Wednesday, November 9, 2011

Bee Aware: Epilepsy

My personal experience prior to having a child with epilepsy was from a classmate who would drop to the floor in convulsions, then afterwards take a little break and be just fine. It was scary to witness the first and second time, then it was just Richard. Some people made fun of him, I just knew it to be who he was. I also thought he was what seizures were, completely clueless to the long list of variables included. I also thought that seizures only happened to certain people, and that I would always know who those people are. Epilepsy, often simply called a seizure disorder, does not discriminate; never has and never will. Some are afflicted in association with neurological conditions, such as Brayden's hydranencephaly, others have unknown origins. Interesting is when you place famous, successful faces in to such a stigma of a condition as epilepsy.




In the Beginning (from epilepsy.com)
There have always been people with epilepsy. Since the dawn of time, epilepsy has affected millions of people, from beggars to kings. It is one of the oldest conditions of the human race with a rich and distinguished history.


The earliest references to epilepsy date back to the fifth millennium B.C. in Mesopotamia, where epileptic auras, generalized convulsions and other aspects of what these ancient people called "the falling disease" were recorded with remarkably accurate descriptions.


Ancient people thought epileptic seizures were caused by evil spirits or demons that had invaded a person's body. Priests attempted to cure people with epilepsy by driving the demons out of them with magic and prayers. This superstition was challenged by ancient physicians like Atreya of India and later Hippocrates of Greece, both of whom recognized a seizure as a dysfunction of the brain and not a supernatural event.


Nevertheless, the superstitious interpretation of epilepsy persisted for centuries. Attitudes of past societies toward epilepsy have left a legacy of stigma and damaging misconceptions which still persist today, as people with epilepsy continue to face fear, prejudice and discrimination in their everyday lives.


Epilepsy and genius


On the other hand, epileptic seizures have a power and symbolism which, historically, have suggested a relationship with creativity or unusual leadership abilities. Scholars have long been fascinated by evidence that prominent prophets and other holy men, political leaders, philosophers, and many who achieved greatness in the arts and sciences, suffered from epilepsy.


Aristotle was apparently the first to connect epilepsy and genius. His catalogue of "great epileptics" (which included Socrates) was added to during the Renaissance. Only people from Western culture were included, however. So strong was this tradition that even in the nineteenth century, when new names of "great epileptics" were added, they were rarely chosen from among people in other parts of the world. Working from this biased historical legacy, the famous people with epilepsy that we know about are primarily white males.


But what about this so-called "epilepsy and genius" connection? Certainly, most people with epilepsy would not consider their seizure disorder as something which enhances their natural abilities. According to Dr. Jerome Engel, Professor of Neurology at the University of California School of Medicine and author of the book Seizures and Epilepsy:


"There is no evidence... that either epileptic seizures or a predisposition to epilepsy is capable of engendering exceptional talents. Rather, the occasional concurrence of epilepsy and genius most likely reflects the probability that a common disorder will at times afflict people with uncommon potential."


Dr. Engel considers the co-existence of epilepsy and genius to be a coincidence. Others disagree, claiming to have found an association between epilepsy and giftedness in some people. Eve LaPlante in her book Seized writes that the abnormal brain activity found in temporal lobe (complex partial) epilepsy plays a role in creative thinking and the making of art. Neuropsychologist Dr. Paul Spiers says:


"Sometimes the same things that cause epilepsy result in giftedness. If you damage an area [of the brain] early enough in life, the corresponding area on the other side has a chance to overdevelop."


We know that epilepsy involves temporary bursts of excessive electrical activity in different locations in the brain, locations which house our bodily sensations and functions as well as our memories and emotions. Psychiatrist Dr. David Bear states that the abnormal brain activity found in temporal lobe epilepsy can play a role in creative thinking and the making of art by uniting sensitivity, insight and sustained, critical attention. According to Dr. Bear:


"A temporal lobe focus in the superior individual may spark an extraordinary search for that entity we alternately call truth or beauty."


What is also clear in the discussion of genius and epilepsy is that some of the most famous people in history had seizures. People with epilepsy have excelled in every area. What follows is a list of people who are responsible for changing civilization as we know it, all of whom are strongly suspected or known to have had epilepsy. It's an impressive group.



