What triggers should one watch out for seizures?

Question

Hi doctor,

My 25-year-old son had his first seizure last week out of nowhere; he just collapsed and started shaking uncontrollably. It was terrifying, and the emergency room doctor mentioned epilepsy, but I do not understand what that means. Can you explain what caused this seizure and what is happening in his brain? Is this something that will happen again? I have heard about seizure medications, but I am worried about their side effects. Can he still drive and work normally, and what triggers should we watch for?

Please advise.

Answer 1

Hi,

Welcome to icliniq.com.

I read your query and understand your concern.

I am sure it must be really worrying not to know about seizures and epilepsy.

Basically, a seizure is abnormal electrical activity of the brain cells, which are neurons. There can be multiple reasons that can trigger a seizure episode, such as high-grade fever, some viral and bacterial infections, hypoglycemia, low blood pressure, and a family history of seizures. Other triggers can include lack of sleep or rest, hyperactivity, alcohol abuse, and drug use.

A seizure is called epilepsy when recurrent seizures occur without a specific immediate cause, and if it lasts for five minutes or more, it is considered a medical emergency.

Even a single episode of seizure can increase the risk of another and usually requires long-term treatment for a minimum of three years. In between, if there is any other seizure episode, the duration of treatment may need to be extended.

It can be risky to drive or swim alone, as a seizure episode can happen at any time. It is better to always accompany your son in most places. Yes, your son can definitely study and work normally without stress.

Next time your son has a seizure episode, it is always good to video record it to show the doctor for a better understanding of the type of seizure. The doctor must have performed scans for the same. You can send the prescription so that I can better explain if the seizure type has been identified and diagnosed.

I hope this answers your query.

Let me know if I can assist you further. I would appreciate your feedback.

Thank you.