Medical Forum / Diseases and Disorders / Epilepsy / December 2007
Desperately seeking an answer about these so called seizures i am having
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Extremely_Tired - 29 Nov 2007 01:14 GMT First let me start out by saying how FRUSTRATED I am with this. These stupid "seizures" I am having got me fired from my job! I can't go out into public for a long time or have a lot of sensory or photo something stimulation without tiring very quickly and ending up in one. I do not remember much about my past but I do remember getting many EEG's done as a kid starting from age 13. ALL of my EEG's came back abnormal. The doctor had me on tegretol and by age 16 took me off of it. I never knew why I was forced to take the medication as no one has explained to me much of what was going on. Throughout the years I have been going through occasional blackouts in which I cannot tell you what happened and the people around me just kept saying it was weird. I got spacey frequently and sometimes go through occasions when I forget what I was talking about in the middle of a sentence. My short term memory seems to be affected as I forget things quite easily and just a few years back would even forget I had something in my hand and drop it. I never went to the hospital during any of these happenings because I hate going to the doctor. Sometimes my body twitches for a while then stop. On occasions I would have odd head movements in which my head shakes and moves to the left. In the beginning of November 2007 I had my first big so called seizure. I call them so called because I can't accept that I am told I am having them. I am going to give you an account of what I was told happened by a friend who was present during them as I was completely unaware of anything happening. I began with that odd head shaking I told you about. Then my left arm started jerking slightly. I remember that part. My friend said that out of no where my slight jerking turned into stiffing then full body jerking with my eyes rolling in the back of my head and my hands contorted. Afterword I would gasp for air because during my seizures I do not breathe. I remember coming out of the seizure because I feel very very tired and normally fall asleep. Sometimes I am tired but attempt to get up. I never can walk after the seizure and my speech is slurred and simple. Almost as if I an a child again. Before these started I had this fuzzy feelings in my head and my head hurts really bad on the right side. I went to the hospital after having 6 of them in one day and 5 the next. they did an MRI on me and it came back normal. I was back in the hospital 2 days later because I dropped and went into several back to back seizures. the MRI came back normal again but my EEG was abnormal. My medical records mention something about some rare bursts of eptiform waves or something like that. I now have a nueroligist. First they had me on Tegretol 200mg. She changed it to 750mg per day on Keppra. Now they changed it to 750mg Keppra twice a day and 100mg of Dilantin twice a day. The Dilantin seems to be causing more problems than solutions. The very first day I took it I had 3 hours of back to back seizures. They started with a Grand mal seizure and turned into fast and frequent blinking. Then I spaced out and went back to the blinking and odd movements of my mouth which caused me to bite my tongue several times. Then I spaced out again and started it all over again. By the end of it I had a huge headache and extreme fatigue. An hour later I had to go to the bathroom and had assistance. I had trouble walking, talking and even grabbing things. It was if I couldn't control my limbs. I tried drinking water from a straw and I couldn't drink or swallow the right way. I couldn't even lay on my back because my body was so tired I kept choking on my tongue. Can someone give me some advice or if you've had similar things happen to you let me know what you did and what kind of doctor you went to? My neurologist referred me to the epilepsy center because I have about 3 big seizures a day and several absent seizures during the course of the day. Sorry so long
Robert A. Fink, M. D. - 29 Nov 2007 03:10 GMT >Can someone give me some >advice or if you've had similar things happen to you let me know what >you did and what kind of doctor you went to? My neurologist referred >me to the epilepsy center because I have about 3 big seizures a day >and several absent seizures during the course of the day. Sorry so long You are definitely having seizures. It appears that your neurologist has been slowly increasing the dose of various medications in an attempt to control the seizures. If this does not work, then referral to an epilepsy center is a good idea.
You should not be driving, operating machinery, caring for small children, etc., until your seizures are controlled.
