Hi - I'm new and want some advice.

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emma

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This is going to be long, and complicated and I apologize for that in advance, I want to be as accurate as possible so I can get the best answers to help my family.


I have a 4 generation (that we know of) family history of migraines.. with random other family members suffering chronic headaches. And, my grandmother and mother both have seizures that we know for SURE.

I've had 'shaking' episodes as far back as I can remember, where I could tell I was shaking but couldn't make it stop and would just have to lay in bed until it stopped. I've had accidents where I've fallen down stairs a couple times and wasn't sure how it happened. (I learned to hold on to guard rails.)

I get bumps and bruises and don't remember how I got them, and I routinely almost walk into things that even though I "see" them in front of me, my brain doesn't always register the connection that i'm about to walk into it, until I do. (I gave myself a black eye once as a kid by walking into a door frame.)

Part of me has made excuses my entire life- and so did my family "you're clumsy, klutsy, pay more attention"

i've ruled out almost every psychological disorder (besides anxiety, but who WOULDNT be mildly anxious when dealing with doctors who never have answers for you? - I lived with the "crazy" label for years with no real diagnoses...)

And, I compensated, I walk with my hands out in front of me, I make lists to keep track of everything - On my foggy bad days, I don't leave the house.

Well, my son suffered what "appeared" to be a grand mal??? (I had one when I was 12, but they said it was a reaction to depakote and took me off it and I never had another one that they "saw" in person.)


neither of us have ever confirmed that we have seizure activity.

Here's the rub.

We both suffer auras, and headaches, almost every aura list on there is what we suffer from, sight, smell, hearing, dazed, confused...

I had an EEG to see if my "Twitches" and zone-outs were related to seizure activity - I didn't really HAVE any during the 20 minutes EEG - it was one of my "good" days as I call them.

my son and I present the exact same symptoms - I want to make sure he's not misdiagnosed and that we aren't medicated for the wrong things.

My grand mother and mom both have had migraines and seizures.

right now, we saw a seizure expert who spent 2 hours with us and said "You both are suffering from seizures" because of watching us have them right in front of him and would have diagnosed us on the spot - I was hesitant and said "no meds until we do further testing."

I go to a different neurologist, and he said it COULD be seizures, but since my EEG came back clean, he wants to do an MRI/CT scan and a 24 hour cap at home to monitor brain wave activity.

He suggested that maybe it's migraines and not seizures.

the problem is, some of my symptoms fit migraines and some of my symptoms fit seizures.. Is it possible to have both? is it possible to have seizure like episodes that don't show up on EEG machines?

My son and I both have the exact same symptoms and one doctor said "yep seizures" and another said "i want to rule out seizures and make sure it's not X X and X"

I'm so confused. Both doctors have told me, that it appears to be genetic and that none of our symptoms fit into any "neat" box...

my brain is very analytical and I cope by understanding what's going on... having a day where i'm basically told "sorry, everything's inconclusive, you're not crazy, something wrong, but we don't know What" was hard for me to digest.

We've had blood work, thyroid, etc, everything comes back amazing.

I don't know what to think. We were both able to induce seizure like activity with the hyperventilation blowing test... that was consistent each time, we both "zone out" we both have trouble with lights - but many of the symptoms could be either, or... or both.

but our issue is, it could be either, or or both... how do we know for sure what is what if the EEG tests and others come back with no proof of activity, or spikes, but we are still manifesting as seizure-type activity?

what do we do if they can't decide? I don't want my son on epilepsy medication if seizures aren't what were dealing with.

I have twitches and shaking episodes where I can't make myself stop and my son has hysterical emotional outbursts accompanied by his auras (which I did as a child as well until I learned to avoid stress and how to defuse situations and recognize the warning signs in me that something was wrong - and to go hide in a dark quiet calm spot until it passed - sometimes I shake, sometimes I don't.....)

I've had a dog trained to alert to these episodes in me - I'm training my NEW dog to alert to these episodes... they ARE real - but if they aren't seizures, WHAT THE HECK ARE THEY?!

and now my SON is having them - and witnesses by doctors who've confirmed in both of us that it's "Real"... but what happens if they can't prove it?


this has been a life-long issue of "well, I guess i'm just crazy and no one knows whats wrong with me"

Now, we might have a diagnoses, but it seems like doctors disagree about things, such as you don't have epilepsy if the EEG and MRI don't show anything???

and how do you know if its migraines, or epilepsy, or BOTH?

has ANYONE been in a situation like this with a genetic history of both and doctors not knowing how to interpret all the data?

