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Medical Forum / Diseases and Disorders / Epilepsy / February 2007

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How bad do I have it?

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jjgitties - 19 Jan 2007 02:43 GMT
I just had a grand mal on monday. it freaked the hell out of me because
i had it out of the blue without warning. in the past i think i had
auras or something. i could sense that something was wrong and i might
have it. this time, once second i was getting ready to go out, next
thing i know, i am having a seizure, and next thing i know, i see my
co-worker standing above me with a glass of water in hand and worried
look on his face.

i had my first grand mal at 28. that was about 8 years ago. i then had
another one 3 or 4 months later. they put me on Dilantin and suspended
my license. after a year -- i got my license back. i stayed on
daliantin for about 3 years. i did not have a single seizure in that
time. the neuro said i can try to ween off dilantin and see how it
goes.

about a year after weening off, i had what i think is the begining of a
seizure. but it never fully developed into grandmal. about a year
later, the same thing happened. then a year went by without nothing. i
thought i was home free. now a year later, i have my first grandmal
since coming of dilantin.

i am just upset and mad because it came without warning and i can't
really see what i did to cause it. i got lots of sleep the night
before. i am not stressed out. the only thing that happened the day
before was we had my kids birthday party and i drank a little too much
wine.

now i am afraid to drive. i don't know if i should go to the neuro now
or wait if it happens again.
partials - 19 Jan 2007 03:28 GMT
> <snip>

> and i drank a little too much wine.

There's your answer right there.
jjgitties - 19 Jan 2007 04:18 GMT
> > <snip>
>
> > and i drank a little too much wine.
>
> There's your answer right there.

really? i that a trigger?
G. - 19 Jan 2007 05:14 GMT
> > > <snip>
> >
[quoted text clipped - 3 lines]
>
> really? i that a trigger?

 Alcohol will 'flush out' several of the anti-ep drugs, or interfere
with their levels in your blood, including (my) Tegretol and formerly
Dilantin.  It might have taken a few hours from when you drank it to
when it got to kidneys? where many of the AEDs are absorbed, but it's
likely the cause of your seizure.
  Have you had any auras or other sensations since that happened?   If
it's been a number of days and you're still using the dose you were
taking before the seizure, your body might be back in-synch.   There's
probably an advisory on the medications glossary under  http://efa.org
website, click to medications and type in Dilantin and 'go' or 'search'
button and it will bring up a one page description of the pill, how to
use it and what to avoid.  (See if alcohol is there).   I *think it was
when I used it.    G./
jjgitties - 19 Jan 2007 13:32 GMT
> > > > <snip>
> > >
[quoted text clipped - 17 lines]
> use it and what to avoid.  (See if alcohol is there).   I *think it was
> when I used it.    G./

Thanks for the reply. I know what you are saying. Back when I was on
Dilantin I did not drink because I know that they do not mix well. But
I am not on Dilantin right now. I am not on any drugs right now.

I was weened off, with my neuro's approval, back in 2004. I have not
had grandmals since being weened off. Last Monday was my first grandmal
since probably 2000 or 2001. I have not had any other seizures since
Monday.
partials - 19 Jan 2007 23:07 GMT
>>>>> <snip>
>>>>> and i drank a little too much wine.
[quoted text clipped - 17 lines]
> Dilantin I did not drink because I know that they do not mix well. But
> I am not on Dilantin right now. I am not on any drugs right now.

Aside from any effects it has on the liver and drug metabolism, alcohol has
effects on the brain. That's how it achieves its giving a glow or buzz and
loosening of inhibitions. That's how it causes headaches and a general hangover
the next day if you drank way too much, or not so much depending on your
personal capacity. That's the alcohol at work in your brain, everywhere in your
brain, the very source of your seizures.

> I was weened off, with my neuro's approval, back in 2004. I have not
> had grandmals since being weened off.

But you've been walking a tightrope without the drugs. You weren't "cured".

> Last Monday was my first grandmal
> since probably 2000 or 2001. I have not had any other seizures since
> Monday.

Why not just ride it out. You may not have any more if you lay off the wine now
that you know what it does to you and get your sleep and avoid stress.
howdydave - 22 Jan 2007 17:44 GMT
Howdy Jigetties!

As far as "How bad do I have it?" is concerned it's
all a matter of attitude.

IMO the chief ingredients are: self-esteem and self-pity.

Dave
Sofia - 27 Jan 2007 01:32 GMT
>> I was weened off, with my neuro's approval, back in 2004. I have not
>> had grandmals since being weened off.

I had a Grand Mal seizure on my trip to Brighton Museum last Tuesday with
my husband. When we left the museum and walked on a this gravel pathway
towards the beautiful Brighton Pavilion outside, he just turned his head
for a second to take a photo' and Bang, down I went, no warning, nothing.
I was taken to their Hospital, miles from my home.

My right was shut for two days, and only opened up this morning, and I
still can't see the whites of my eye - I look like somebody's stuck a fork
in it. Even the rest of the right side of my face has ballooned out and
has scabs all over it.

Can't you see it could happen again to you too!

> But you've been walking a tightrope without the drugs. You weren't
> "cured".

Agree completely! It's common sense that we aren't cured - I always take
mine for that reason!!

>> Last Monday was my first grandmal
>> since probably 2000 or 2001. I have not had any other seizures since
>> Monday.

It doesn't mean you're never going to have another one again in your life!
I look like a freak at the moment, but I know this wasn't the last time
I'll have to look this way.

Sofie

PS. Happy at least to say hubby's taking care of me though!