Best,
Bob
Robert A. Fink, M. D. Neurological Surgery 2500 Milvia Street Suite 222 Berkeley, CA 94704-2636 USA 510-849-2555
********************************** NOTE: The material above is not "medical advice". Medical advice can only be given after an in-person contact between doctor and patient. **********************************
Extremely_Tired - 29 Nov 2007 20:31 GMT On Nov 28, 9:10 pm, "Robert A. Fink, M. D." <lyn...@comcast.net> wrote:
> On Wed, 28 Nov 2007 17:14:17 -0800 (PST), Extremely_Tired > [quoted text clipped - 29 lines] > doctor and patient. > ********************************** My neurogist referred me to an epilepsy center on Tuesday. Hopefully they will be able to fix me. She feels I have to many seizures. She is not use to having patients who have seizures as much as I do. I am always tired and now have problems sometimes even getting up to walk to the bathroom (this usually requires assistance) and dressing myself because I have trouble grasping objects. It is almost as if sometimes I regress to the behavior of that of a baby who has to concentrate on grabbing things. My hands sometimes move involuntarily. Since she put me on the Dilantin I have had 3 hours worth of seizures the first day and 20 minutes of them the next day. I tend to come out of seizures and go right back into them. I think the Dilantin is making them worse. Is it normal to become exhausted after 2 hours of sensory stimulation ( bright flashes, touch, sound and movement of outside sources)? Is that common to anyone here? Why are these seizures affecting my nervous system so much?
G. - 30 Nov 2007 03:22 GMT > On Nov 28, 9:10 pm, "Robert A. Fink, M. D." <lyn...@comcast.net> > wrote: [quoted text clipped - 38 lines] > me on the Dilantin I have had 3 hours worth of seizures the first day > and 20 minutes of them the next day. *** Hi. Does someone witness those, or is above descriptions based on your own perceptions? Depending on the szr. type, several of them we're not aware what we say or do, unless there's a witness to tell us what we did after we come out. (I needed people telling me what I said or did, to take to the Dr. after I was out of hospital. The first few szrs. I had were severe and in hospital so the nursing and med. staff witnessed symptoms, so knew type of szrs. I had. That's how the treatment that worked for me started.)
Your Dr. is trying to find a mix of meds. that works for your szr. type, metabolism rate and weight etc. and it's not unusual for some of us to take from a few weeks to several months to get to a level that works.
(My Complex Partials took from onset in 1993 to about 1995.) Often Dilantin is used first as it's longer studied and used. But it might take using it for several days to more than a week before you get to blood level the Dr. is aiming for. Usually is doesn't cure things in first few days. Did you tell the Dr. about the Headaches? I had some of those for a while and they were awful. But mine cleared within a week to 10 days without changing the doses of Pills I had just increased to. I've been at that fixed level now for 10 years, and have only had about 3 seizures since 1996. (My first diagnosis they suggested to 'hope for' 2-3 a month, based on EEGs and MRIs I had done in 1993. So there's potentially a good chance that your's might be able to reach that level of success too.) It can be frustrating while it's happening, but don't give up. *Also don't miss or skip any doses of pills you're taking. The Dr. will assume you're taking X pills at the suggested rate and when blood work etc. is done the readings they take assume that's rate your body is getting-- if you were e.g. to miss doses, the bloodwork might look like you are on too low a dose and the Dr. will increase what you're (not) taking trying to get to the level that will work. Then you could be taking more than the target dose. I use a special pill case to ensure I take the dose rate I have prescribed if you have trouble remembering to take the pills or forget whether you took them already or not. (If you have a way to look at history of this group, I did a post about 3? weeks ago-- Subject like 'Websites of use to newer people'. If you don't see it, reply on this thread, and I'll pick it up and post it again. It lists about 5-7 websites several of the regular members who used to post here assembled on First Aid, Things that help adapt to our New Normal, and possible side effects etc. of various Anti Ep Drugs some of us use. ) G./ (more below)
I tend to come out of seizures
