Young and with history of (probably?) PNES seizures

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Aleda

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Hi there all!
Sorry if these will be long.

My name is quite difficult to pronounce, so you can just call me Aleda :woot:
I'm from Poland, I'm 18 and I suffer from seizures for 2 years, but the problem about them is that I don't really know what kind of seizures they are and how to approach them. I signed up here in hopes in meeting people who could help me cope with my condition.
I was referred to numerous doctors to no avail. I had a scan of my brain, EEG during a seizure, four times neurological evaluation and one time 24 h observation during which I got two seizures.
I've done this test when I started having this wierd spells, that look as follows:
Firstly, I feel tired and drowsy. Then, I start to feel faint and weak and my perception kinda shrinks, the sounds, the sights, all become diminished and more like they are 'around me', 'wrapping me'. I see dark spots in front of my eyes and am getting dizzy. Then, I swoon to the floor. I used this word because I don't fall like I was hit with a ton of bricks, but rather buckle my kness and slide tho the ground. Then my eyes roll back into my head, foam comes out of my mouth and I shake violently, hitting my head hardly on the ground, hitting my body, it's like something from the exorcist once it starts it's really difficult to restrain my body. These go in clusters in between which I lie still and then it all resumes. Sometimes my body stiffens, too, to the point that when I come to myself I cry from pain in my muscles which I'm unable to stop. The weirdest think, though, is that a full - blown tonic - clonic leaves a person totally unconscious. I'm semi - conscious, like I'm high on drugs but still conscious. I can vaguely observe people sometimes, I hear them just fine, but I cannot form any answers and after a seizure my brain is clouded, I talk rubbish and sometimes stutter. I also have no post - ictal which is strange - I only sometimes feel worn out, achy, and unable to stand steadily for a period of time afterwards.
These happen when I'm stressed, when I'm sleep - deprived, hungry, when I exercise a lot, and even in my sleep. And they happen a lot, in strings of more than 3 a day.
The question is, when I was hooked up to an EEG, the doctor injected me saline solution and told me it's a strong drug know for inducing seizures. I was already stressed out so much, and adding this very 'helpful' information, I got one of my fits. When it was over, (by this time I had a resonance, head scan, neurological evaluation and physician evaluation done), the docs showed me a clear EEG and stated that these are fake seizures which I perform for attention and told me to quit whining and that I'm immature and inapropriate in behaviour and I need a psychiatrist. I had a seizure one more time and this time the doc just walked over to me, grabbed me by the legs and said, 'Stop pulling this already'.
I was discharged home, the Depakine I take for mood stabilization, some benzos, and fated to lie everytime my loved ones and friend saw me having a seizure about having 'untreatable epilepsy' - because if I told them the truth, well, they would send me to the shrinks. I was teased because of how I would get shaky without reason and then fall to the floor, I was insulted, one girl told me that I'm a freak and she would never, ever trust a doctor with epilepsy, and that I can forget about medical studies because I will hurt people with my condition...I was the well - know Exorcist - girl. Even though I had support and firm grip in teachers, I was forced to quit school and study at home, and the principal dared offer me a place in special needs school because I was such a sore on their system, ''interrupting classes', as he put it.
My dad told me: 'Sorry, but these really look like you fake it'. He also makes fun of my condition.
My mom believes that I do it to be watched and to get what I want.
The truth is everytime I get the aura I just wish I could magically dissappear. I'm fed up with all these worrying people and calling an ambulance to me. If I wanted attention that badly, I'd go for slit wrists or some disease. I wouldn't commit nine years of school education to getting attention, for godness sake!
My aunt said to me that I'm hysterical, moody emo, raised this way by my mother, and I can go pulling things like that off in my house (it was on our trip together this year. It was the first time I actually started to cry and said 'F*ck you'.
She hit me in the face and said to me - 'GTFO of my house you bitch'.
My friends turned their backs at me. My best friend stopped inviting me into her house because she said I was 'scary' and she couldn't cope with my attacks. The paramedics where mean, saying things like: 'stop faking', 'you are perfectly fine'...Little did they realise that my legs felt like jelly and one time I was actually unconscious - still not genuine enough?
I'm sick and tired of living like this. I would much rather suffer generalised seizures for the rest of my miserable life, with frequency of at least one a month, than be constantly told it's all in my head. I'm terribly SORRY for the lenghthy post, but please, help me....
 
Hi Aleda, welcome to CWE!

You might consider seeing the psychiatrist -- not because I think your seizures are psychogenic, but because the psychiatrist may be able to help you rule that diagnosis out, and convince the neurologists to take your seizures seriously. In addition, if stress is a trigger of yours, a psychiatrist or other counselor might be able to help you find ways to reduce it.