Signature

Please visit my deviantART page: http://sofen.deviantart.com/

Chris Lesurf - 07 Feb 2007 15:44 GMT
I had my first grand mal about 35yrs ago and had about one a year for
ages. Then they seemed to give way to a particular sort of minor ones - I
would get a funny feeling in my tummy (like exam nerves) then my memory
would stop recording. According to my husband and from the evidence
remaining, I would gouge into my right index finger with my thumb nail,
then I would go home if I were out or to bed if I was already at home.
Sometimes I would sing and put things in odd places (eg make the bed with
a blanket on top of the bedcover) before getting into bed and sleeping for
a few minutes or an hour or so. When I woke up my last memory was the aura
before the actual fit.

When my anti-convulsant drugs were gradually adjusted (to 275mgms/day
lamotrigine (Lamictal), 10mgm/day clobazam (Frisium)) and an anti-
depressant (40mgm/day Citolopram) added when my bi-polar disorder was
diagnosed, my epilepsy was giving me little trouble until last week when I
had the first grand mal for about 5yrs.

My fits used to be grouped round the middle of my menstrual cycles and
although I had my menopause a few years ago, I am on HRT and still tend to
have fits in monthly groups.

A few years ago I had a minor stroke (so small it wasn't diagnosed as such
until I had an Emiscan connected with my epilepsy months later) and have
been taking Asasantin as a blood thinner ever since. I feel it may have
assisted in keeping down my fits as well.

It's ironic that I was beeing seen once every 6 months at a consultant
neurologist's clinic but the last time he decided to sign me off !

Cheers,
Chris

By the way, the best help I've had has been from Occupational Therapists
not medical staff - my husband found out more by exploring the web than we
were ever told by doctors or Community Psychiatric Nurses.

> >> I was weened off, with my neuro's approval, back in 2004. I have not
> >> had grandmals since being weened off.

> I had a Grand Mal seizure on my trip to Brighton Museum last Tuesday with
> my husband. When we left the museum and walked on a this gravel pathway
> towards the beautiful Brighton Pavilion outside, he just turned his head
> for a second to take a photo' and Bang, down I went, no warning, nothing.
> I was taken to their Hospital, miles from my home.

> My right was shut for two days, and only opened up this morning, and I
> still can't see the whites of my eye - I look like somebody's stuck a fork
> in it. Even the rest of the right side of my face has ballooned out and
> has scabs all over it.

> Can't you see it could happen again to you too!

> > But you've been walking a tightrope without the drugs. You weren't
> > "cured".

> Agree completely! It's common sense that we aren't cured - I always take
> mine for that reason!!

> >> Last Monday was my first grandmal
> >> since probably 2000 or 2001. I have not had any other seizures since
> >> Monday.

> It doesn't mean you're never going to have another one again in your life!
> I look like a freak at the moment, but I know this wasn't the last time
> I'll have to look this way.

> Sofie

> PS. Happy at least to say hubby's taking care of me though!
Sofia - 14 Feb 2007 01:38 GMT
>  According to my husband and from the evidence
> remaining, I would gouge into my right index finger with my thumb nail,
[quoted text clipped - 3 lines]
> sleeping for a few minutes or an hour or so. When I woke up my last
> memory was the aura before the actual fit.

Hello Chris, these are "Complex Partials", a lot of us have them too - I
know I can have approx 2-3 of them per day, where a have in the past made
hubby's dinner, then thrown in all away in the dustbin, made the dogs
dinner and gone to bathroom and flushed it down the toilet, stolen goods
from supermarkets without knowing several times, woke up laughing at a
dinner party in front of my mother-in-law  -  I know it can be terribly
embarrassing, and it always gets worse during my menstrual cycle too. I
don't know whether it's got anything to do with the female hormones or
something, but I turned 41 years old on Jan 4, but doctors say anybody can
get it at any age.

I'm not sure you're allowed to even drive unless you've been cleared of a
Tonic Clonic for 2 or 3 years, I'm not actually sure though.

Sofie  

Signature

Please visit my deviantART page: http://sofen.deviantart.com/

Chris Lesurf - 15 Feb 2007 13:50 GMT
> >  According to my husband and from the evidence
> > remaining, I would gouge into my right index finger with my thumb nail,
[quoted text clipped - 3 lines]
> > sleeping for a few minutes or an hour or so. When I woke up my last
> > memory was the aura before the actual fit.

> Hello Chris, these are "Complex Partials", a lot of us have them too - I
> know I can have approx 2-3 of them per day, where a have in the past made
[quoted text clipped - 6 lines]
> something, but I turned 41 years old on Jan 4, but doctors say anybody can
> get it at any age.

> I'm not sure you're allowed to even drive unless you've been cleared of a
> Tonic Clonic for 2 or 3 years, I'm not actually sure though.

> Sofie
>  
No, you're not allowed to drive - I certainly wouldn't want to as it would
be ridiculously dangerous. Especially as a major (tonic-clonic) fit can
decide to show its face any time. I had one a week ago after at least a
couple of years without any.

WRT my complex partials if I manage to get my husband's attention while
I'm still at the aura stage then he can sometimes get me to talk to him
and we ward off the fit - I suppose it's using the mental energy that was
about to overflow.
Chris
J. T. Laurie - 19 Jan 2007 15:53 GMT
go to the neuro or at least call them get holt of a nurse tell the nurse and
see if you can get an appointment.
>I just had a grand mal on monday. it freaked the hell out of me because
> i had it out of the blue without warning. in the past i think i had
[quoted text clipped - 25 lines]
> now i am afraid to drive. i don't know if i should go to the neuro now
> or wait if it happens again.

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