> and go right back into them. I think the Dilantin is making them > worse. Is it normal to become exhausted after 2 hours of sensory > stimulation ( bright flashes, touch, sound and movement of outside > sources)? *** I don't understand what above means-- are you being exposed to flashing lights etc? Some of us who are photo-sensitive can have szrs. triggered by Neon or Strobe lights if we're sensitive. Some of my early seizures were also triggered by someone moving quickly into my field of view from behind me etc. It depending on the szr. type and how we're being triggered. //
Is that common to anyone here? Why are these seizures
> affecting my nervous system so much? **** The seizures are originating in your Brain -- likely (I'm not a Dr.) Complex Partials like another poster suggested. Since that's where our nervous system, breathing, bodily functions etc. are all controlled, it's not surprising that if your type of szrs. aren't fully controlled that some of your side effects can affect those functions too. For that reason (and your safety in public and at home) that's why the Dr. is trying to get a medication level that has you closer to full control of the type of szrs. you are having./
Do you know why they started or what might have triggered them? I just wondered, but if you don't know or don't want to say that's OK. Just some people reading the group might have similar things trigger their types if you knew what first started them happening. (Mine were from Encephalitis I had had more than 12 years before the szrs. started. The Seizure Focus of mine is where my szrs. were being triggered from, and was an area damaged by the original Encephalitis.) G./
Extremely_Tired - 30 Nov 2007 07:00 GMT > > On Nov 28, 9:10 pm, "Robert A. Fink, M. D." <lyn...@comcast.net> > > wrote: [quoted text clipped - 119 lines] > > - Show quoted text - To answer your questions I have had seizures since I was a child so I really don't know what started them. I always had them but they have progressively gotten worse. As far as taking my medication I take them at the same time everyday. I have a caretaker who is with me 24/7 to ensure this. I of course do not personally know what the big seizures look like because I am unconscious during them. I am going by the recollections of my caretaker and hospital staff. My caretaker actually recorded one of my seizures so I could see them myself. So I have a visual idea of some of them. The small seizures I am conscious. I feel them but I do have sections that I don't remember. Those start with auras. But they are the only ones that do. As I said always my brain waves have always been abnormal so I am assuming that I might've had them before anyone noticed them. I was told during a ride to the airport with my caretaker and other places that when we hit tolls the light that turns on after you pay immediately throws me into a seizure. Sensory wise it is when there is too much going on around me. Too much stimulation no matter how calm I am. I tire before the seizures began and I know during the sensory stimulation when they are going to occur because my left side feels funny. I'm starting to think that my family history may have something to do with my seizures. I read something on it a couple hours ago and found a few people who had the same problem. Dilantin seems to be throwing me into seizures and they last longer 1 hour after I have taken the medication. My doctor took me off of it this morning.
Robert A. Fink, M. D. - 30 Nov 2007 23:23 GMT >My neurogist referred me to an epilepsy center on Tuesday. Hopefully >they will be able to fix me. She feels I have to many seizures. She is [quoted text clipped - 11 lines] >sources)? Is that common to anyone here? Why are these seizures >affecting my nervous system so much? Because they are not yet controlled. In msot cases, one should not stop adjusting treatment until the patient is seizure-free. This can be accomplished in the vast majority of cases.
Best,
Bob
Robert A. Fink, M. D. Neurological Surgery 2500 Milvia Street Suite 222 Berkeley, CA 94704-2636 USA 510-849-2555
********************************** NOTE: The material above is not "medical advice". Medical advice can only be given after an in-person contact between doctor and patient. **********************************
Extremely_Tired - 01 Dec 2007 00:17 GMT On Nov 30, 5:23 pm, "Robert A. Fink, M. D." <lyn...@comcast.net> wrote:
> >My neurogist referred me to an epilepsy center on Tuesday. Hopefully > >they will be able to fix me. She feels I have to many seizures. She is [quoted text clipped - 20 lines] > Bob > O.K. Thank you. I guess I have to learn to deal with these for now. For an update, I had 8 grand Mal seizures last night. I was told 4 of them were back to back. My poor husband!!! I couldn't imagine what a toll this could be taking on him emotionally. He taped them on his phone with the camera so I could see them. I look kind of weird in them. That's embarrassing.
