ADVERTISEMENT
ADVERTISEMENT

Q. Why do I have auras that make me jump with fright?

Answered by
Dr. Rajyaguru
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Aug 09, 2017

Hi doctor,

I am a 43 year old man, who has lived with epilepsy since I was 13. I have had very few seizures, maybe one every 4 or 5 years. The last one was four months ago. After I had that one, I recovered and was fine, but about a month ago, I started having what seem like auras. They are different than the auras that I have had in the past. There are two types, from which one was not so severe. I will be working on something or thinking of something, and it seems like my brain just turns off for a second. These are distracting, but not very disturbing. I have several of these during the day, up to 15. The second type is more severe and disturbing. It usually causes me to jump with fright. For a few seconds, I can hear what is being said to me, but I cannot understand the words. Sometimes I can, but I must really focus. Sometimes, I can still speak, but I also have to focus hard. I might have two or three of these each day. Afterward, I have a headache that might last an hour or two, and NSAIDs do not help much.

I take Tegretol, 200 mg three times a day. I was also taking Klonopin after the seizure four months ago. This has been going on for a month now with little change. It just started one day, and it has been the same ever since. I did not have any head trauma or seizure activity since the one four months ago. The access to healthcare here is good, but doctors get patients in and out as quickly as possible, so I do not feel like the doctor is going to do anything if I am not in danger. I have already had an MRI and EEG, and everything seems normal. It is just very upsetting because I cannot enjoy my normal life. Every time it happens, my head hurts, and I am scared and nervous that something is wrong. I am continuing to see the doctor, but I do not have much hope that it is going to help.

ADVERTISEMENT
#

Hi,

Welcome to icliniq.com.

I have analyzed the symptoms you described in the query.

The appearance and pattern of aura are actually suggestive of the fact that the electrical activity of your brain is out of control. Though it is not a full blown seizure, it is surely an early phase of seizures.

I suggest you increase the dose of Tegretol (Carbamazepine) to 200-200-400. It would be best if you can repeat the MRI brain whenever the pattern of seizures changes. There is a possibility that something might have changed in brain structure also.

When you go for MRI, please get an MRI brain epilepsy protocol. This protocol studies the medial temporal lobe region of the brain in detail. The way your seizures are; most likely they are coming from the medial temporal lobes.

I hope my answer helps you.

For more information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist

Hi doctor,

Thank you, that was very helpful. I was told when I was younger the seizures are from the temporal lobes, possibly due to scar tissue. You said the electrical activity of my brain is out of control. Will the increased Tegretol bring it under control? Or does the medication only prevent seizures from occurring when the brain is in this state? Otherwise, how can I bring the electrical activity under control? Is there anything I can do or avoid, such as getting too hot or too cold? Or stress? Or certain foods? Could it be caused by decreased blood flow to the brain? It concerns me very much that this problem just appeared one day and had not stopped. I cannot think why it would suddenly appear.

#

Hi,

Welcome back to icliniq.com.

  • Yes, you got it right. It is called sclerosis. The medial temporal lobe is drying up.
  • Increasing Tegretol will help controlling abnormal activity. Other standard precautions as you mentioned, avoid fasting and stress. Avoid missing medicines.
  • If medicines do not help, then we can operate and excise the part of temporal lobe producing this abnormal electrical activity.

For more information consult a neurologist online --> https://icliniq.com./ask-a-doctor-online/neurologist


Was this answer helpful?

 | 

Same symptoms doesn’t mean you have the same problem. Consult a doctor now!



Related Questions:
My 15 year old sister has seizures, and her brain activity is abnormal. Please help.

.. read your query and understand your concerns. Regarding seizures, Levipil (Levetiracetam) is a good option for treatment of seizure disorder, and I think your doctor has taken the right decision. Now regarding the behavioral changes that you me...   Read full

What is the white mass seen above my teeth in MRI?

.. brain looks normal (attachment removed to protect patient identity). The bright spot on the right side is a small right maxillary sinus polyp which is completely benign. Take care .. ...   Read full

Can seizures be related to chronic sinusitis?

If yes, does that mean he might have a brain complication ... It will allow the brain to remodulate itself with a hope of outgrowing of...   Read full

ADVERTISEMENT

Also Read Answers From:

ideaComprehensive Medical Second Opinion.Submit your Case

Also Read


Management of Coronasomnia
Coronasomnia refers to increased sleep problems among people during the COVID-19 pandemic. Read the below article to get...  Read more»
Balantidiasis - Causes, Signs and Symptoms, Diagnosis, Treatment, and Prevention
Balantidiasis is a rare bacterial infection caused by a parasite called Balantidium coli. Read the article below to know...  Read more»
JAK Inhibitors in Treating Rheumatoid Arthritis
Doctors mainly suggest JAK or Janus kinase inhibitors for patients with rheumatoid arthritis to ease their symptoms. Rea...  Read more»

Ask your health query to a doctor online?

Ask a Neurologist Now

* guaranteed answer within 4 hours.

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.