1st Seizure on my 31st Birthday!!

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Robbe

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Hi all,
Im from Perth Australia. Ive joined this forum to try and get some idea of whats install for me. Ive got a fair few questions as I dont know anybody else with epilipsy.
I was in Bali a week ago watching the aussie rules football with family on my birthday, then I felt a little giddy (cold sweat) then woke up round 15 seconds or so after seizure.
I had EEG and have been told I have epilepsy by the neuroligist. Cant drive and cant drink because Im on Dilantin and Frisium.

Im still a bit paranoid that its going to happen again. Can you usually feel it coming on, or does it just hit you?

Thanks,

Robbe.
 
Hi Robbe :hello:

First of all, I'm sorry to hear that you've had this experience, and the diagnosis. I hope you're not feeling too down about it, it must have come as a real shock.

Now for a little personal opinion, which you can take or leave as you see fit. I actually think they were very quick to make a diagnosis of epilepsy; I assume this was on the basis of finding some eeg abnormalities. (Do you know exactly what the Eeg discovered by the way? Some people on here seem quite knowledgable about Eeg interpretation and may be able to help explain things to you.) I'm not a doctor and am not going to claim to be an expert on this, or to say that they made the wrong decision - but I do feel that there would be nothing wrong with doing some more work to rule other possible causes out. At the moment you're in the position of being on powerful seizure control medications for an uncertain period of time and having your life restricted in various ways due to the medication and your diagnosis, on the basis of having experienced a single seizure (I'm not really sure how severe the seizure was from your description, would you mind giving more details?) and no other epilleptoform symptoms that you've mentioned.

It's entirely possible that you have epilepsy, but seizures can also have other causes besides epilepsy; and also a seizure threshold that is lowered by certain triggers in your life can be in some people increased by simply avoiding those triggers, without the need for medication. Do you know of any other potential triggers, such as changes in diet, alcohol or drug consumption (including prescribed stuff), lifestyle changes, or other health problems, that were affecting you around the time you experienced the seizure, or are still affecting you now? Also, do you have any longstanding health issues that you know about?

Your experience actually reminds me rather a lot of something that happened on my own 25th birthday, when from out of the blue I began to experience first the aura, then the symptoms of a very severe migraine attack. It came on early in the morning while I was in a college class, and completely incapacitated me for about 24 hours. Luckily I realised what it was and managed to get back home while I could still see, and stand up, and wasn't throwing up constantly - my family are very prone to migraines so I was quite familiar with the symptoms even though I hadn't had anything of the kind myself before. Now, my seizure symptoms have been around a long time but are quite distinctly different from the classic migraine symptoms I was experiencing, so I knew there was something different going on. I went to the doctor as soon as I was able, and described my symptoms. Because they were so typical, it had been quite a bad attack, and I had a family history, he diagnosed migraine immediately and prescribed medication.

I'm pretty sure his diagnosis was actually correct - ie that I experienced a migraine as opposed to anything else. However, I didn't have a migraine before that day, and I've never had one since or needed that medication, a few years on now; the most I've had is a few migraine aura-like twinges, which may in fact have been seizure related. I put this down to one simple fact: the day before the migraine attack I'd had some processed food with a lot of chemicals in (stuff I would usually go to great lengths to avoid) which had left me feeling a bit strange since shortly after eating, and was still reminding me of its presence the next day. I'm pretty sure that the cause lay in the fact that the food contained several chemical additives I would normally have not eaten which acted as a potent migraine trigger. I'm pretty careful about diet generally, partly in the hope of reducing seizure symptoms. Since that unpleasant experience, I've if anything been even more careful about avoiding certain kinds of processed foods and checking labels than I was before (this one occasion was a lapse).