> Robert A. Fink, M. D. > Neurological Surgery [quoted text clipped - 8 lines] > doctor and patient. > ********************************** Me - 01 Dec 2007 07:04 GMT > On Nov 30, 5:23 pm, "Robert A. Fink, M. D." <lyn...@comcast.net> > wrote: >> >My neurogist referred me to an epilepsy center on Tuesday. Hopefully >> >they will be able to fix me. She feels I have to many seizures. She is >> >not use to having patients who have seizures as much as I do. I am >> >always tired and now have problems sometimes even getting up to walk <Whole lot of snippage> <end of snippage>
>> Because they are not yet controlled. In msot cases, one should not >> stop adjusting treatment until the patient is seizure-free. This can [quoted text clipped - 9 lines] >> camera so I could see them. I look kind of weird in them. That's >> embarrassing. <Whole lot of snippage> <end of snippage>
My apologies if some of these are repeats.
Embarrassing"? I know what you mean, but for us it's normal.
Do you snore very loudly or gasp for air when not in seizure? Poke your husband with an arm or foot while sleeping & not while known to be in seizure? Do your legs sometimes feel "restless?" You might want to get checked out for sleep apnea. It is one of the most-often overlooked conditions because people don't know what might be causing the snoring. It could be "lowering your seizure threshold."
The "twitching" Does that happen while you're conscious and awake? A one-inch jerk of my hand or arm often happens when I'm awake. It's called "clonus" and the more tired you are the more it happens. I sometimes feel like a string puppet.
Do you wear any sort of protective headgear? I started to last December when my head hit the pavement big time. I've hit my head dozens of times over the years and it is now, but lightly, affecting my speech. I'll say I'm going to go "wall mallking" when I mean "mall walking."
Relaxation: Make time to do it. Play soft music. Lower your eyes when you do it; That makes it harder for your mind to wander on its own way. Think of grassy hills, streams, clouds, your cats or dogs.... Pace yourself.
Best of luck.
Extremely_Tired - 02 Dec 2007 03:21 GMT > > On Nov 30, 5:23 pm, "Robert A. Fink, M. D." <lyn...@comcast.net> > > wrote: [quoted text clipped - 49 lines] > > Best of luck. Lol. No I don't snore but he does lol. I am a pretty silent sleeper. He says he normally has to put his fingers under my nose to make sure I'm still breathing. The twitches happen mostly when I am awake. Yeah the twitches seem to happen when I'm most tired and when I am about to go into a seizure. I normally don't move when I am asleep that is what scares him the most when he wakes up (the several times he does). A tornado can pass and I wouldn't even move. My body is normally so tired by the end of the day that I rarely move positions once I am sleep. I am scared of closing my eyes sometimes though because I see flashes when they are closed or two ovals in front of each of my eyes that have circles inside of them. I am going to try the soft music out. That sounds like a good idea. I especially love classical music and that normally relaxes me. As far as my speech goes, that is only affected when I have a seizure and lasts a couple of hours.
M - 02 Dec 2007 03:34 GMT > > On Nov 30, 5:23 pm, "Robert A. Fink, M. D." <lyn...@comcast.net> > > wrote: [quoted text clipped - 49 lines] > > Best of luck. I cannot have access to a doctor or medications, nor would I want medications, but I have had myoclonus my whole life, two or three clonic-tonic seizures, and a few absence seizures. Kind of similar to what you said though. Does anyone else ever have that freezy feeling before or during a seizure, like ice is being shot down your veins and you are electrocuted at the same time? And then afterwards, does it take a minute for the cold numbness to go away? I want to hear your thoughts. In response to the previous comment, music does help and so does thinking of something nice. I created a mental picture of this place that exists in my mind, and pretend that I'm there. You can try this, and convince yourself that you are in a grassy field with a setting sun, and butterflies everywhere while crickets are chirping rhythmically. It sounds cheesy, but it is a great way to get relaxed. Good luck to EVERYONE here...no one said it was easy.
