Medical Forum / Diseases and Disorders / Epilepsy / August 2004
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Jennblalock - 10 Aug 2004 21:03 GMT I had a brain injury when I was 5 years old and am now 30. For some reason unknown to everyone, I had my first seizure this past March-2004. I've had two since then. All have occurred in the middle of the night, and my neurologist feels it's possible this is the only time they will occur for me. I'll be able to drive again soon and other than that my life has not been dramatically altered. However, after each episode I have this overwhelming feeling of fear and foreboding, so much so that I can't return to my bedroom, I have to go back to sleep on the sofa or other bed. Does anyone else experience these intense feelings of fear and, if so, have you found any way to overcome them? Luckily for me, my boyfriend has been present after each seizure but he's a pilot and not always home. I go to bed each night afraid I will have one in his absence and have no one to hug and comfort me afterward. Help! Learning to live with epilepsy is so frightening and I'm still surprised to have had such a late on-set from a brain injury. Jenn
gaross - 10 Aug 2004 22:25 GMT > I had a brain injury when I was 5 years old and am now 30. For some reason > unknown to everyone, I had my first seizure this past March-2004. I've had [quoted text clipped - 12 lines] > surprised to have had such a late on-set from a brain injury. > Jenn 1) Didn't your neuro wonder if the night dose was wearing off before morning? Sometimes our bodies change and we might need an adjustment to bring things back in balance, even if it's a slight increase on alternate nights. 2) You didn't mention which pill (or *if) you're using any Anti-Ep. Medictation. Others here might have ideas if they know which one you're taking. 3) Do you know which area of your brain was affected when you were younger? (above). Some parts can produce different symptoms, depending where the seizures are happening. (I've had some Extreme fear sensations once or twice a month, from Right Temporal Lobe seizure focus, but it could also be a sign that I'm just not sleeping through the whole night, like I usually do. ) Some areas of the brain can produce different symptoms, but also have different aids to reduce disruptions from seizures. 4) There's a 'mouth guard' you can get made by your Dentist (or I can tell you about a cheaper version) if there's any risk of tongue or tooth damage during the night. (Your Dr. should have also mentioned that if there was a risk.) Most common symptom if you were grinding your teeth would be mouth pains or headaches when you first wake up. 5) Are there any Other changes you've had over last 3? months that might have affected your tendency to have more seizures? Things I was thinking of might include Vaccinations, Head or Chest colds that might weaken you, other mental or physical stress that you might not have thought could make you more prone? Just wondered. G./
Julie - 10 Aug 2004 23:20 GMT Welcome to the ng Jenn. I don't have seizures at night, but I have tonic clonic seizures. It has been over 9 years since my last seizure. I pay really close attention to how I am feeling and make sure I rest when I start to feel like I could have a seiuzre. I also watch what I eat. MSG is something that was a big factor in triggering my seizures. I also stay away from flashy things. The other night my husband took me to a movie that really had alot of flashy things on the screen, it was also rather violent. During the flashy stuff I put my head down and closed my eyes. We were joking that people were probably thinking I was bowing my head and praying for the "sinful" people watching all the violence ;-)
Regarding your experience with seizures and fear - I recall a feeling of extreme fear, but that is usually because I felt like I had no control. After the seizure I always went to bed and slept.
Gordon mentioned the question of whether or not you had a cold. You need to be careful about over the counter medications because they can lower your seizure threshhold. My doctor told me if I have a cold, just drink lots of liquids and get plenty of rest and don't worry about my nose running. In other words, don't take any of that stuff they give you over the counter, I'll get over my cold in due time.
