Could stress cause seizures in a 32-year-old woman?

Question

Hello doctor,

I am a 32-year-old woman who experienced what I believe was a seizure last week. I lost consciousness, and my husband said my body was shaking uncontrollably for about two minutes. Before it happened, I felt dizzy and saw flashing lights, and afterward, I was confused and had a severe headache. I have never experienced anything like this before, and I am terrified it might happen again.

Could this have been caused by stress or lack of sleep?
Do I need to start taking medication?

Please help.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

I have gone through your query and understand your concern.

I can understand how distressing this feels, but you are seeking help at the right time when it can be managed and treated correctly. You must seek urgent medical attention.

The central question regarding medications cannot be answered immediately. The decision to start daily anti-seizure medication is significant and depends on a careful risk-benefit analysis after a complete evaluation. Treatment is usually not started after a single seizure but only if the risk of recurrence is considered unacceptably high. This decision will be made in partnership with a neurologist after necessary tests such as an EEG (electroencephalogram).

Many factors, including EEG results, MRI (magnetic resonance imaging) findings, and personal considerations such as driving, are considered. This is not something that can be managed online or delayed. You need to be evaluated by a doctor to rule out any immediate and potentially dangerous causes. Start with your primary care physician or visit an urgent care center immediately. They can perform an initial assessment and order blood tests to check for imbalances that may have triggered the event. You must also request a referral to a neurologist, as they are specialists in brain and seizure disorders.

Until a doctor has cleared you, please strictly avoid situations where a sudden loss of consciousness could be dangerous. Avoid driving, swimming, bathing in a tub, working at heights, or operating heavy machinery. Ensure you are not alone for extended periods.

I hope I have answered your question.

Let me know if I can assist you further.

Thank you.