Are focal seizures less risky than tonic-clonic seizures?

Question

Hello doctor,

I had seizures later in life and most of mine are focal seizures but I have experienced one or two generalized tonic clonic seizures that were terrible. Some have benefited from medications but not entirely managed them.

At age 50, are localized seizures better than generalized tonic-clonic seizures?

Is the injury risk in epilepsy truly less in focused seizures or still high?

Also, does focal seizure increase chance of SUDEP?

I don't want to downplay these seizures and put myself at risk. The never knowing makes me feel like I can't quite trust my own body. I am getting scared to be alone because of the uncertainty.

Please help.

Answer 1

Hello,

Welcome to icliniq.com.

I have read your query and understand your concern.

Focal seizures are usually not as dangerous, as tonic-clonic seizures that affect the body.. Focal seizures are still a big deal and need attention.

Tonic-clonic seizures can cause injuries, trouble breathing and accidents because you lose consciousness and your whole body convulses.

These seizures are more likely to cause problems because they affect your body.

Focal seizures and tonic-clonic seizures both need to be taken.

But focal seizures can still cause falls, confusion, injury, accidents or sometimes turn into generalized tonic-clonic seizures.

Even localized epilepsy is associated with some risk of SUDEP (sudden unexpected death in epilepsy) especially if seizures are not well controlled or generalized tonic-clonic seizures occur. The strongest recognized risk factor for SUDEP is persistent uncontrolled generalized tonic-clonic seizures. Therefore, excellent seizure control is very crucial.

Your drugs are only partially effective therefore it would be reasonable to talk about therapy changes with your neurologist. This may be a matter of changing medication, altering doses or seeing an epilepsy specialist.

Also crucial are safety precautions such as:

Taking your prescribed medicines regularly.
Getting plenty of sleep.
Being careful when doing things like driving, swimming, showering alone or working at heights until your seizures are better managed.

What you’re feeling is very normal for people living with epilepsy – especially when seizures are unpredictable – and it’s dread and uncertainty. As time goes on, you’ll feel safer and more confident with better seizure control and a clear safety strategy. Please continue regular follow-up with your neurologist.

I hope this helps you.

For further queries, you can consult me at iCliniq.

Thank you.