Take care, Julie
> I had a brain injury when I was 5 years old and am now 30. For some reason > unknown to everyone, I had my first seizure this past March-2004. I've had [quoted text clipped - 12 lines] > surprised to have had such a late on-set from a brain injury. > Jenn Jennblalock - 11 Aug 2004 14:44 GMT I'd love to think I'll make it 9 years with no seizures! I still haven't determined what may be causing mine to occur, as far as breaking through despite the medication. I've tried to really consider everything I've taken in, how much rest I've received etc, and I can't seem to find anything that fits each instance. I'm glad that thus far they've only occurred at night, but then I don't have any precursors to use as anticipation or prevention. I'll keep in mind what you mentioned about over the counter meds. I know that the night before I had my last seizure I took a sleeping pill because I hadn't been sleeping well. Perhaps that and the lack of sleep had a combined effect. I forgot to mention before, I currently take 2000 mg of Keppra each day. I wonder if the medication is not effective or should be increased. Unfortunately, I can't disclose to my doctor about the recent seizure because if I continue to be unable to drive I am likely to find myself unemployed. Thank you for your insight and the useful info. Jennifer
gaross - 11 Aug 2004 16:11 GMT > I'd love to think I'll make it 9 years with no seizures! I still haven't > determined what may be causing mine to occur, as far as breaking through [quoted text clipped - 13 lines] > Thank you for your insight and the useful info. > Jennifer You can speak to your Pharmacist for Free. And that efa website has a medications glossary that might have some ideas. Take any medications as close to the schedule as possible. Unfortunately if any adjustments are needed to that or other medications the Dr. treating you will have to determine that. Avoiding seeing him to avoid being asked to not drive creates a problem. In most jurisdictions, if they find you were driving and knew you had uncontrolled seizures, the Doctor is 'off the hook' if you had an accident during one, but your Car Liability Insurance might be void. Many of us were able to find a Balance, plus or minus, within 12-18 months, and from time to time might need some adjustment to a med. if the control drifts off. I haven't needed any adjustments since about 1996, but others have needed fixes more often. When I was having adjustments, some were e.g. to morning dose when I was having Night Seizures (with my type of pills), and not with the night dose as *I might have expected if I were 'self medicating'. Depending on how strong your seizure are, I am a little uncomfortable with your environment where you're afraid or unable to be confident with your Doctor and Doctor Patient Relationship. I understand your concerns and risks you perceive, I'm just uncomfortable with the 'box' that places you in. Do you have a Local Chapter of an Epilepsy Association? They don't know you from Adam (or Eve! :-< ). Perhaps you could go in and discuss this with a Councillor without having to give them your Name or with some type of understanding that what you want to discuss is intended to be private. (They should be able to tell you that on the Phone if they have councillors for people to chat with, and you could ask them 'Generally' what sorts of things they might be required to release -- **if Anything -- like say Motor Vehicles Department, General Employers, etc. -- The 'employers part' is just there to 'cloud over' the Motor Vehicle part --- *none of the groups I've encountered had any requirement within their Charter to contact Anyone, the same way that e.g. a Medical Doctor might be. )
Some ideas. G.
Satch - 11 Aug 2004 22:19 GMT > I'd love to think I'll make it 9 years with no seizures! I still haven't > determined what may be causing mine to occur, as far as breaking through [quoted text clipped - 13 lines] > Thank you for your insight and the useful info. > Jennifer Ah okay, you are already taking some specific meds to control your seizures. That makes part of my first posting useless.
Regarding "I can't disclose to my doctor about the recent seizure", there is one person in this newsgroup that drove a car and killed some people -cannot remember his name and cannot remember the details of that incident. He must feel horrible -though he could not avoid the incident to occur ofcourse. In your case: you can avoid these kind of incidents by seeing your doctor asap or stop driving unless you are fully controled again -I do understand that this may mean that you will have to get yourself another job.
My company is outsourcing people to India and for sure "some" people will have to go by then. The people that will stay will have to go onsite, meet the customer, providing support onsite which means that if the problem has not been solved at day time, these people will have to continue working at night time which means that in my case I will have to suffer from "lack of sleep" + "stress" which can make the situation worse. Not having a car in that situation will mean I will have to find myself another job and having a car may mean that I will get seizures anyways.
Fully controled epilepsy does not necessarily mean that the problems are gone unfortunate :-(
I wish you all the best but recommend you to see a neurologist.
 Signature Take care.
