What are the methods for checking epilepsy?

Patient's question:

A while ago, my friend and I were drinking coffee in a café. We were talking about some erotic things, and when we reached the most critical point, suddenly he tilted his head back, his eyes rolled up, foam came out of his mouth, one corner of his mouth twitched, and his limbs also showed symptoms of twitching again. I was completely scared at that moment. I questioned whether he had epilepsy. I don’t know how to thoroughly examine for epilepsy. What is the thorough examination method for epilepsy?

Doctor's answer:

Hello! The diagnosis of epilepsy primarily relies on the patient's medical history and symptoms and signs during seizures. The causes of epilepsy are numerous, including brain trauma, intracranial tumors, intracranial infections, brain developmental abnormalities, hypoxic-ischemic encephalopathy at birth, chronic alcohol consumption leading to ethanol toxicity, carbon monoxide poisoning, and more. If further examinations are needed, video EEG can be performed, and head MRI should also be conducted to assess whether there is any organic inflammation in the brain. Treatment is primarily based on oral antiepileptic drug therapy. On a daily basis, it is essential to maintain emotional stability, stay cheerful, avoid overexertion, and refrain from emotional excitement.

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