The Top 5 Risks of Untreated Epilepsy

14th February 2023

Epilepsy is a neurological condition that affects the electrical activity in the brain, resulting in seizures. It is a common condition, affecting around 1 in 100 people in the UK. While seizures can be controlled with medication and other treatments, leaving epilepsy untreated can lead to a number of risks.

Risk of injury

During a seizure, a person may experience loss of consciousness, muscle spasms and convulsions. These symptoms can cause a person to fall or injure themselves, particularly if the seizure occurs in a dangerous environment such as near a road or in water. In addition, if a person does not receive treatment for their seizures, they may be more likely to experience injuries as a result of falls or accidents.

Risk of Sudden Unexpected Death in Epilepsy (SUDEP)

One of the most serious risks associated with untreated epilepsy is Sudden Unexpected Death in Epilepsy (SUDEP). SUDEP occurs when a person with epilepsy dies unexpectedly and no other cause of death can be found. The exact cause of SUDEP is not known, but it is thought to be related to changes in the person’s heart rate and breathing during a seizure.

Risk of cognitive impairment

Epilepsy can also have a negative impact on cognitive function. Seizures can damage the brain and impede cognitive development, particularly in children. Additionally, the use of anti-seizure medication can also have a negative impact on cognitive function, particularly in children.

Risk of social isolation

Living with untreated epilepsy can also have a significant impact on a person’s emotional and social well-being. The unpredictability of seizures can make it difficult for a person to participate in social activities or hold down a job. Additionally, the fear of having a seizure in public can lead to social isolation and anxiety.

Risk of Status Epilepticus

When untreated, people with epilepsy can be at risk of status epilepticus. Status epilepticus is a serious medical emergency which means that a prolonged seizure lasting more than 5 minutes occurs. Shoulda  seizure last longer than 5 minutes, urgent medical attention is often required. In some cases, people will be prescribed emergency medications such as buccal midazolam or rectal diazepam. 

Conclusion

It is clear that untreated epilepsy can have serious consequences. It is important for anyone experiencing seizures to seek medical attention and work with their healthcare provider to develop a treatment plan that is appropriate for their individual needs. This may include medication, lifestyle changes, and other therapies. By managing their epilepsy, individuals can reduce the risks associated with the condition and lead a more fulfilling life.