Epilepsy and Seizures | Theochari Neurology
Specialist assessment of seizures, blackouts, and diagnostic uncertainty
Dr. Evangelia Theochari offers private epilepsy consultations led by a consultant for adults experiencing epilepsy, seizures, or unexplained episodes like blackouts or 'funny turns.' These consultations prioritize an accurate epilepsy diagnosis, providing clear explanations and personalized management. This approach ensures that patients receive the time and clarity often essential in complex or uncertain neurological assessments.
Epilepsy & Seizures – Private Neurologist in London
Understanding Seizures and Epilepsy
Epilepsy is a neurological condition characterised by a tendency to have recurrent seizures. An accurate epilepsy diagnosis is crucial, as seizures can manifest in various forms and do not always involve convulsions or loss of consciousness. Some individuals may experience brief episodes of altered awareness, confusion, unusual movements, or sensory symptoms.
It's important to note that not all seizure-like events are attributable to epilepsy. Episodes such as blackouts, collapses, or transient confusion may also arise from fainting, heart rhythm problems, non-epileptic attacks, or other neurological or medical conditions. Therefore, a comprehensive neurological assessment is essential for distinguishing between these causes, as the management strategies differ significantly. For those seeking more personalized guidance, private epilepsy consultations can provide valuable insights and tailored support.
What Symptoms May Suggest a Seizure?
People are often unsure whether what they experienced was related to a seizure. Symptoms that may prompt a specialist neurological assessment include:
- Blackouts or unexplained collapses
- Episodes of altered awareness or confusion
- Involuntary movements or shaking
- Sudden sensory symptoms, such as unusual smells, sensations, or déjà vu
- Episodes previously labelled as panic attacks or faints
- Events witnessed by others that appear unusual or out of character
A careful clinical assessment is key to understanding what these episodes represent and is essential for an accurate epilepsy diagnosis. For those seeking further clarity, private epilepsy consultations can provide additional support and expertise.
Why Diagnosing Epilepsy Can Be Challenging
Diagnosing epilepsy is primarily a clinical process. While tests such as EEGs and brain scans can assist in the epilepsy diagnosis, they do not provide a definitive diagnosis on their own. Some individuals with epilepsy may have normal test results, whereas others without epilepsy could show abnormalities that are not related to their symptoms.
A thorough neurological assessment is essential and includes detailed history-taking, consideration of witness accounts, review of previous investigations, and a careful neurological examination. This comprehensive approach is crucial for distinguishing epileptic seizures from non-epileptic attacks, syncope, cardiac causes, or other neurological conditions. For those seeking more personalized care, private epilepsy consultations can provide valuable insights and tailored support.
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Specialist Expertise in Epilepsy
Dr. Theochari has particular expertise in epilepsy diagnosis, including: First seizures and new-onset epilepsy, recurrent seizures or diagnostic uncertainty, treatment-resistant or complex epilepsy, and second opinions where diagnosis or management is unclear. Her approach emphasizes diagnostic accuracy through thorough neurological assessments, appropriate investigation, and thoughtful treatment selection tailored to each individual, ensuring comprehensive private epilepsy consultations.
Assessment and Investigations
Assessment for an epilepsy diagnosis typically includes a detailed discussion of symptoms and medical history, a neurological assessment, and a review of any previous test results. Where appropriate, further investigations such as EEG or brain imaging may be recommended. Any investigations are discussed and explained in advance, with careful consideration of their clinical value, especially during private epilepsy consultations.
Treatment and Ongoing Management
Management of epilepsy is highly individualised, with a focus on achieving the best outcomes for each patient. Treatment decisions are made based on factors such as the type of seizures experienced, lifestyle considerations, safety, medication tolerability, and individual patient priorities. Many individuals achieve good seizure control with appropriate treatment, while others may benefit from a thorough neurological assessment and ongoing review to fine-tune their management plan. Dr. Theochari places a strong emphasis on clear communication during private epilepsy consultations, helping patients understand their epilepsy diagnosis, treatment options, and what to expect as they move forward.
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Frequently Asked Questions
Are all seizures caused by epilepsy? No. Seizure-like episodes can also result from fainting, heart rhythm problems, metabolic disturbances, or non-epileptic attacks. Proper epilepsy diagnosis is essential for ensuring accurate treatment.
Can epilepsy start in adulthood? Yes. Epilepsy can develop at any age and should always be evaluated through a neurological assessment by a specialist neurologist.
Is a normal EEG reassuring? A normal EEG does not rule out epilepsy. The diagnosis primarily relies on clinical assessment rather than solely on test results.
What is the difference between epileptic and non-epileptic seizures? Epileptic seizures stem from abnormal electrical activity in the brain, while non-epileptic seizures may appear similar but have different underlying causes and require a distinct management approach.
When should I seek specialist review? Specialist assessment is recommended after a first seizure, recurrent unexplained episodes, ongoing seizures despite treatment, or uncertainty regarding a previous diagnosis, including private epilepsy consultations.
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Private Epilepsy Care in London
Dr. Theochari offers private epilepsy consultations in London, providing expert neurological assessment for seizures, blackouts, and complex epilepsy. Appointments are tailored to the clinical complexity of each case, ensuring ample time for thorough epilepsy diagnosis, clear explanation, and personalised treatment planning.
Next Steps
If you have experienced seizures, blackouts, or unexplained episodes, a specialist neurological assessment can help clarify your epilepsy diagnosis and guide appropriate management. To arrange private epilepsy consultations, please use the booking link below or contact the practice team.