Q. Could my seizure have been provoked?

Answered by
Dr. J Mariano Anto Bruno Mascarenhas
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Aug 30, 2016 and last reviewed on: Jul 25, 2020

Hi doctor,

I had my first tonic clonic (grand mal) seizure seven days ago at work. It lasted 1 minute 30 seconds. I bit my tongue badly, but did not have any incontinence. Beforehand, I was shaking, had a loud beating heart and had a feeling of vertigo and anxiety. Afterwards, I was confused for approximately 15 minutes. I was being very active at the time and was bending down and rising several times to tidy up a room, which may have contributed to feeling faint or having a head rush.

I am a 27 year old obese woman. My height is 5'6" and weight is 266 lbs with untreated bulimia that comes and goes in phases since the age of 15. For the previous three months, I alternated between low carbohydrate days, the days I accept as good days and bad days where I may binge and purge up to three times a day. I vomited 12 hours before my seizure and did not eat or drink anything after that. I had 5 hours of sleep and then drove an hour to work. After my seizure, my employer, who happens to be a doctor, gave me lots of water and tea and sent me to a GP. An hour later, I had a blood test and the results came back all normal, but borderline low potassium. My ECG scan is normal and nothing wrong with reflexes or balance. I do not have diabetes. I have also seen a neurologist, who has put the seizure down as isolated and unprovoked.

I have not told my GP or my neurologist about my bulimia. My MRI and EEG scans are pending, but my neurologist said that they will probably come back clear. I have never felt my aura before as any indication of epilepsy, minor seizures or myoclonic jerks. I have also scared of my bulimia now, which is a positive. I realize that I am probably clutching at straws or in denial that I may have adult onset epilepsy. My question is that could my seizure have been provoked? Thanks in advance.



Welcome to icliniq.com.

I have gone through your query with diligence and would like you to know that I am here to help you.

From what you have narrated, I am of the opinion that your seizures were provoked or brought on by a combination of non-diabetic hypoglycemia, lack of sleep, dehydration, messed up electrolytes or even hypoglycemic unawareness.

Your neurologist has labeled this as unprovoked seizure since he was not aware of this. Because of this, they may diagnose this as epilepsy, when it is all the more possible that you had a episode of fits due to hypoglycemia and messed up electrolytes due to bulimia.

By hiding your bulimia (eating disorder) to the neurologist and GP, you make it a risk of another worse diagnosis of epilepsy. Bulimia is a much simpler disease than epilepsy.

My suggestion would be to tell the GP and neurologist the truth and get treated for bulimia and save your future.

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

Was this answer helpful?



This is a sponsored Ad. icliniq or icliniq doctors do not endorse the content in the Ad.

Also Read Answers From:

Comprehensive Medical Second Opinion.Submit your Case

Related Questions & Answers

For the diagnosis of epilepsy, is a PET scan mandatory?

Query: Hi doctor, My four year old son, weighing 16 kg is taking medicine for benign childhood epilepsy. Medicines he is taking are namely Topamac 100 mg a day in two divided doses and Lobazam 15 mg a day (5-0-10).  His MRI for epilepsy protocol is normal without abnormalities. I would like to know whethe...  Read Full »

Are Absence Seizures Absolutely Risky?

Article Overview: Previously known as petit mal seizures, this type of seizure is more commonly seen in children. Let us read on to know how it can be managed effectively in everyday life. Read Article

Dr. Vasantha K S

A seizure is caused by a brief period of abnormal electrical activity (electrical impulses) in a person's brain. An absence seizure has a generalized onset, meaning, it starts on both sides of the brain simultaneously. In this type, there is a sudden loss of awareness characterized by blank staring ...  Read Article

Does my daughter have epilepsy?

Query: Hello doctor, Please help! I am so upset. My daughter had a seizure. She had one 7 months ago too. We thought it was syncope, but now we think it is a seizure. She had CAT scan, blood work, and EKG and all the reports are fine. We saw a neurologist, and he said everything seemed all right. He gave ...  Read Full »

Also Read

Vitamin D and COVID-19
Did you know COVID-19 patients with vitamin D deficiency are twice as likely to have severe complications, including dea...  Read more»
The New 'Super-Spreader' Strain of Coronavirus
A new variant of SARS-CoV-2, the virus that causes COVID-19, is spreading fast in parts of the UK. Read how this new var...  Read more»
How to treat my mother's sigmoid colon ulcer?
Hi doctor, My mother, who is 45 years old, has ulcers in the sigmoid colon for the last 15 years. The problem got reduce...  Read more»

Ask your health query to a doctor online?

Ask a Neurologist Now

* guaranteed answer within 4 hours.

Disclaimer: All health Q&As published on this website are not intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek the advice from your physician or other qualified health-care 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.