(I can give more details if needed, but I have a killer headache right now, the doctor today flashed lights in my eyes and it triggered a headache - sorry if the post was a bit rambling, I was trying to be as detailed as possible but I know I left a lot out.)

Edited to add :

We also eat a gluten-free diet, with low carbs because they reduce these symptoms in both of us, we take fish oil, calcium, vitamin D, folic acid and other vitamins that help reduce symptoms in both of us.

We've ruled out diabetes and blood sugar issues, though I manifest with low-blood sugar drop symptoms - but no actual blood sugar issues are present in blood work or testing and I try to snack every couple of hours - but eating frequently didn't stop my auras. I have auras on an almost daily basis, but don't always have the "Fogs" or even the headaches accompanied by them and sometimes my fogs can last a few days in a row. and my "shaking fits" are fairly rare, and more common around bed time or under stress.

both my son and I have horrible balance issues and we both have a tendency to hold on to things because we mis-step a lot or seem to zone out while walking for a few seconds and almost stumble and fall down, i've learned to compensate for it over the years and were trying to teach him how to do it as well.

we've both have a history of falling out of trees and not knowing how it happened, crashing our bikes into ditches and not knowing how we got from the middle of the road to the ditch...

and neither of us have done drugs or suffered major head trauma.
 
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hi Emma, i really love this post especially because of the detail and effort you have put into it.

you want answers and you are sick and tired of getting nowhere and labelled as a 'crazy person' i know the feeling.

ive been diagnosed with epilepsy but my EEG and MRI scans both came back clear :huh:

ive had tonic clonic or grand mal seizures (im not sure if they are even the same) :huh::huh:

im so confused myself but i dont have children to look after so i can only imagine what you must be going through and i hope you get to the bottom of it soon.
 
Hi Emma, welcome to CWE!

It is possible to have both migraines and seizures. They are closely-related, and the symptoms overlap.

It is possible to have epilepsy without having a positive EEG or MRI. Many CWE members who definitely have seizure disorders have never had positive EEGs.

In the absence of any confirming tests, a diagnosis is made on the basis of clinical evidence -- i.e. your actual symptoms -- and on pertinent information such as a family history of epilepsy. This is how they "prove it."

None of this makes any difference of course until it comes to treatment -- and even with treatment there are overlaps: Both migraine and seizure sufferers can sometimes get relief by making lifestyle changes to avoid known triggers, and by finding ways to relieve stress. And some meds like Topomax are prescribed for both migraines and epilepsy. So the relevant questions are: What kinds of treatment have you and your son tried in the past? Have they helped? If not, would you consider taking anti-migraine or anti-seizure medicine? If your symptoms respond to the medication, that would tend to confirm a diagnosis one way or another. If you are reluctant to try medication, there are other approaches (dietary, neurofeedback) to consider as well.

Best,
Nakamova
 
Hi Emma, welcome to CWE!

It is possible to have both migraines and seizures. They are closely-related, and the symptoms overlap.

It is possible to have epilepsy without having a positive EEG or MRI. Many CWE members who definitely have seizure disorders have never had positive EEGs.

In the absence of any confirming tests, a diagnosis is made on the basis of clinical evidence -- i.e. your actual symptoms -- and on pertinent information such as a family history of epilepsy. This is how they "prove it."

None of this makes any difference of course until it comes to treatment -- and even with treatment there are overlaps: Both migraine and seizure sufferers can sometimes get relief by making lifestyle changes to avoid known triggers, and by finding ways to relieve stress. And some meds like Topomax are prescribed for both migraines and epilepsy. So the relevant questions are: What kinds of treatment have you and your son tried in the past? Have they helped? If not, would you consider taking anti-migraine or anti-seizure medicine? If your symptoms respond to the medication, that would tend to confirm a diagnosis one way or another. If you are reluctant to try medication, there are other approaches (dietary, neurofeedback) to consider as well.

Best,
Nakamova


I'm an extended breastfeeding mother - so drugs that they'd give me would most likely be totally different than the ones they'd give my son to try - maybe not totally sure on that yet - but once we know for 100% sure, i'll make sure I post the accurate information....

We also are going through fertility treatment after christmas again because I have infertility issues that we can't explain. (pcos type symptoms - but no hormonal or chemical imbalances that we can pinpoint - one doctor suggested that if we suffer seizures, it could be related to that.)

I've done a lot of research on keppra and lacitmal - and would be comfortable nursing and being pregnant on both of those IF they work with minimal to no side effects. (I know they are both considered class C's but studies have shown minimal to know side effects for both of them with minimal drug levels in infants of nursing mothers on the drugs - so the risks of the drug don't out weigh the benefit of nursing in my opinion, and I know it's a personal choice, so that's all i'm saying about that! LOL)


I guess the main thing for me is "is our brain being damaged" in a way that's obvious - if not - then I don't have a strong desire to medicate in a way that may cause other body issues if we don't need to stop seizure activity from doing brain damage.