Marco
Julie - 12 Aug 2004 06:37 GMT > Fully controled epilepsy does not necessarily mean that the problems are > gone unfortunate :-( [quoted text clipped - 5 lines] > > Marco Marco speaks the truth. Even though I haven't had a tonic clonic seizure for over 9 years I have had incidents that made me feel like I was close to a seizure. I do not drive when I don't feel well. My family and friends are well aware of that fact. I have always had a warning before a seizure, but I will not take a chance in driving when I'm sick.
There are a couple experiences from people who have had car accidents listed on our website: http://www.epilepsyidaho.org/experience.htm
When I was having seizures my neurologist told me to keep him informed with each and every seizure activity. He worked with me on a few different drugs and finally went back to one that worked for me and got it to a therapeutic level. If I had been afraid to tell him when I had a seizure, he would not have been able to help me.
Take care, Julie Walton, Volunteer Webmaster Epilepsy Foundation of Idaho http://www.epilepsyidaho.org/
Daz_n_Pat - 21 Aug 2004 17:35 GMT > I'd love to think I'll make it 9 years with no seizures! I still haven't > determined what may be causing mine to occur, as far as breaking through [quoted text clipped - 13 lines] > Thank you for your insight and the useful info. > Jennifer Hi Jennifer,
I experience the intense fear that you mentioned. My seizures occur 4 or 5 times a day at present (they've reduced from 5-10). Sometimes it's intense fear that I feel and other times it's extreme anger. I cope with this by concentrating on the logic of the situation.
I know I have just had a seizure and that the fear or anger is a part of the seizure.
I know I have no reason to be as angry as I am.
I know that the fear is irrational - there is nothing to be afraid of.
I know it will go away.
Regarding driving your car and not telling your doc about your seizures:
I've tried it........I killed a man. Coincidentally, he turned out to be the brother of a friend of mine. Getting hate mail from a woman who has lost her husband and the father of her four young children is not one of the great joys in life. Losing your friend because you killed his brother is not too great either. But living with the knowledge that you have killed someone, when you could have prevented it by using common sense and staying out of the drivers seat when you have epilepsy, hurts like hell. I am a large strong man, six foot three and over 100 kg. Can you imagine several months I spent unable to function properly because of causing this unnecessary death. I would wake in the morning and sit on the edge of the bed crying for 10 to 15 minutes before I could get myself dressed and start my day. That all happened five years ago. I still cry if I see a similar type of car crash on TV.
It's not worth it.
Darryl.
montynaa@hotmail.com - 11 Aug 2004 06:37 GMT I feel fear and/or dread with my seizures more often than not. For days, sometimes weeks.
Satch - 11 Aug 2004 22:07 GMT > I had a brain injury when I was 5 years old and am now 30. For some reason > unknown to everyone, I had my first seizure this past March-2004. I've had > two since then. All have occurred in the middle of the night, and my > neurologist feels it's possible this is the only time they will occur for > me. Did he order a couple of tests like EEG and MRI scans, etc? What were the results of that?
> I'll be able to drive again soon and other than that my life has not > been dramatically altered. That certainly is great news but from your posting it "looks/sounds" like the neurologist did not order some EEG tests, etc. My understanding is that he should do that as soon as possible to get the proper diagnose for your specific situation. With the outcome of these tests, you know what to watch out for as an escape route.
After the diagnose has been made with good news /bad news, you can start acting to take control of your live again like getting the proper information required to change some behavioral patterns including the ability to drive / drinking alcohol / avoiding lack of sleep, etc. I know Gaross has loads of good Internet sites to share and I am sure he will redirect you asap! You may also need to take some medication and yes, that sucks because as with every medication: these have some potential side effects. Hopefully in your case (as happened in my case), you will have full control of your seizures with a real low dose of medications your body can absorb easily.
