Is It Possible?

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“And another story: "Susan's seizures usually occur while she's asleep. She makes a grunting sound, as if she's clearing her throat. Then she'll sit up in bed, open her eyes, and stare. She may clasp her hands together. If I ask her what she's doing, she doesn't answer. After a minute or so, she lies down and goes back to sleep." Source: sorry can't post an URL yet but this is from an epilepsy site, talking about complex partial seizures.

All my life I have had something wrong with my brain. I have always been cranky and moody and I even think I remember hating this world before I was born and not wanting to come here! I always blamed my problems on my parents who were disturbed alcoholics and no fun to be around. Now (age 66) and observing my entire family over several generations (including children and grandchildren) I think there is something physically/mentally wrong with all of us. Diagnoses have included bipolar, schizophrenia, ADHD and various other things. Most members of the family are intelligent and able to work (sometimes quite successfully) but we are also given to rages, paranoia, mood swings and obsessive interests in sports, politics, etc. (well beyond normal). Many of us also have severe sleep disturbances such as repetitive nightmares, walking/talking in our sleep, poor quality of sleep, etc. This is probably my biggest problem.

I first remember sleeping poorly as a small child. I was petrified of the dark and would wake up thinking "Big Foot" was coming for me. I often dreamed of being chased by monsters or falling down an endless hole in the earth. I still wake up with nightmares almost every night. As I write this, I am awake at 4 a.m. because I kept having the same dream over and over. In this one, some kind of liquid was dissolving holes in the earth. This would wake me up but start again as soon as I dropped back into sleep. Finally, it becomes obvious that the dreams are not going to stop and I wake up.

During the day, I am often anxious but I can cope by staying busy. Now that I am retired, I nerd away on the computer at least 17 hours a day. I have never been able to sit still for any length of time. I am constantly moving, fidgeting, jumping up to get something, getting computer cords tangled and having to untangle them. Anything to keep moving. Boredom makes me crazy and cranky. When I was a kid, I read constantly. Even as an adult, unless I was working 12 hour days, I read at least one (usually more) books a day. I still have a box of books by my bed which I read, switching back and forth, between a dozen books. As you can imagine, this doesn't leave much time for rest but then I really don't rest, anyway. I used to do housework by approaching it frantically (working really hard, really fast, until it was done) but now that I am older I don't seem to be able to do much housework. It is just too boring and boredom makes me nervous and uptight so I run back to my computer to calm down.

All this seems to run in a cycle which is maybe two or three weeks long. I get absolutely frantic, then some kind of fever pitch is reached, I knock myself out with antihistamines to get some sleep, and feel better for a while until it starts all over again, slowly building to another climax.

Once I read in a magazine that people with sleep disturbances like mine often had abnormal brain scans similar to epilepsy. I asked my doctor to give me Dilantin and he did. I took it for months and it was the most peaceful time of my life. Unfortunately, I also slept most of the time and my husband said I was "stupid" (I am usually too smart for my own good) so eventually I quit. I have also tried Tegretol (makes me itchy) and Lamictal (one doctor thought I might be Bipolar and another thought a mild form of Borderline Personality Disorder was possible). The Lamictal helped but I eventually went off it and symptoms didn’t reoccur immediately so I thought I could get by without it.

In all this time, no doctor has ever sent me for any brain scan. The closest was when I was quite overweight (200 lbs) and was tested at a sleep disorder clinic and diagnosed with sleep apnea. I know that I woke up constantly all night, thrashing around and calling out (this was before the home apparatus they test you with now) and the nurses looked at me like I was a giraffe with two heads the next day. Now, I have lost a lot of weight and probably don't have sleep apnea but I still wake up many, many times through the night.

Anyway, yesterday I happened to watch a documentary about Vincent Van Gogh, the painter, who probably had temporal lobe epilepsy. I immediately thought, "That's what I have!" Today, I looked up various forms of epilepsy and the one that comes closest to my problems would be partial seizures (as in the quote above).

During the day, I switch moods constantly but am usually able to keep these moods to myself (if nobody interacts with me). At night, I have much less control. Nobody (including my husband) wants to sleep in the same room with me because I am so noisy and volatile as I act out dreams about violence, burglars, wild animals, etc.. These are much worse, btw, after I listen to hypnosis tapes with an aural beat in them. Or anything that tries to use that sort of technology to put you into deeper sleep. My brain basically has a fit.

I used to, after a bad dream, lie down and go back to sleep in a few minutes. Now, I just get up. I generally sleep about 3 hours a night until I am so exhausted that I knock myself out with antihistamines and sleep for hours. The antihistamines will inhibit the dreaming if I don’t take them often. I also try to nap for a couple of hours during the day to catch up on sleep. More than that, and I start up with the bad dreams.