World Leaders:
Julius Caesar is portrayed as having epilepsy. In the epic movie, Caesar and Cleopatra, starring Richard Burton and Elizabeth Taylor, Caesar expresses his fear of having an attack while he is addressing the Roman populace. The online encyclopedia, Wikipedia, says that Caesar had four documented episodes that might have represented complex partial seizures, and may have had seizures in his youth. However, other conditions have been argued, such as low blood sugar or shaking chills from malaria.


Alexander the Great, who lived from 356 to 323 BC and conquered much of the known world, may have had epilepsy, but evidence is unsubstantial. He was reported to collapse once after taking a strong medicine for a respiratory ailment brought about by swimming in an icy river, but there is no definite historical record for epilepsy.


Czar Peter the Great, father of modern Russia, developed a brain infection (encephalitis) at age 21 and thereafter developed seizures with twitching of his left face and left body, and sometimes loss of consciousness.


Charles V, King of Austria and Holy Roman Emperor in the mid-1500’s suffered from epilepsy, but reportedly even more so from gout. Another Charles, Charles II of Spain was said to be "short, lame and epileptic." Yet another Charles, King Charles II of England developed convulsive status epilepticus in 1685. The treatments he underwent included: "letting" of one pint of blood; an enema of antimony, sacred bitters, rock salt, marrow leaves, violets, beetroot, chamomile flowers, fennel seeds, linseed, cinnamon, cardamon seeds, and aloe; and having his head shaved and blistered. This concoction was not successful.


Prince John was the youngest son of King George V of England around the time of World War I. Because of the prince's epilepsy, he was hidden away from the public, until dying from an epileptic seizure at age 13.


Napoleon Bonaparte is said by Prof. Hughes (Epilepsy & Behavior 2003, volume 4, page 793) to have had symptomatic seizures resulting from kidney failure as well as psychogenic seizures resulting from stress.


Pope Pius IX, who in the 1800’s became the longest serving pontiff in history, is said by Wikipedia to have had childhood epilepsy and to have died from a heart attack resulting from a seizure.


Martha Parke Custis, the step-daughter of George Washington, had uncontrolled seizures, and our first president attempted to help her control them with the valerian root, mercury, spring water and bloodletting.


US President James Madison was said to have either epilepsy or psychogenic seizures, with historian R.A. Rutland (1987) reporting Madison to have monthly “high fevers, diarrhea, and seizures similar to those suffered by epileptics.”


Vladimir Lenin, revolutionary founder of the Soviet Union, developed seizures in his later years and died from status epilepticus recorded as lasting 50 minutes. In 1919, an assassination attempt left a bullet in his right neck. Three years later it was removed, and shortly thereafter he had three strokes which may have been the cause of his epilepsy. However, other historians argue that he had seizures for years, which were publically ignored because of his political position.


Senator Ted Kennedy first manifested his brain tumor by having a seizure. Subsequently, he had others.


US Supreme Court Chief Justice John Roberts had generalized seizures in 1993 and 2007, with no cause released to the public.


Writers and Artists: Many writers, composers and artists have been thought to have had epilepsy.


Dostoevsky wrote letters speaking of his own epilepsy, which was present by time of his release from a Siberian prison, if not before. Dostoevsky instilled characters with epilepsy into at least four of his novels, and gave detailed descriptions of fictional seizures.


Another Russian writer, Leo Tolstoy, had convulsions in his last months of life in 1910, as part of a terminal illness.


Painter Vincent van Gogh is on poster charts for epilepsy organizations as an example of a historical figure with seizures. It is indeed likely that he had seizures, possibly resulting from consumption of potent forms of absinthe liquor (in those years containing toxins) in Paris at the end of the 19th century. He additionally had bouts of manic-depressive illness that could have been mistaken for seizures.


The author of the novel Mme. Bovary, Gustav Flaubert, had either epileptic or psychogenic seizures.


The poet, Lord Byron, had several episodes of shaking, foaming at the mouth and unresponsiveness, believed to be either epileptic or psychogenic seizures.


Actors: Several modern actors have been observed to have seizures.


Richard Burton could consume multiple bottles of vodka in a day, and his seizures may have been from alcohol withdrawal. It was ironically with some personal experience that he acted having a seizure in the film Caesar and Cleopatra.


