Undiagnosed apparent partial seizures

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Sparkels

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In January this year my 63 year old father very unexpectedly had some sort of apparently neurological episode in the middle of dinner and had to be rushed to hospital. This first episode mostly involved him being extremely dizzy, not being able to see properly and muscle spasms throughout his body. He was conscious and able to speak (but only just). He wasn't able to stand.

Since then he's had many more episodes, which haven't involved dizziness or visual disturbance, but have involved full body muscle spasms from relatively mild through to very severe. He's been hospitalised multiple times and is taking valium relatively often to try to keep the fits under control, but that only helps to a small degree. He's always conscious throughout, but especially severe events leave him feeling extremely exhausted and he needs to sleep a lot.

From what I've read these could be described as partial seizures, which is why I keep wondering about epilepsy.

These seizures can happen a few times a day over the course of weeks, but occasionally he gets a break of a few days to a fortnight with no problems at all. They do often seem to have visual triggers (flashing lights, watching TV, reading) and sometimes he feels that sounds or even smells have triggered them. When he's having a bad day, speaking on the phone is a particularly obvious trigger. Other times there is no apparent trigger.

The only ongoing health problem he's had until now is high blood pressure. He also has a low pulse.

He's had every test his doctor thinks might be relevant and has been changed to a different type of BP medication to see if that would make any difference (it didn't). He's also had an MRI, EEG and contrast CT scan. So far none of the tests he's had have shown any problems.

The first neurologist he saw instantly dismissed the first fit as being vertigo and the rest as being anxiety triggered by the vertigo ... which we all think is a joke! My Dad is the least likely person I know to suffer with anxiety about anything and his symptoms seem far too severe and occur far too randomly to be panic attacks.

The second neurologist is taking the problem seriously but at this point is completely mystified about what it might be. He's currently talking to his colleagues about it.

So I'm wondering if anyone here has had a similar experience and particularly whether you've been treated successfully with epilepsy meds even if test results have been normal.

Also, I know my Dad is particularly old in terms of developing epilepsy out of the blue. But is this still possible?

Any other insights or advice you can offer in terms of getting a diagnosis and treatment would be really helpful. We don't really know where to turn next. If it helps we're in Australia.
 
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Just don't count on getting any anti-seizure meds for your dad unless his seizures are first 'EEG-proven'. I crashed my car back in December having a complex partial seizure, and here it is May, and I'm still not on any meds.

Hope somebody else here can help you out more with your questions. I don't think his seizures are complex partials since he remains aware and alert.
 
Thank you! I hope you get your meds soon - I can relate to how frustrating it is.

Anyway, I think they're probably simple partial seizures - if they are actually seizures.

Forgot to say that they were able to trigger one of these fits during the EEG he had, but still nothing showed up.
 
Hi Sparkels,

I'm sorry to hear about your father. The symptoms you describe do sound like simple partials, which can be hard to diagnose since they often originate too deep in the brain to show up EEGs. Be persistent -- in the absence of positive test results, clinical evidence (the things your father is experiencing) can be enough in some cases to make a diagnosis and proceed with treatment. Keep a detailed record of your father's symptoms so the neurologist can get the full picture of what's going on.

It's not that unusual for elderly people to develop seizures, although often they are a symptom of other medical problems like stroke, or head trauma. I assume your father has been checked put for those. You might want to review his medications and his nutritional regimen to see if something's going on there in terms of dsage issues or deficiencies. Magnesium supplements can help with high blood pressure and with some seizure symptoms, so you might want to consider that (in consultation with his doctor). For the photosensitive stuff, he could try wearing polarized sunglasses and avoiding fluorescent lights.

Best,
Nakamova
 
Thank you so much. I think my parents are keeping a diary of the seizures, but I'm not sure if it includes what they're eating.

Is it possible that a physical trauma could have triggered the seizures? A couple of weeks before the first one he burnt his arm quite badly and was still being treated for that at the time.
 
The burn itself would be an unlikely cause, but perhaps there's something associated with that episode -- either before or after. How did he burn his arm? Was he fatigued before or after (a primary seizure trigger)? Did his treatment involve any medications? Was he dehydrated (another seizure trigger)?
 
He had seemed to be generally fatigued for maybe a month or so prior to the first seizure. He was napping a lot during the day.

It's possible the burn was a result of the fatigue (he got it taking the cap off of a vehicle radiator - he is a retired mechanic so this is something he is very experienced with, so it was surprising that he burnt himself).

As far as I know he didn't take any medication for the burn, but was treated with some sort of anti-bacterial ointment and bandaging which needed to be changed most days.
 
Hmm. It does sound like whatever was brewing in his brain may have preceded the burn. Let the doctors know about the prior fatigue -- that might point to some other cause. In the elderly, heart issues and/or high blood pressure can cause fatigue, as well as seizures or tiny strokes, so perhaps a cardiac work-up is in order.
 
Im in the process of trying to figure out whats going on with these "new" seizures Im experiencing too. I was use to having complex partial seizures, and in March I had seizures where I was aware during them. They came with numbness and tingling feelings in my hands, which then lead to my upper part of my body, my face. I had the sadness and fear in the beginning and my body would start to jerk during it. I could hear what people were saying to me. Sometimes if the seizure wasnt a bad one, I could be able to respond back, othertimes I had to wait til it was over.

My dr thinks they are anxiety attacks, but we dont think they are. Ive never had these before, but again my dr cut me off cold turkey with all my medications too when I was admited for this procedure. The nurse during the VEEG even mentioned they look alot like simple partial seizures. Like people have said, those most of the time are too deep within the brain to be picked up. It sounds like thats what your dad has. Keep us updated if anything new changes! I hope he gets well soon!
 
When he's having a bad day, speaking on the phone is a particularly obvious trigger.

By any chance is the phone he's using wireless (a cordless phone or cell phone)? There is concern among some researchers that exposure to electromagnetic radiation/microwaves might trigger seizures in some people.
 
Like momof 3boys mine have switched from complex(unaware) to simple(aware) I dont like those any better and I seem to be better controlled except for some hallucinations so sometimes its when you think you have it figured out-BAM-the meds will ATTEMPT to do most of their job and you will see a mutation of a seizure--thats a joke by the way I have with my son that Im mutating into a different species with supreme brain power and seizures are the beginning stages
 
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