The better you are at identifying and avoiding seizure triggers, the fewer symptoms you will have. Since you know that fatigue and hunger (and perhaps dehydration) are some of your triggers, do your best to sleep and eat well. Have you been tested for low blood sugar? It might help to re-work your diet to make sure you are getting optimum nutrition throughout the day.

Do you keep a journal where you track your seizures? Do you have any sense of what may have triggered them initially 2 years ago?

Best,
Nakamova
 
Hi, Nakamova!

The problem is, here in Poland we have quite bad healthcare and there are only two Neurology units in my city as far as I'm concerned - the adult unit and the child unit. Both have evaluated me, in my teens and once I turned 18, and for the time being refrain from talking to me one more friggin' time. I guess they are tired of the 'not - so - easy - to - label' cases...
My seizures are generally a matter not discussed with my psychiatrist because she feels not competent enough to give me advice about them. She referred me to therapy, I tried three different specialists - the first basically tried to convince me I'm feigning my illness so I quit, from the second one I was expelled because I discussed in detail some of my problems. When I asked why was I expelled I heard that the information I shared is innapropriate for session with other people. And it was the ONLY time therapy actually started to help me, my seizures lessened, and than I was kicked out. So I seeked help one more time and got a therapist in another clinic, but resigned after 3 weeks - not because there was something about the therapist, but because I felt discussing my past to find the source of eventual PNES was too hard, I couldn't bear a single session without breaking into tears midway. Now I regret I didn't resume the meetings...
It's difficult to control my triggers. Now, when I'm at home, I only have seizures when I do thing that obviously beg to provoke them. But when I'm at school it's a multiple choice of factors - I don't get enough sleep because of studies, I tend to skip meals in order to have more time to study or to become thiner (which I know is bad), I'm prone to becoming deficient if I skip enough meals which complicates the situation...I avoid one specific trigger whenever it's possible - physical strain, and I do it well. The stress seems to be embded deep into my mind, I stress under meeting my peers, under exams, under my problems, my friend's problems, my life...It's just too much sometimes. I can get awfully dehydrated, hungry, with bags under the eyes, and seizurish at times, because of my lifestyle :(
I heard about the journal method, but hadn't bothered till now. I think I should consider it. I already know that usually when they come, they come in strings of at least 2 - 3 or one really bad / a day, and there are periods when I'm seizure free. For example I'm now seizure free even though I attempted swimming and riding a bike for the first time after a year, BUT half a year ago as soon as I tried to return to school, the seizures kicked in. It's distressing. I think noow I need to link the frequency of my seizures to the environment, which can be difficult as I know from practice.
I had my first seizure after being exposed to a flashy animation for a long time. It was bad. However, it was preceeded by a small episode in class, something like a faint with jerking. I dont know what caused both episodes, though : (
 
Hi,
I normally have the full blown tonic clonic seizures but I do remember one time when my legs turned to jelly & bucked underneath me & I fell to the ground. I was semi conscious but my whole body felt very weak & tired. I wasn't foaming from the mouth or anything. I do know that I was very tired & hungry at that time, & I was stressed out by the amount of work I still had to do before I got any rest or food. I never thought it was a seizure that I had- I think I just fainted, maybe u are fainting too
 
I had my first seizure after being exposed to a flashy animation for a long time. It was bad. However, it was preceeded by a small episode in class, something like a faint with jerking. I dont know what caused both episodes, though : (
If you are photosensitive to flashing or fluorescent lights, you might want avoid situations and places where those might occur, and have dark sunglasses handy if you can't avoid them. As for your other triggers, it's definitely worth being proactive about identifying and removing them from your life. There's good information here to get you started: http://www.coping-with-epilepsy.com/forums/f22/proactive-prescription-epilepsy-1254/

I know it's tough when you are in school, but making good lifestyle choices in terms of food and sleep will help you in the long run. And consider taking up meditation and/or sports like yoga or aikido that are less likely to lead to dehydration. I realize your options are limited, but talking to a dietitian may help you find ways to lose weight without putting yourself at risk for low blood sugar.
 
Hi again!

