Possible TLE with progression to motor involvement?

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Hello, kind people!

I have a long and complicated neurological history with seizure-ish experiences from childhood. As a teen, I was tested for and diagnosed with possible TLE (but neg workup).

In my 20s I began working the night shift. The crazy hours and sleep deprivation brought on what I guess were little seizures.
Mostly:
1. Disgusting cigarette smell followed/accompanied by a feeling of a "negative presence," a sense of "magic/holiness/coincidence," and a rising disgust in my stomach. Then a bad headache. I thought it was just migraine.

or

2. (Usually triggered by bright light) A blinding flash of light followed by a rising, euphoric feeling lasting a few seconds, leaving me wanting more. No headache following, but feeling spacy and "light."

After I stopped working night shift, these mostly stopped. Occasionally weird things would happen, but nothing that required "help."

I have disturbed sleep, which I've thought is due to remnants of PTSD. I've been trying to improve my sleep for years.

Anyway, lately I've been waking up feeling like someone is poking me in my back, except it's a weird muscle spasm. Then usually a headache/exhaustion.

Last night/early a.m., I was in bed not sleeping and I smelled the disgusting cigarette smoke smell, which I hadn't smelled in a long time (sometimes I get the "feeling" of it, though). Then I went into a lucid dream in which I felt there was someone in the house and was worried he would hurt my daughter. I watched myself in the dream looking in my house for the malevolent smoker. In my dream, I then laid down on the bathroom floor--I watched myself from above and felt a sense of something about to happen. Then I saw my body on the floor jerk its leg twice while the muscle in the back twitched twice. I woke up completely as this started to happen and felt it happen "for real" in my "real" body at the same time as it happened in my dream. The whole thing probably happened in about 2 minutes, but it's hard to tell.

As soon as it was over I got a terrible headache and felt upset for a few minutes before being overwhelmed with exhaustion. I felt weird and lost/out of it all day but functioned normally. Not the first time I've felt this way, of course.

I guess if these are seizures, I've been having them for a while. I'm a bit disturbed that what used to be sensory experiences have progressed to motor involvement. Do these sound like seizures to you? How important is it that I do something about this? If it progressed in 10 years from no motor involvement to motor involvement, is it likely to generalize as time goes on? I really don't like going to doctors. I don't want to explain my complicated history and pay doctors to doubt my truthfulness or sanity.

Thanks for any input or feedback!
 
Welcome! I'm new here too. =P

I hope you find the right answers soon and receive the treatment you need! Those do not sound like fun experiences at all. =/

I had one neurologist tell me that it's not uncommon for seizure patterns to evolve over time. Mine didn't always involve phantom pain, but that symptom developed after I had been diagnosed for a couple of years. I have never had a grand mal, but my neurologist suspects that I will develop them at some point. So according to them, yes, seizure patterns can change over time.

I get what you mean about paying doctors to doubt you--before I was diagnosed, I had one who told me I was just depressed and tried to put me on antidepressants. In the end, though, I think it's worth it to push through and get the help you need. Especially if this does turn out to be epilepsy, because there are a lot of risks that come with seizures--not just injury to yourself, but others (such as if you're behind the wheel). So if you suspect seizures, then I definitely recommend seeing a doctor and finding out what's really going on.
 
Im sorry your going through this :(
It can all be daunting specially the word "seizure" that in itself is scary
BUt i think you should see a Dr ... Dont worry about explaining it all ..you could just print out what you have typed above

Only you know your body the best ... So push for what you feel is right

But like jemsister said you need to think about the complications you may need to address such as
-: if they are seizures and they do progress will your daughter be able to help
-: safety comes first with these so if you drive you might want to think long and hard about it, these things can generalise at anytime leaving you having a full on loss of consciousness and seizure .. That behind the wheel of a car could be fatal for you , your daughter, and public round you
-: also you want to look at how it might affect affect any job you may have ( for example : i work in s pharmacy and used to make up peoples prescriptions but now i am very wary of it as my seizures can be where i just go blank but carry on but in that time i have no idea what i have done )

These are just some things to think about but if YOU feel they are seizures and need looking into follow your instinct.

Im guessing you worry about it and worry about it enough to seek help on here
We are all here going through a wide range of problems but keep you chin up stay positive and if you need any help just ask !

Take care
 
How important is it that I do something about this? If it progressed in 10 years from no motor involvement to motor involvement, is it likely to generalize as time goes on? I really don't like going to doctors. I don't want to explain my complicated history and pay doctors to doubt my truthfulness or sanity.

Hi and welcome LovesPeace,

I would say it is very important to do something ASAP about this problem as it could slowly progress to generalized seizures. Mine initially started out as CP's and progressed into generalized seizures. The first dr. I went to said I was hypoglycemic. About 6 weeks later, I had a bad generalized seizure in the shower and suffered 2nd and 3rd degree burns from the hot water. So is your health/life important enough to you to explain it to another dr. that specializes in seizures? I would say it is time for you to see an epileptologist. Maybe then you will get the much needed answers you're looking for.

Plus these disturbances you describe sound like "auras". The smell of cigarette is a well known aura for some as is the "out of body experience" you describe. For more info check this useful website out:
http://www.epilepsy.com/101/ep101_symptom
 
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Hi LP, welcome to CWE!

You might want to ask your doc or neurologist about undergoing a sleep study. That may shed some light on whether or not you're having nocturnal seizures, and/or other sleep issues. You might also consider trying a magnesium supplement to see if you get a little relief -- some have found that magnesium can help with muscle-related tensions and spasms, regardless of the cause.

Best,
Nakamova
 
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