only after a person has had more than one seizure. When identifiable, the causes of epilepsy usually involve some form of injury to the brain. For most people, though, epilepsy's causes aren't known.

why is epilepsy more common in males
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