Bud Abbott, the skinny straight man in the Abbott and Costello comedy team, had epileptic seizures throughout his life, and is said to have attempted to camouflage them with bouts of heavy alcohol consumption.


Danny Glover, star of many movies including the Lethal Weapon series, has been public about his previous history of epilepsy. Mr. Glover says that he developed "a way of concentrating so that seizures wouldn't happen," and he has been seizure free since age 35.


Hugo Weaving, who played the leader of the Elves in Lord of the Rings, and the nearly invincible virtual villain in The Matrix, indicates that he has been treated for epilepsy since age 13.


Margot Hemingway, actress, was the granddaughter of Ernest Hemingway and sister to Mariel Hemingway. Margot Hemingway was taking phenobarbital for lifelong epilepsy, and in possibly died from the combination of phenobarbital and alcohol.


Athletes:


Florence Griffith Joyner (FloJo) was a world record setting sprinter. Possibly because of abnormal brain blood vessels called cavernous angiomas, she developed seizures and passed away during her sleep from a seizure.


At least three NFL football stars have publically discussed their seizures. Baltimore Ravens cornerback Samari Rolle indicated that he missed parts of the NFL season because of epilepsy. Jason Snelling was diagnosed with epilepsy at age 15, but still made it to the starting lineup for the Atlanta Falcons. Alan Faneca, the Pittsburgh Steelers Pro Bowl guard, has had epilepsy since his teens. He does extensive volunteer work for the Epilepsy Community.


Chanda Gunn was goalie in the 2006 Winter Olympics US women's hockey team. She has had seizures since age 9, and serves as a spokesperson for epilepsy and the Epilepsy Therapy Project.


Bobby Jones, was an NBA basketball player for 13 years, with four years in the All-Stars. He took medications for epilepsy during his athletic career.


Other public figures:


Alfred Nobel, the inventor of dynamite, and founder of the Nobel Prize once wrote of probable childhood febrile seizures: "I scarce could muster strength to drain the breast, and the convulsions that followed, till I gasped upon the brink of nothingness." It is, however, difficult to find evidence for seizures later in his life.


Peter Tchaikovsky died from cholera with convulsions at the end of the terminal illness. It has been speculated that blank periods of distraction with automatic behavior earlier in life represented partial seizures, but this cannot be proven.


Truman Capote, writer of Breakfast at Tiffany's and In Cold Blood had seizures. He was a heavy drinker and the cause may have been alcohol withdrawal.


Tony Coelho is the former Democratic minority whip of the US House of Representatives. His lifelong experience with epilepsy motivated him to author the landmark legislation Americans with Disabilities Act of 1990. He also served as campaign manager for Al Gore's presidential run. Mr. Coello is the honorary life chair of the Epilepsy Foundation.


Singer Neil Young, of Crosby, Stills, Nash & Young, thrived despite numerous medical problems, including seizures. He once had a seizure during a concert performance, but he persevered, later remarked commenting, "The aneurysm, polio, epilepsy - all those things are just part of the landscape.”


Entertainer Prince, told interviewer Tavis Smiley in 2009 that he was "born epileptic" and "used to have seizures" but was cured by an angel.


DJ Hapa is a famous scratch disk jockey with epilepsy. He serves as a spokesperson for the Epilepsy Therapy Project.


Jet Travolta, son of John Travolta and Kelly Preston, tragically died from a seizure in 2009. Equally tragic was the death of the 6 year-old son of David Cameron, the Opposition leader in Parliament of the UK.


It is safe to say that many more famous people have epilepsy, but do not reveal it in public because of the ongoing stigma associated with the condition. What lessons can be learned from a list such as the above? Epilepsy can strike anybody at any station of life or level of accomplishment. Epilepsy can be deadly and devastating to a person's life, even if they enjoy other successes. Lastly, epilepsy does not exclude the possibility of major accomplishments and contributions.


Robert S. Fisher, M.D., Ph.D.
Editor-in-Chief, epilepsy.com

1 comment:

  1. I really am sorry to the doctors
    who disagree it is definatly a advantage
    to see what you don't.Are they jelous
    do not be scared you might get the power's
    one day.I have it i know don't be scared
    give us a chance.(IT MIGHT BE YOUR LOSS)

    KEVIN RICHARDSON.

    P.S Humble yourselves we all have a gift.

    ReplyDelete

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