What are the causes that induce the onset of epilepsy?

Patient's question:

What are the reasons that cause epilepsy to recur? My classmate said he suffers from epilepsy, and when he has a seizure, he loses consciousness, falls to the ground, and convulses. It has been many years, so how could it suddenly recur?

Doctor's answer:

1. Intracranial infections, such as various forms of encephalitis and meningitis, can lead to inflammation and edema of the cerebral cortex, resulting in adult epilepsy. In the post-stroke period, scar formation within the brain parenchyma and meningeal adhesions can also cause adult epilepsy.
2. The incidence of post-traumatic epilepsy after cranial brain trauma ranges from 0.5% to 50%. The longer the duration of unconsciousness and the more severe the brain parenchymal damage, the higher the incidence. If intracranial hematoma is controlled in the acute phase, intracranial hypertension caused by cerebral edema after brain parenchymal damage can also lead to adult epilepsy. Injuries following cranial surgery and dysfunction of brain cells can also result in recurrent adult epilepsy.

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