I have to take into consideration as well, that I have liver issues as a child and have to be extremely cautious with my liver.

I'm fine making lifestyle changes to accommodate and were in the process of that now for both of us. - I was mistreated as a child due to these episodes, and even locked in a mental institution for over a month before they let me out with a "not psychotic but no idea whats wrong" type of an answer (and no drugs that worked.)

they treated for ADD, bipolar, and all sorts of other things growing up that had zero success in fixing the problems, and actually made symptoms worse.

my husband and I are being very cautious for our son - to prevent a similar experience for him. we aren't over protective, but we won't allow them to experiment on him either.

I've lived a functional life as a mother of 2 (and a writer) as long as I had a strong support system in place (which my husband and friends provide me along with a service dog.)

my husband and I are fine working with a natural path and giving our son the same advantages we've created for myself to keep me functional if that's what it comes down too.

I'm not *against* meds - I just don't believe they always work... and quality of life vs being a zombie... kind of a deal...

If brain damage doesn't appear to be an issue - then we have to re-evaluate.

If there's signs of brain deterioration - then we try the meds.

I've done a lot of research when we were both originally given a diagnoses to see what meds i'd be comfortable with in our particular situation (my husband also works in the medical field and has access to some studies that are more accurate and got different opinions from neurologists at work about the safety of some of the drugs in nursing mothers or pregnant women since we also had to take that into consideration on my behalf.)


Anyways, i'm just slightly overwhelmed, have no one in my life that can relate, and have been browsing this forum for a couple weeks and decided to make this post and see if *anyone* could relate to our story.

i went 26 years of my life knowing something was "Wrong" but not sure what...

when my son started having the same symptoms at age 2 - and didn't out grow them like the pediatricians promised they would - I know it HAD to be connected.

I'm 99% sure that whatever "grand mal" situation he had (I wasn't there, I didn't see it) was triggered.

It happened at his grandmas.. they feed him junk food, let him stay up way past bed time, and play video games all evening/night - I'm pretty sure that's what triggered that in him - whatever it was. He was up past 11 on their PC playing video games.

At our house, he's in bed by 730pm tucked in with a story and expected to be asleep by 8pm....


neither of us are functional with less then 9-11 hours of sleep at night... (so being a nursing mom you can imagine how that gives "mommy brain" a whole new meaning. LOL)

anyways - i'm not upset about this.. I'm glad to be CLOSER to having an answer - just want to make sure we don't get them saying "It can't be this" if the EEG or MRI don't show anything...

and figure out what our options are so I can make informed decisions.


- thank you for letting me get this out - you have NO idea how much I needed to do this.

Edited to add:

Biofeedback was something my husband suggested instead of drugs being a first option. (provided there's no signs of dead areas in the brain on the mri - but I had one as a kid and it came back normal. - and i'm not sure they intend to do one on our son unless we push for it - but if mine comes back normal, I don't see the point in giving him one right now at 7 1/2.)
 
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Oh, my husband just texted this to me when I told him I posted to here and he told me what the doctor said during our first time seizure clinic (he really just spent 2 hours observing me and my family for most of it) :

Juvenile Myoclonic Epilepsy is what Dr. Cook said your most likely diagnosis would be.


Edit : weird question - do any of you find yourself typing half of the same sentence or the wrong word, and not realizing that you did it? I routinely when writing have to go back and edit because I type the same sentence twice, or half of the same sentence twice.. or multiple times... it's really rather embarrassing.
 
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Neurofeedback is somewhat different from biofeedback. More info here: http://www.coping-with-epilepsy.com/forums/f22/eeg-neurofeedback-501/

I completely understand your reluctance to medicate. I'm one of the "lucky" ones -- I'm responsive to medication at a relatively small dosage, with relatively few side effects -- but I would still like to be med-free some day. For the time being though, if I weren't on medication my seizures (grand mals) would become more frequent.

Without treatment of some sort there is the risk that seizures can progress in frequency, duration, or kind. As far as "brain damage" goes, it depends a bit on the kinds of seizures you have, where in the brain they originate, and what happens during them. The medication question can be trickier for kids -- there are quality of life issues with both meds and seizures, plus the possibility that they will "grow out of" their seizures.
 
