Movement-Induced Seizures (मूवमेंट-इंड्यूस्ड सीज़र्स) एक rare neurological disorder है जिसमें शरीर की किसी विशेष गतिविधि या voluntary movement के दौरान seizure या convulsion आ जाता है।
- इसे reflex epilepsy के एक प्रकार के रूप में माना जाता है।
- Common triggers में शामिल हैं: walking, writing, chewing, or specific motor tasks।
- Patients का daily life severely affected हो सकता है।
Movement-Induced Seizures क्या हैं (What are Movement-Induced Seizures)
- Seizures triggered by voluntary movement or specific motor action
- Usually focal or generalized tonic-clonic seizures
- Can appear in childhood or adolescence, rare adult onset
- Often associated with structural or functional brain abnormalities
Movement-Induced Seizures कारण (Causes of Movement-Induced Seizures)
1. Genetic Factors
- Some cases linked to mutation in ion channel genes
- May be familial
2. Structural Brain Lesions
- Cortical dysplasia
- Brain tumors
- Stroke or injury affecting motor cortex
3. Reflex Epilepsy
- Hyperexcitable motor cortex triggers seizure with movement
4. Metabolic / Systemic Triggers
- Electrolyte imbalance
- Hypoglycemia
- Sleep deprivation
5. Idiopathic
- Many patients show no identifiable cause
Movement-Induced Seizures लक्षण (Symptoms of Movement-Induced Seizures)
- Seizures immediately after specific movement
- Tonic-clonic movements, jerking, or stiffness
- Temporary loss of consciousness in some cases
- Muscle twitching or automatisms
- Fatigue and confusion after seizure
- Seizures may be predictable if trigger movement is repeated
Symptoms depend on type of seizure and affected brain area।
Movement-Induced Seizures कैसे पहचाने (Diagnosis of Movement-Induced Seizures)
- Detailed Patient History – identify specific movement triggers
- EEG (Electroencephalography) – records seizure activity, often with movement-provocation
- MRI / CT Scan – detect structural abnormalities
- Metabolic / Blood Tests – rule out systemic triggers
- Neurological Examination – assess motor cortex and reflexes
Accurate trigger identification is key to diagnosis and management।
Movement-Induced Seizures इलाज (Treatment of Movement-Induced Seizures)
1. Anti-Epileptic Drugs (AEDs)
- Common medications: Levetiracetam, Carbamazepine, Valproate
- Dose adjusted according to seizure frequency and patient response
2. Avoidance of Triggers
- Modify or temporarily avoid triggering movements
- Ergonomic adjustments in daily life
3. Physiotherapy and Occupational Therapy
- Helps in safe movement and reducing seizure triggers
- Maintain muscle strength and coordination
4. Surgical / Interventional Therapy
- Considered if focal seizure source identified
- Rare: cortical resection or neuromodulation (VNS, DBS)
5. Lifestyle Management
- Adequate sleep, stress reduction, proper diet
- Regular follow-up with neurologist
Early treatment reduces frequency and severity of seizures।
रोकथाम (Prevention)
- Identify and avoid specific movement triggers
- Adherence to anti-epileptic medications
- Maintain stable metabolic and electrolyte levels
- Avoid sleep deprivation and stress
सावधानियाँ (Precautions)
- Avoid driving or operating machinery if seizures triggered by movement
- Supervision during physical activity
- Keep emergency plan ready for severe seizures
- Regular EEG and neurologist follow-up
FAQs (अक्सर पूछे जाने वाले प्रश्न)
Q1. क्या Movement-Induced Seizures permanent होते हैं?
Not necessarily. Proper AED therapy and trigger management से control किया जा सकता है।
Q2. क्या ये seizures हमेशा पूरी तरफ body को affect करते हैं?
नहीं, कुछ focal seizures सिर्फ body के एक हिस्से में होते हैं।
Q3. क्या बच्चों में ज्यादा common है?
हाँ, childhood or adolescence में higher incidence देखा गया है।
Q4. क्या lifestyle changes मदद करते हैं?
हाँ, trigger avoidance, sleep management और stress reduction seizure frequency कम कर सकते हैं।
निष्कर्ष (Conclusion)
Movement-Induced Seizures (मूवमेंट-इंड्यूस्ड सीज़र्स) rare neurological disorder है, जो specific voluntary movements के दौरान होती हैं।
Accurate diagnosis, anti-epileptic therapy, trigger management और supportive care से seizures control किए जा सकते हैं।
अगर किसी को repetitive movement पर seizures या abnormal jerking महसूस हो, तो तुरंत neurologist consultation जरूरी है।