Are complex partial seizures always associated with epilepsy?
Hi
I have had one definite simple partial seizure leading to a complex partial seizure. Started with strong strong deja vu feeling, and progressed to a period of loss of conscious awareness, and a behaviour and spoken words that I repeated twice that was purposeless, then followed by extreme facial flushing, nystagmus (my eyes were moving side to side apparently), and arrested behaviour for about 90 seconds. This was followed by my telling the person I was with and witnessed this, that I was "tired and done", and then she directed me to lay on a mat on the floor to recover, at which time I did, and stated to her that my heart was "fluttering" (even though I have no memory of laying on the floor or stating this). Apparently then I looked panicked momentarily, and was "confused", as stated by my witness. I have absolutely no memory of any of these actions, but simply remember the deja vu part as suddenly having a realization that I had dreamt all of this the night before, and then everything just became foggier like I was in some sort of a dream state. After that I have no memory up until a point that I remember sitting up from lying on the floor, and my companion told me all about what happened and wanted to drive me home. I then was assessed in emergency department and progressed to develop a terrible headache for two days, as well as very sore neck and shoulder muscles, and generally feeling unwell. I have been seen by neurologist, and two MRI's later I have venous angiomas that may or may not have caused the problem, and a normal EEG. I have not had another episode like this for almost 2 months. The neuro people do not want me to drive until February, and then only locally. I have not been prescribed medication.
I have not actually been diagnosed with anything at this point, except to have driving priveledges suspended because this "looks like" a seizure (I would have to agree)...but what I wonder is whether this would occur in any other condition except epilepsy, when the MRI does not show disease or tumour or other blatant reason for the seizure, except for the angiomas that might have leaked blood and irritated tissue to cause the event....but even that microbleed does not show. What does anyone think of this? I am happy not to be medicated right now, and would just like to carryon with my life, but it is hard not to wonder what really did happen on that day two months ago, and whether or not it will come back again....you know what I mean? Thank you for your input.