Neurofeedback is somewhat different from biofeedback. More info here: ]

I completely understand your reluctance to medicate. I'm one of the "lucky" ones -- I'm responsive to medication at a relatively small dosage, with relatively few side effects -- but I would still like to be med-free some day. For the time being though, if I weren't on medication my seizures (grand mals) would become more frequent.

Without treatment of some sort there is the risk that seizures can progress in frequency, duration, or kind. As far as "brain damage" goes, it depends a bit on the kinds of seizures you have, where in the brain they originate, and what happens during them. The medication question can be trickier for kids -- there are quality of life issues with both meds and seizures, plus the possibility that they will "grow out of" their seizures.

the seizure clinic expert we saw said since I didn't out grow the "symptoms" and neither did my mom and grandma - the odds of our son out growing them was slim.

he was really pushy about meds - which is why I'm looking into alternatives, when I suggested a modified atkins diet for him (since the keto?? one is even more restrictive and may stunt growth development) he said we could do whatever we liked, but the odds are, he'd have to be medicated.

I guess I understand some "disorders" require medication, but having people be so pushy about meds with out even seeing if lifestyle changes and vitamins and other things can reduce symptoms first to even see if the dosage may be reduced... bothers me.

I'm hesitant to over-medicate my son (and myself!). the doctor even joked that maybe the drugs would slow him down a little since he was bouncing off the walls...

I *like* that my son is a hyper-normal little boy most of the time besides his occasional stumbles and absence-style zone outs.... I don't want him to change in personality and the fact that a doctor could joke about that being a good thing really distressed me.

If he turns into a quiet kid with no energy - I already told him drugs just won't be in our game plan. He's functional so far with minimal issues.. and so am I...

that's what makes this hard - sure we bump into things, but were functional.... so at what point are drugs actually needed, and what if the medications reduce symptoms, but make other areas of our life go "down"....

You know? that's what i'm trying to figure out.

quality of life matters more then some people think - especially if the people drugging you up aren't the ones that have to deal with the depression, or other side effects that go with it. If my son gets suicidal or depressed on the drugs, I couldn't consciously keep them on him even if he occasionally bumps into a door...

either way, the solutions aren't.... perfect - but I've been concerned about being labeled a bad mother if I chose to let him live his life the way he is and make his own decisions about the drugs as an adult - or only do drugs if he got "worse"... does that make sense?

he has an issue, we both do. but - I really really struggle with feeling like medication and heavily medicating is the right answer for us... It doesn't fit with our functionality right now... for either of us - and I guess that's why i'm here.

trying to decide what the best path is, and how many second opinions we may end up needing.... LOL
 
You should check out RobinNs thread here: http://www.coping-with-epilepsy.com/forums/f32/neurofeedback-rebeccas-story-2733/

Robin's daughter reacted negatively to the meds she was given, so Robin began pursuing alternatives -- neurofeedback and dietary modifications -- with apparent success.

I think the Modified Atkins Diet would be an excellent choice to try. If your neurologist is negative or indifferent to this option, you might consider seeking out another who is more familiar with it's application and success. More info here:

http://www.hopkinsmedicine.org/news...ins_Diet_Can_Cut_Epileptic_Seizures_in_Adults
http://www.atkinsforseizures.com/story.html
 
Thank you very much for the links/resources. I'm filing away everything for further data.

I'm just so confused how so much of this is still misunderstood by everyone - including doctors. I know the brain is complicated - and we are all so different - it can't be easy for doctors either to try and help people when they don't even always know where to start.
 
So very true! Neurologists have a limited arsenal of widely accepted and scientifically validated treatments -- namely surgery and medications -- to use for treating epilepsy. For many reasons (including liability and insurance) they can't embrace alternative approaches, even those supported by anecdotal evidence. And as you say, seizure disorders present very differently from one individual to another.

Incidentally, an interesting book on neurofeedback is "A Symphony in The Brain". [ame="http://www.amazon.com/Symphony-Brain-Evolution-Wave-Biofeedback/dp/0802143814/ref=sr_1_1?s=books&ie=UTF8&qid=1317340662&sr=1-1"]Amazon.com: A Symphony in the Brain: The Evolution of the New Brain Wave Biofeedback (9780802143815): Jim Robbins: Books@@AMEPARAM@@http://ecx.images-amazon.com/images/I/51ofA9CVF-L.@@AMEPARAM@@51ofA9CVF-L[/ame]
 
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Welcome to the forum where you will find support and guidance from others who walk a similar path -

My scans/eeg and everything came back normal, even in my post-ictal phase while i was in the hospital. they told me it was IDIOPATHIC

Yah right! I guess that means that they dont know what causes it or that its deep within the brain where it occurs.

an epileptologist might be better than a neurologist! thers some good advice in this thread.
 
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