> However, after each episode I have this > overwhelming feeling of fear and foreboding, so much so that I can't > return to my bedroom, I have to go back to sleep on the sofa or other bed. > Does anyone else experience these intense feelings of fear and, if so, > have you found any way to overcome them? I do not have these kind of feeligns as I had one tonic clonic seizure in February though I have a history of epilepsy in childhood. I now take Depakene 1000 mg per day and I have no side effects / no seizures anymore. I also did not have to change job, change the way I live, etc., etc.
The feelings of fear I had were a direct results of the fear that I was loosing control of my live.
To summarize: 1. getting the proper diagnose; 2. getting the information 3. start making some behavioral changes like avoiding stressfull situations, for persons with photosensitivity: avoid everything that triggers a seizure (get yourself a plasmascreen, avoid going to 3D movies, etc.), avoid drinking alcohol, avoid situation with "lack of sleep", etc., etc.
These intense feelings you are having may be a result of a seizure /aura that occur in a specific part of your brain (simple partial). I would suggest you go back to your neurologist requesting him to order a couple of good tests. It is too early to state that this is a one time occurence and it is also too early to say that you can drive again.
> Luckily for me, my boyfriend has > been present after each seizure but he's a pilot and not always home. I go [quoted text clipped - 3 lines] > surprised to have had such a late on-set from a brain injury. > Jenn You found the right place Jenn -within this group there are loads of persons that share the same experience you are dealing with right now.
For me: the persons in this group supported me very well around February and after that and the way I took control over my live again was to make sure I knew exactly what a seizure disorder was by buying myself a couple of books and reading through all these posts in this newsgroup / posting specific questions in this newsgroup.
 Signature Take care.
Marco
gaross - 11 Aug 2004 22:50 GMT > I had a brain injury when I was 5 years old and am now 30. For some reason > unknown to everyone, I had my first seizure this past March-2004. I've had [quoted text clipped - 12 lines] > surprised to have had such a late on-set from a brain injury. > Jenn This is as good a spot as any to Paste an Olde Post I do from time to time, that lists about 5 Websites and short book report about what they are. You might find Julie's First Aid for Seizures sites of interest or comfort, since they explain (for others) what to do -- one on Land, another in Water, to help others feel more comfortable with us. Also within the Older First Aid site, I think it describes Behaviours specific to some of the more common seizure types, so some of you might recognize what others witness vs. what it describes there of interest.
I found a few people here, over the years, might be told 'you have epilepsy', without a lot of information about what the symptoms might be like for Friends or Family who want to help, or what they should do or Not do during our events. Julie's Idaho First Aid site is as good as you'll need, and in a form you can print for Family or Co-workers.
The EFA site is the main U.S. Foundation site (Ep. Foundation of America) and has a Medications Glossary for those who aren't given much detail on particular medications or possible side effects to watch for. Howdy Dave had his site since just after 'Moses' set his one up.... Although he has a lot of useful information on the Vagus Nerve Stimulator, that he researched at the time, he's also added his own information and detail that he uncovered while he was learning to deal with this stuff. This version (below) doesn't **have Dave's sites listed.
I'll look for them (unless someone else has the Main Entrance address while I look it up). I should know it by now, but Right Temporal Lobe things don't give me that luxury... So for those who are New or haven't seen these, here's some More Sites that will save you having to De-google them on your own --> G./ ********** There are a number of sites around the group that get posted from time to time. Some of the symptoms (at bottom) that you might see, might be displayed on one of the First Aid for Seizures Websites below -- likely to first 'seizure' one. If you look down the first aid chart, I think it shows 3 or 4 main types of seizures down one column, then the types of things that can be done. Under the Symptoms or Sensations columns are the types of 'aura' or sensation that might be specific to a particular seizure type. That is usually used by a Doctor at first to identify possible location where the seizure is Launching From. Then further tests (EEG, MRI, CT) might look at more detailed internals. For *your use, all you likely need is the chart, and the Symptoms with the First Aid for whichever type most closely matches what he has. NOTE - within Julie's Idaho Main website, and on Howdy Dave's there are links to the Ep. Foundation of America that has a Medications Glossary and more detail on specific seizure types that you can search out at your own pace. I also included the one entrance at bottom below. Also some of the minor seizures that don't result in loss of consciousness, might be grouped under either 'absences' (if a person appears to 'zone out' for short periods), or simple partials (that might just include an Aura then a return to normal. *If someone has been having these for a long time, these *might seem like the New Normal for them so they may not be Aware that those are an Aura. OR they might prefer to 'not see them' for what they are. //
Each of the sites can be put on a Bookmark or Favourite so that you can then refer back to see if there are updates without needing to remember the www address each time. hth. G.R. ********** For anyone who hasn't seen these already --> The General Site that Julie operates for Epilepsy Idaho group is at: http://www.epilepsyidaho.org .
