Creating a Seizure Diary

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PC1989

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Hello, new here, and I have some questions. It's almost time for bed and I've skimmed the forums. Please point me in the right direction if I've missed a topic that's relevant here.

I'm going to give my short story and then ask the questions towards the end.

I'm a 22 year old female, and I've been going through a lot of trouble the past year trying to diagnose the issues I've been having. The big issues happened after a gallbladder removal surgery over a year ago (late 2010). I was under a lot of stress, having missed weeks of work, uninsured, with a $50,000 hospital bill. I started having "lost time", memory loss, walking dazed without remembering, derealization, deja vu, having severe visual disturbances (but not full hallucinations), and hearing noises that weren't there. Bright lights and loud noises would bother me. Every week or so during the roughest parts, sometimes two or three times a week, at night, I'd stiffen and shake, clench my jaw, and often be very disoriented and wouldn't remember much the next day. My mind would be in a constant foggy, fatigued state and I couldn't concentrate well.

The first mistake was to dismiss this as anxiety and panic attacks. I thought I was having severe anxiety due to the stress of many life-altering events and stress at work.

I visited two psychologists who talked with me for 2 or 3 months, but couldn't find much wrong, besides stress. One psychologist suggested I look into multiple personalities (due to the memory blanks), and one said I had some of the markers of schizophrenia and ADD (light/sound hallucinations and trouble concentrating). Neither had a solid idea so I decided to let things figure themselves out.

My financial issues cleared up, thanks to charity and my family, and my stress level went down. I went 3 months without a big problem. Then one night in September 2011 I was driving home on the interstate, felt extreme fear, and I became disoriented by the reflectors on the road. I missed my exit and almost hit another car. I was feeling serious jamais vu, fear, and disorientation. I was only 5 minutes from home and I made it home in time to collapse on the bed and have a serious seizure.

Then I had another in October I cannot remember, and another serious one in November 2011, the one that prompted me to go to the neurologist. Both September's and November's seizure had been precipitated by two stressful situations - I had to fire an employee, and then in November hire and train a new one.

Up until November I had actually dismissed all these seizure episodes as stress and anxiety, and maybe they are, I've not been formally diagnosed yet. After given the possibility of schizophrenia (terrifies me) it was a huge relief to look at the description of seizures and seizure auras and go "yep, yep, yep, that sounds EXACTLY like what happened!"

Now I'm in the process of diagnosis. I've had a normal MRI, and one normal EEG. My neurologist, boyfriend and myself heavily suspect epilepsy. My seizure episodes seem to happen once a month, with what I suspect might be simple partials a couple times a week. The neurologist has suggested a sleep study and more EEGs, and he wants to talk to my boyfriend.

I want to create a medical diary / seizure diary, but I'm not sure how to start one or what to put on it.

I wanted to start off with some vitals, medical history and family history, then list past injuries and illnesses, but my boyfriend is afraid this information is irrelevant. I want to describe past possible seizures or seizure-like activity, but I tend to be very wordy and I'm unsure how to describe this in the best possible way for a doctor.

Do I stick to brief bulletpoints or do I tell a story, like I did above?

How much information should I include in a diary entry?

Should I record any suspected seizure-like activity even if it's passing deja vu and a mild shock feeling, or should I only describe activity which is more serious?

How do you do your seizure diaries?

Thanks!
 
Welcome PC1989

Personally I would use bulletpoints except when describing details like what the seizures might feel like. Also, if you're not sure whether to record something or not record it. Best to have it & not need it than to wish you'd marked it down later.

Check out this thread.http://www.coping-with-epilepsy.com/forums/f22/proactive-prescription-epilepsy-1254/. It does list certain things that might be dietary triggers for seizures but that doesn't mean that they trigger seizures in everyone. I would try avoiding 1 trigger at a time (recording when you stopped taking it in the seizure diary of course) and see if you feel any difference and if not, try another.

Also, I moved your thread to the foyer so everyone can welcome you & give you their views & opinions as well.
 
Hi PC1989, welcome to CWE!

Below is a thread that might be helpful for you regarding a seizure diary or journal. It discusses different options, including online ones that are available:
http://www.coping-with-epilepsy.com/forums/f23/seizure-journals-10776/

It's a good idea to write down when the seizures occur, what happens during them, how long they last, how you feel before and afterwards. And if you're not sure whether a seizure occurred or not, write it down anyway, maybe with an asterisk or a note. All these will help the docs diagnose what kinds of seizures you may be having, and perhaps reveal any patterns.

Also good to track are things that might be triggers for your seizures. These include overall health (medications, headaches, infections, injuries), sleep/fatigue, metabolism (diet, nutrition, hydration), hormones, exercise, and anything that might present as an emotional, environmental, or physiological stressor.

Since your seizures seem to happen once a month, you might want to consider a hormonal component. (Epilepsy linked to fluctuating estrogen levels is called catamenial epilepsy).

One more thing -- if you aren't on one already, you should ask your doc about taking a magnesium supplement. 60% of post-gallbladder removal patients suffer from magnesium deficiency and 40% from calcium/magnesium deficiency -- and magnesium plays a huge role in protecting the brain.

Best,
Nakamova
 
Thanks guys! I had a mild seizure last night in the middle of the night. I know I woke up, felt strange, then my upper body and arms convulsed for about 15 seconds. Don't remember much but I didn't lose consciousness and I felt oddly clear-headed minutes afterward. Though my left arm really hurt. My boyfriend was in bed next to me and was able to help me remember.

It's a journey. :/
 
In my seizure diary I write down when the seizure happened (date and time), how long it lasted and what I did during it. If I have an aura before hand I keep track of that so I know how I was feeling. Alot of times I'll have a headache after it and I mark that down too.

I also keep a sort of small 'diary' to keep track of things that may have caused my seizures. I mainly do that because I have a horrible memory and don't remember things very well. I'll write down things that I might have did or happened day to day so I know if one of these things may have brought on the seizure. An example of some of the things are if I had gone on a trip, spent an entire day out doing things, went out with the girls or my husband to a movie, concert or other things. Also a big seizure tirigger for me is stress so I'll keep track of stressful times, a death in the family or things like that.

Also if I've been sick or gone to another doctor for something. I make sure that I let my neuro know if I had been on any other type of meds for something.

As said, I'd rather have too much info than not enough.
 
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