I would really appreciate hearing what people here think about all this. It's very unlikely I will be able to see a neurologist and even if I can that he will send me for tests. Long story, but I just annoy doctors and always have so it is almost impossible to get one to cooperate. They will, however, give me prescriptions pretty easily. I suppose I should just tell my current doctor that I used to take Dilantin and see what she will prescribe. I’m from rural Canada and there is zero chance of getting an MRI in our system. Even if, the wait would be a year or more. So, really, all I can do is experiment a bit.

Recently, changed my diet and am eating very well (almost all organic) and that seems to help. I am probably sensitive to a lot of chemicals in food. My family is full of allergies but I haven't had many of those, so far as I know.

I've pretty much eliminated Bipolar, Borderline, PTSD, just plain depressed, etc. but still in need answers. I'm essentially a happy person, living a good life, but sometimes these nightmares and daytime edginess makes me wish it was all over and I could rest. I'm ADHD, for sure, but that doesn't explain everything. Thanks in advance for any ideas.
 
Hello, and Welcome. :)

That was a lot of information. What you are describing isn't the typical frequency or description of seizures, but who knows. We hear from lots of folks in here whose symptoms aren't typical, and their eegs show clearly that the events are seizures.

My thought is to pick the low hanging fruit first and eliminate a few things. Acting out dreams can be a type of sleep disorder. Find a sleep doctor that is also a neurologist - this is important. There are many of them. Have your sleep study redone, in the sleep center where they can video tape you all night. Ask to be wired up for a full eeg during the sleep study.

There are over 80 kinds of sleep disorders. Sleep apnea is just one of them. You need to be evaluated for all of them (which they can do in an overnight sleep study).

http://www.end-your-sleep-deprivation.com/types-of-sleep-disorders.html


After that, start exploring all the other possible causes. Most of us in here wish it was anything rather than epilepsy. We'd love for it to be a sleep disorder or PTSD. Then we could get off the seizure meds. So most of us have gone through lots of tests to look for other things until a diagnosis of epilepsy was finally reached.

Just my opinion, but I wouldn't go looking for prescriptions for anti-seizure medication unless your doctor thinks it's possible epilepsy and you have to take the anti-seizure meds. You don't want to take the stuff for nothing. Trust me.
 
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I suppose I should just tell my current doctor that I used to take Dilantin and see what she will prescribe. I’m from rural Canada and there is zero chance of getting an MRI in our system. Even if, the wait would be a year or more. So, really, all I can do is experiment a bit.

there is currently a shortage of Dilantin and a news article today in the paper said it was discontinued and no longer manufactured. Drug Shortage

Also, where in rural Canada, which province. i also live in canada, and it didnt take me that long to get an MRI. MRIs in Canada take a long time because most of them arent for the brain. When things involve the brain or heart, they are quick to test you. So you can talk to your doctor about setting up an appointment with your neurologist because you think you may be experiencing complex partial or simple partial seizures.
 
Thanks for the replies. I didn't mean to give the impression that I'm hoping it's epilepsy -- just that 66 years into this thing it would be nice to have some kind of explanation.

I have tried to get a referral to a sleep centre but no one is interested. They have gizmo's you wear, now, at home and I've tried that. Unfortunately, I couldn't sleep at all the first night and the next night the few hours I managed were "not enough" to get a reading. Well, that's all I sleep on a good night, let alone with wires and such. Not to mention I get up in the night and you can't do that.

I don't know what it is like in Winnipeg but my husband had a neurological disorder his doctor thought was possibly multiple sclerosis and it took nearly a year to get it done. The first appointment was within a month or two but it was cancelled and rescheduled (not by him). That was in Creston. We now live just north of Williams Lake and there is no MRI nearby so I'd have to travel a long distance. Fine, but first to get a doc to order one.

My problem with doctors is that I have a short fuse and when I encounter indifference or incompetence I get snippy. They are always in such a rush -- 10 minutes, max, and you are outa there with no sense that the doc knows any more about your situation than she did when you walked in. At least that's my experience. Also, I don't put up with side effects of medications that are probably not necessary anyway. Six years ago I was sick as a dog and the doc suggested adding one more med to the eight he already had me on. I said 'no' and walked away. I feel much better these days but my chart says I'm non compliant. Lol. They've got that right. I would be happy to comply if I could, though.

So, I'm pretty much on my own with this problem of mine. Always have been, truth be told.
 
I'm not so sure about some of your symptoms but the recurring "nightmare" that re-starts as soon as it stops sounds familiar. I would wake up from a non-threating dream and be in a panic, with a wave of nausea.. as soon as I'd fall back to sleep they would restart. I had this for nearly a year before it generalized into a gran-mal seizure. I was diagnosed with temporal lobe epilepsy in September. I hope that you find all the answers you are looking for, as not knowing seems to be the worst!
 