Extremely_Tired - 02 Dec 2007 18:58 GMT > > "Extremely_Tired" <aaya...@hotmail.com> wrote in message > [quoted text clipped - 70 lines] > > - Show quoted text - Thank you. I don't get an icey feeling when I have or before I have a seizure but I do get extremely hot before one and my feet get cold after one and numb after one. You might want to go to a doctor to figure out what that is about. It doesn't sound good at all. Even though you may be against taking medication you must consider the fact that by not taking medication for your seizures they may eventally get worse and may cause your body to become resistant to them later. By the way I tried that relaxation thing and pictured the open field with beautiful birds and deer at my feet. Then it began to look like the lights were flickering in and out. When I opened my eyes apparently I must've came out of a seizure because I was on the floor. I thought maybe I didn't relax enough. I relaxed so much that my husband said I got up and began to walk into the door pretty hard, drop and have 3 back to back big seizures that lasted 1 minute per seizure. He said he picked me up and put me on the bed or whatever. But I don't remember none of that. I remembered the deer.
Robert A. Fink, M. D. - 02 Dec 2007 19:44 GMT >O.K. Thank you. I guess I have to learn to deal with these for now. For an update, I had 8 grand Mal seizures last night. I was told 4 of them were back to back. My poor husband!!! I couldn't imagine what a toll this could be taking on him emotionally. He taped them on his phone with the camera so I could see them. I look kind of weird in them. That's embarrassing.<
The above is potentially life-threatening. Having a series of grand mal seizures without break is called "status epilepticus" and can cause death. Get yourself to that neurologist!
Best,
Bob
Robert A. Fink, M. D. Neurological Surgery 2500 Milvia Street Suite 222 Berkeley, CA 94704-2636 USA 510-849-2555
********************************** NOTE: The material above is not "medical advice". Medical advice can only be given after an in-person contact between doctor and patient. **********************************
Extremely_Tired - 04 Dec 2007 07:45 GMT > On Fri, 30 Nov 2007 16:17:43 -0800 (PST), Extremely_Tired > [quoted text clipped - 27 lines] > doctor and patient. > ********************************** Update:
I was referred to an epilepsy center. My neuroligst said she is not used to dealing with patients who have as many seizures as I. Today I was told I had 4 or 5 seizures in a span of 1 hour or something. They were grand mal seiures. I had temporary memory loss and had problems standing up and walking. The last time I remember from any of this was a sudden feeling as if I was extremely tired, my head started hurting really bad but I tried to deal with it. I felt nausious and a feeling as if my head was floating. I remember small light floating by and the tremors of my head that comes sometimes out of nowhere(they are very subtle) and blackouts that felt like it only lasted a second. I don't remember anything from 7:02pm until 12:30AM. During this time I thought I was asleep but they way I was told I had a very active night. I feel better now except for this headache and this buzzing sound in my ears that has not stopped yet. I can't wait until my appointment so they can figure out what's going on.
Extremely_Tired - 29 Nov 2007 20:46 GMT On Nov 28, 9:10 pm, "Robert A. Fink, M. D." <lyn...@comcast.net> wrote:
> On Wed, 28 Nov 2007 17:14:17 -0800 (PST), Extremely_Tired > [quoted text clipped - 29 lines] > doctor and patient. > ********************************** P.S. I have a 2 year old and a 3 year old. But I have help thank God. I don't want the state taking my little angels from me.
Me - 29 Nov 2007 05:04 GMT > First let me start out by saying how FRUSTRATED I am with this. These > stupid "seizures" I am having got me fired from my job! I can't go out [quoted text clipped - 54 lines] > me to the epilepsy center because I have about 3 big seizures a day > and several absent seizures during the course of the day. Sorry so long My first reaction is that some of the ones you are having are what are known as "complex partial" seizures. You need a neurologist. Settle for nothing else. Have you ever had an extensive "blood work up?" This might, might reveal some chemical imbalance in your system that would help your medical team address your problem more intelligently. Make absolutely certain that every doctor you ever see, including a dentist, knows exactly how much of what drugs you take and when. I carry such a list on my person at all times.
I am certain that stress contributes enormously to the incidences of my seizures. Other than the seizures, are you going through exceptional stress?
<" I call them so called because I can't accept that I am told I am having them. > Accepting does not mean liking them. Not hating them at the outset is darn difficult to do, but you might increase the likelihood their of occurrence by brooding about the problem. Get a Medic Alert card.
Settle for nothing less than a neurologist and if, the problems don't resolve "enough", get a second opinion.
