Awareness and current knowledge of epilepsy

Metab Brain Dis. 2020 Jan;35(1):45-63. doi: 10.1007/s11011-019-00494-1. Epub 2019 Oct 11.

Abstract

Epilepsy is a severe neural disorder that affects approximately fifty million individuals globally. Despite the fact that for most of the people with epilepsy, convulsions are better controlled by current accessible antiepileptic medicines, yet there are more than 30% of individuals affected with medically intractable epilepsy and around 30-40% of all patients with epilepsy affected by many adverse reactions and convulsion resistance to the present antiepileptic drugs. Consequently, various scientists attempt to develop new strategies to treat epilepsy, for instance, to find out novel antiepileptic ingredients from traditional medicines. This work aims to present a complete summary of natural medicines prescribed as antiepileptic agents all over the world by ethnic groups and different tribes. We undertook an extensive bibliographic analysis by searching peer reviewed papers and classical textbooks and further consulting well accepted worldwide scientific databases. We carried out PubMed, EMbase and CENTRAL searches by means of terms such as "antiepileptic" and "anti-convulsant" activity of plants. Medicinal plants have been prescribed to treat epilepsy and have been recognized as antiepileptic medicines. In this review, a variety of herbs have been reviewed for thorough studies such as Cuminum cyminum, Butea monosperma, Solanum americanum, Anacyclus pyrethrum, Leonotis leonurus, Elaeocarpus ganitrus and Angelica archangelica. This paper shows that it was high time experimental studies are increased to obtain novel potential active principles from medicinal plants. Plant extracts and their chemical constituents should be further evaluated to clarify their mechanisms of action. This paper provides a solid base upon which to further investigate the clinical efficacy of medicinal plants that are both currently prescribed by physicians as traditional antiepileptic agents, but also could be effective as an antiepileptic drug with further research and study.

Keywords: Chemical compounds; Epilepsy; Medicinal plants; Phytotherapy.

Publication types

  • Review

MeSH terms

  • Animals
  • Anticonvulsants / isolation & purification
  • Anticonvulsants / therapeutic use*
  • Awareness* / physiology
  • Epilepsy / epidemiology
  • Epilepsy / psychology
  • Epilepsy / therapy*
  • Health Knowledge, Attitudes, Practice*
  • Humans
  • Medicine, Traditional / methods*
  • Medicine, Traditional / trends
  • Phytotherapy / methods*
  • Phytotherapy / trends
  • Plant Extracts / isolation & purification
  • Plant Extracts / therapeutic use

Substances

  • Anticonvulsants
  • Plant Extracts