It's interesting that antihistamines help you vanquish your symptoms -- they can be seizure triggers for many folks.

I agree that a sleep study would be helpful -- be persistent about getting one. There are many sleep disorders that can be seizure triggers. Since you had apnea in the past, that is a red flag for me. Do you know whether you had Obstructive Sleep Apnea or Central Sleep Apnea? If it's the latter, then your weight loss may not have cured the apnea entirely. (Central Sleep Apnea is a less common type of sleep apnea involving the central nervous system, rather than an obstruction in the airway.)

I also recommend that you try and break your 17-hour-a-day computer habit! Blue screens interfere with sleep, and exercise and exposure to natural light can improve it.

Best,
Nakamova
 
Thanks, Endless, for your link to the sleep disorder site. I went there and found REM Sleep Behavior Disorder which is, apparently, quite a new diagnosis. I suppose that's why I've never heard it before despite all my research. Many people described experiences identical to mine but with one or two major differences. Most important, mine hasn't become worse with time. The other anomoly is that I continue to have the same dream no matter how many times I wake up in terror and then go back to sleep. So I am not sure if I have the same problem.

Nakamova, mine was Obstructive Sleep Apnea. Also, you make a good point about antihistamines. I didn't know that about epilepsy. For me, they are a God-send. I would literally never get a real night's sleep without them.

You are no doubt right that I would be better off w/o 17 hours a day on the computer. Unfortunately, I have been like this ALL my life. I go truly nuts unless I am very busy. I used to read a lot but my eyesight has deteriorated of late so the computer is much more accessible. I've also had very demanding jobs that filled the role of keeping my brain busy. Retirement doesn't do that and neither does any normal level of busyness. My best sleep comes when my husband and I travel someplace truly new and interesting. I am up early, taking in new sights and having new experiences all day, and usually sleep surprisingly well. How to keep up that level of activity in a normal life? Not really possible, I think. The computer is the next best thing, despite it's drawbacks.

Still, I have been studying hypnosis and NLP lately and may be able to get past this need for distraction using those techniques. Hypnosis with a strong beat actually triggers my sleep disorder, whatever it is. Ordinary (just talking) hypnosis doesn't seem to do any harm and is relaxing. NLP is pretty new to me so am just learning it. Maybe some of its techniques will make the difference.

Mnm, thanks for your comments -- my dreams are a bit different -- they are very threatening, and although I do feel panic, no nausea ensues. Still it's intersesting that yours became grand mal seizures and you were diagnosed with temporal lobe epilepsy. I believe that many people have mild forms of various diseases and are never properly diagnosed. This may be the case with me. Doesn't feel all that mild to me but what do I have to compare to, after all?

I will continue to try various meds, when possible, since the ones that work are common to many disorders. Also, who knows what new possibilities might cross my path in the future. I am already calming down after last night and realize that this disorder, whatever it's called, is not as bad, right now, as it has been many times in the past. So that's a good thing.

Thanks to everyone for your kind responses. I wish you all the best with your own health problems. (((!hugs!)))
 
First off-I am no doctor-I am a sleep deprived person with many diagnosis-BUT...my point is that I read your post 3 times and I saw myself and my family right down to the needing a way to sleep with antihistamines and weird dreams and volatile family and way you clean and everything else.Please try to get a sleep deprived eeg-I have left temporal lobe epilepsy,interictal psychosis and some form of shizophrenia and all kinds of weird symptoms and hallucinations.I am in no way trying to lead you down the wrong path or diagnose you, but this kind of epilepsy produces disturbances in the EEG between seizures so its easier to detect than other epilepsies and they are also finding out now that these disturbances might be responsible for a host of other problems.Please keep us informed and ask for an epilepsy-protocal MRI
 
Wow. Thank you for that, mel239. I have never before encountered someone who could relate to my story in so many respects. It's exciting. If you can suggest any links I would love to learn more. I will certainly go ahead with trying to get the sleep deprived EEG and the epilepsy-protocol MRI.
 
I have left temporal lobe epilepsy,interictal psychosis and some form of shizophrenia and all kinds of weird symptoms and hallucinations.I am in no way trying to lead you down the wrong path or diagnose you, but this kind of epilepsy produces disturbances in the EEG between seizures so its easier to detect than other epilepsies and they are also finding out now that these disturbances might be responsible for a host of other problems.Please keep us informed and ask for an epilepsy-protocal MRI

I also have left temporal lobe epilepsy and have experienced a few hallucinations and other problems that go with LTLE-- mood swings, hypo-mania, becoming volatile, etc. As mel suggested, try to get a sleep-deprived EEG.
 
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