I therefore don't feel it would be accurate to describe myself as a migraine sufferer; more as someone who is capable of experiencing a migraine in the right circumstances. As I'm pretty sure of what the trigger is and how to avoid it (and it's relatively easily avoided if I just pay attention to what I'm eating) it's possible I won't ever have another one, unless I either get careless or develop new triggers. (I wish seizure experiences were so easily avoided!) It's possible that something similar may apply to your own seizure: as I've said, I'm not an expert, but I definitely think it would be helpful to you to look into potential triggers and see if something out of the ordinary may have provoked it.
 
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Hi, Robbe,

Welcome!

Sorry about your seizure. Heck of a birthday present, and I hope you never get another one like it.

Some people feel a seizure coming on. The feeling can range from a feeling of dread or impending doom all day, to smaller seizures that last just a few minutes like smelling weird stuff or seeing lights flashing in the air. It could be pretty much anything. Everybody is different. I'm one of the impending doom people.

Some people don't feel it coming on at all. It's a surprise when it happens. That's a bit harder because you can't get somewhere where you are safer. Like if you are in the kitchen cooking, putting down the knife, going into the living room and laying down on the floor.

I'm hoping your medication will do the job for you and there will be no more seizures. Lots of people only have one. In fact, it's usually not an official diagnosis of epilepsy until you have two or more. If you are lucky you will be seizure free on your meds, and someday you may be able to go off of them.

In the meantime.... try not to worry. Everything is going to be okay.
 
wow, thanks guys.
This is the story to my seizure: I was with my family at a pub in Bali to watch the football. We were there 15 minutes and I had one beer, my friend sitting next to me was feeling pretty tired because he had been up all the night before with gastro. He then passed out in on the bar stool, I then helped him to the ground etc. At that moment I felt my heart rate go heaps faster and felt a bit giddy. I then had a seizure for about 15 seconds, when I came to I was very confussed didnt know where I was and didnt recongnise my family for a few seconds.

I cant really make sence of the EEG but maybe one of you guys can. The spikes are at 4 pages in:

1 Fp2-F8
2 F8-T4
3 T4-T6
4 T6-02
10 F4-C4
These are all on one column.


And 18 pages in:

5 Fp1-F7
6 F7-T3
7 T3-T5
8 T5-01
10 F4-C4
11 C4-P4

I was told it was on the right hand side, but I cant be sure now.

Im already worried about this Dilantin because my hands have been very shakey, and Ive only been on it for a week!

thanks for your feed back.
 
Hi Robbe, welcome!

There are a lot of variables that need to be taken into account with an EEG -- not just when spikes occurred, but if there were waves as well, the length of the spikes and/or waves, their frequency, where in the brain they originated, and whether you were alert, drowsy or sleeping. So the best way to get info on your EEG is to talk to the neurologist who interpreted it.

It's completely normal to feel anxiety about having another seizure, but as mentioned above, many people have one-time seizures: About 2% of adults have a seizure at some time during their life. Two thirds of these people never have another one. It's hard to know what the outcome will be for you, but one thing that can help is to try and understand what might have triggered the seizure in the first place. It can be a single stressor, or a combination of things. You might already have a lowered seizure threshold, but then be pushed over the edge by something like fatigue or alcohol or low blood sugar or a food sensitivity. Not everyone can identify and/or avoid their seizure triggers, but it's worth a shot.

Consider keeping a journal tracking how you feel. It's a good way to track any symptoms or side effects. It's possible the Dilantin can be making you shaky -- often the "loading dose" folks are given is quite high, and it can take a while to adjust. It's also possible that you are on too high a dose. Keep a record of how you are feeling and if anything (like the shaking) gets worse, and becomes problematic or intolerable then let your doctor know.

I'm sorry you had to celebrate your birthday like that. I hope all your next ones are drama-free, healthwise.

Best,
Nakamova
 
Thanks for the reply,
I have booked another appointment with a neurologist because the one that diagnosed me was when I was in Bali, and her english wasnt to good. I really am hoping it was a one off and this new neuroligist lets me try going without the meds.

thanks again.
 
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