Good luck
Extremely_Tired - 29 Nov 2007 20:34 GMT > > First let me start out by saying how FRUSTRATED I am with this. These > > stupid "seizures" I am having got me fired from my job! I can't go out [quoted text clipped - 80 lines] > > - Show quoted text - My recent seizures happened in groups. they started out with absent seizures, then they turned into jerking of only one part of my body. After this they turned into Grand Mal and start all over again less then a minute after the last seizure. I been like that for 3 days now. Has this ever happened to you?
Extremely_Tired - 29 Nov 2007 20:44 GMT > > First let me start out by saying how FRUSTRATED I am with this. These > > stupid "seizures" I am having got me fired from my job! I can't go out [quoted text clipped - 80 lines] > > - Show quoted text - I had blood work done. But I don't know if they were extensive. I know my red blood cells are always low and my white blood cells are always high. They said something about leukocytosis. That tends to be normal in me. I have always had those results on every blood test. Hopefully the epilepsy center will find the cause. I told my doctor about my family history. My mom has uncontrolled seizures and had surgery that reduced them but did not eliminate them. She still has at least 1 a day (Grand Mal). My uncle died from them. They caused brain damage because he would sit in them for so long and unresponsive to medication. He fell during the last one and died. My little brother is having the same problem as me but it has affected so much in him that he is confined to a wheelchair. My grandmother has them and is confined to a wheelchair. She now resides in a Intermediate Care facility for the developmentally disabled like my uncle. She doesn't talk anymore and no longer even moves by herself. It's like she is dead to the world. Since no one in my family seemed to ever get better it scares me. What if this happens to me? What if I am never able to work again!!!!! I don't want this. What makes it worse is I am the only one who started my seizures as a child. Everyone else started theirs as an adult.
Extremely_Tired - 29 Nov 2007 20:54 GMT > > First let me start out by saying how FRUSTRATED I am with this. These > > stupid "seizures" I am having got me fired from my job! I can't go out [quoted text clipped - 80 lines] > > - Show quoted text - Do your seizures hurt more every time they occur? Mine hurt really bad now and my muscles are always tight. It is almost as if I ran a marathon or lifted 300 pounds. My headaches are worse and my vision is a little distorted. I also am easily startled now. I can't wait until this is all over with.
G. - 30 Nov 2007 03:31 GMT > > "Extremely_Tired" <aaya...@hotmail.com> wrote in message > [quoted text clipped - 88 lines] > a little distorted. I also am easily startled now. I can't wait until > this is all over with Does your Dr. know about this? (Headaches and blurred vision) Usually I thought blurred vision meant a medication dose was too high. But I'm not a Dr. and it could also be a side effect of a szr. type. My Headaches (described on another long post on this thread), were Awful and like someone trying to blow up a balloon Inside my head... Lucky (for me) those stopped after about 2-3 weeks on a raised dose of the type of pill I use (different from your's-- I was able to use Tegretol, plus a 2nd pill to control mine. ) G./
Extremely_Tired - 30 Nov 2007 07:04 GMT > > > "Extremely_Tired" <aaya...@hotmail.com> wrote in message > [quoted text clipped - 99 lines] > > - Show quoted text - The headaches and vision problems started before i began taking medication as an adult. Remember I stopped taking tegretol at the age of 16. from 17 to 27 my headaches began getting worse. And my eye sight began changing as well. I also have problems with dept perception after a seizure that lasts several days and blurriness that lasts a couple of hours.
Extremely_Tired - 30 Nov 2007 07:06 GMT > > > "Extremely_Tired" <aaya...@hotmail.com> wrote in message > [quoted text clipped - 99 lines] > > - Show quoted text - I know what you mean by the balloon feeling!!!! I get the same thing!!! it makes me feel good to know someone knows what I mean by that feeling. Most people look at me like I'm crazy when I explain it like that.
Extremely_Tired - 30 Nov 2007 07:08 GMT > > > > "Extremely_Tired" <aaya...@hotmail.com> wrote in message > [quoted text clipped - 106 lines] > > - Show quoted text - I want to thank everyone here who have been replying to my post. Your responses have helped me quite a bit. I appreciate the time you have taken to read my post. thanks for caring.
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