The 'First Aid chart' I frequently refer to can be located by entering and wandering about site above, but can be reached direct at http://www.epilepsyidaho.org/seizure.htm . There's a Second topic added, that goes more into First Aid in Water, on Aircraft, etc. It's at http://www.epilepsyidaho.org/seizure2.htm .
Also accessible from top site, but more detail on Learning about Epilepsy can be found at http://www.epilepsyidaho/learn.htm . That one has quite a few more links, information on kids newly diagnosed? (I think) and general questions that others might ask, or those newly diagnosed.
If there's no link there to a Medications Glossary, the Ep. Foundation of America has one (of several) within http://efa.org . G./
Satch - 12 Aug 2004 05:13 GMT > I found a few people here, over the years, might be told 'you have > epilepsy', without a lot of information about what the symptoms might be > like for Friends or Family who want to help, or what they should do or Not > do during our events. Julie's Idaho First Aid site is as good as you'll > need, and in a form you can print for Family or Co-workers. Though my neurologist ordered the right test, gave me the right diagnose regarding my epilepsy I am having (primary generalized) and finally prescribed me the right meds, I cannot remember that she gave me advise regarding what the symptoms might be like for friends or families who want to help or persons who are not familiar with this kind of seizure disorder and start making fun (yes, these people are still out there hunting for us).
Luckily the Internet is here for me / us. Some good books I certainly can recommend to all of you:
1. Epilepsy Patient & Family Guide 2nd Edition / Orrin Devinsky, MD 2. Partial Seizure Disorders Help For Patients and Families / Mitzi Waltz
You may also want to subscribe to http://home.ease.lsoft.com/archives/epilepsy-l.html
Some medical doctors (MD's) which are members of this list are sometimes reading and answering questions which is great :-)
The sites Gaross gave previously in another post are also very helpfull -cheers Gaross.
 Signature Take care.
Marco
gaross - 11 Aug 2004 23:19 GMT Dave has remodelled his site (a lot) since I was last there. But the section on the VNS etc. look like they've been expanded and improved for those who have recently posted looking for more information. I had to tinker a bit with moving about some of the site at the beginning, but that might be just my Mouse tracks or not using the link that I was intended to at the start. One site I used to use to get to the Main Doorway of his site is at --> http://www.howdydave.com/ The one Specific to the Vagus Nerve Stimulator (VNS) can be found from above and down the site or via --> http://www.howdydave.com/vns.html/#index . (I hope that's copied right, and it's likely Copyrighted etc. to Dave for all the work he did on it. )
Note too that there's a fair bit of testing that is used to assess if someone is a candidate for a VNS, whether it would help their type of seizure and other considerations. I think Dave has dedicated a large amount of effort to try convey the sorts of things that might be considered as testing proceeds and when it might or might not be appropriate. Someone should consider contacting the Ep. Foundation of America to see if they hand out Prizes or Cash or something, for some of these sites we're getting. Between his one and Julie's Idaho sites we're getting some pretty useful sites for people newly diagnosed and with both Early and Late onset types of seizures. And both Julie and Dave have spent a Large part of the last ~6 or more years putting these things together. Time Flies when you're having fun... :-> G.
> I had a brain injury when I was 5 years old and am now 30. For some reason > unknown to everyone, I had my first seizure this past March-2004. I've had [quoted text clipped - 12 lines] > surprised to have had such a late on-set from a brain injury. > Jenn
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