I'm back from holidays and working on my disability papers because this stuff is seriously interfering with my life...And parents don't help, they say, I do 'this' only in their presence, and therefore I'm faking. It's bull! I'm frustrated, I feel wrecked today, angry, dizzy and weak, I had my first fit while watching a movie after being seizure free for over half a year so probably my mom didn't even believe me (especially because it wasn't in HER effing room). God, I'm so tired of my life.
Lydia, doctors where too on the fainting side. There was a vasovagal syncope / orthostatic hypotension theory as for last 4 - 5 years I took it to the floor whenever I didn't eat / drink properly, was dehydrated, was not sleeping / tired, standing too long, bening in a heated room etc. etc. I also tend to freak out to the point of almost fainting from hyperventilation when I have panick attacks or when something scares me, or when they want to prick me with needles (god forbid lol).
Thanks for the link and tips. They are pro :) And what you are describing is ve.ry, very similar to what I experience so we might have the same problem
Nakamova: tough isn't the right word. It's friggin terrible. They wanted to transfer me to the special needs school because I was disturbing their classes with my 'issue'. I'm currently working on these stinking papers so I can file disability under the account of being severely disabled and unable to lead a normal life. My teacher will stand with me, I'm out of over half a schoolyear because of this and I can't go swimming, running, shopping. I wanted to be more sporty but my condition is terrible and exhaustion also seems to bring out symptoms.
Do you think a valid reason is a magnesium deficiency? When I had a fit in a restaurant 2 years ago I had bloodwork done and my blood Mg levels were on the health minimum. Now I'm going batshit crazy, twitching, having spasms, jerking, being annoyed and feeling hysterical, vomiting, having headaches and weakness in muscles, not sleeping and generally I'm out of it. I needed Ca injections I got spasms that were so terrible I started wailing last year. Oh well...
 
I don't know the educational system in Poland but I know most places a medical course is very high pressure. I'm not clear if you already started that or not, was going to suggest you consider maybe postponing it if you are able to take a gentler course first while you get your own health sorted a bit, you won't do yourself justice while you are still collapsing three times a day! Here in UK people quite often take a first degree in something related, like biology or biochemistry and then do a shortened medical course, especially if they could not get into medicine initially, their perseverance speaks for them and they have other option in the meantime. Actually a few years experience of other employment/training is no bad thing. It doesn't answer your question but it might take some pressure off (and hopefully that will help reduce the seizures) while not moving out of education altogether? I realise there could be financial reasons this is not possible, I just float the idea. If you were (hypothetically) told you could never qualify as a doctor, or that the attempt would destroy your health, what would be your second choice? I beleive it's a sign of maturity to be flexible and deal with the world as it is, not as we would like it to be, that's very different to giving up!

PS that is one gorgeous dog in your avatar, What sort is he?
 
Bathtub, the dog is an English Greyhound (photo courtesy by PamperedPuppy.com). I myself have a whippet dog, they are just like greys but a tad bit smaller. They are used for racing and pretty much recognizable in UK. My Borys is a racing dog.
Photos of Borys(my dog) 2007 - 2011, the last photo published is when he was a puppy: surykatkaa.fbl.pl
Info on greyhounds: en.wikipedia.org/wiki/Greyhound

As for my future career plans: I was told many hurting and offensive things, ranging from: 'If you can't study properly, you'll become a doctor in your next incarnation', or, sorry 'But your condition is too serious, no one in a hospital will have time nor nerves to deal with it yet alone help you', to straight forward: 'You're a geek, a piece of a dick not a doctor, if I was to have surgery performed on by you I would rather kill myself', or 'You're an idiot, epileptic people do not go in medicine, I wouldn't get close to a f*cktard who can get a fit while performing an exam on me'. And so on....
In all biochemistry schools I attended and attend there is strong pressure to be conscientious and dedicated to work. Before my illness started I was working days and nights to get my position, and sometimes still am. To this day I write science papers, start in science olympics under the flag of our school and even managbe to perform opera. But it's ONLY because I'm on home tutoring so I can wear myself out like a dog completing ALL the stuff I missed in the hospital or at the nurse's at my home.
I do have an established plan that if the Medical Academy of choice rejects me I will search for a degree in something physics / chemistry / biology etc. - oriented. I have a list of these options as for now. My family doesn't help me because they are mad at me for my choice. I was born a linguistic genius, I sang, wrote prose and poems and always was a polyglote and I didn't want to go become a translator (because art is no money....pfffff) so they kicked me in the a*s. Well : ]
Needless to say I would probably be devastated if I was to know I can't work in the job of my dreams. I worked nine years to get here and I won't give up unless I die or end up on intensive care ;]
 
Hi! I'm here to announce that there is a turn in all of this.
I think I started having real sezures : (
I'm sad to say this, but I had two fits completely out of the blue, with completely different feeling than before. It was when I was in bed and I went stiff likeboard and then shaking, this characteristic type of shaking I could't contrl, I will never forget it. I felt saliva trying to come from my mouth. My eyes where completely at the back of my head even though I was conscious. My jaws stiffened and I bit myself. What the hell? I was in the hospital ad I started banging my head on the metal headdesk. I didn't remember what I was doing and I didn't remember what the nurses said to me. They fed me clonazepam, I don't know what it is. I'm on Depakine, 1000. Help :(
 
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