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Medical Forum / Diseases and Disorders / Epilepsy / September 2004

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First Seizure in middle age male

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cabbagecaff - 05 Sep 2004 13:38 GMT
Hi everyone
My husband, aged 41, has just had his first seizure, and is awaiting
further tests -an EEG and MRI. CT Scan showed nothing, bloods showed no
infection. He needs to drive for his job, and we are both absolutely
poleaxed by this event.
He had been in very close contact with two very friendly parrots 7 days
before, who licked the inside of his ears for about 20 minutes. Does
anyone think that this could have introduced bacteria which could have
caused this seizure? Would that have shown up in the blood tests? I am
going mad watching him, waiting for the next episode. I love him so much,
and want to help him regain confidence.
Thanks

Cathy
Montyna - 05 Sep 2004 19:10 GMT
I'm sorry. The fear doesn't exactly pass, but you learn to live with it
pretty quickly. The driving will always be a big pain, and (this is sexist)
I think it's probably worse for a man, ecspecially one whose livelihood
depends on it. If his seizures are controlled for a length of time, chances
are he will be able to drive again.

As for the parrots, no I don't think that would bring on seizures, but like
yuck. :)
Mary Fisher - 05 Sep 2004 21:42 GMT
> I'm sorry. The fear doesn't exactly pass, but you learn to live with it
> pretty quickly.

That's true.

> The driving will always be a big pain, and (this is sexist)

No it isn't. It's just as hard for men not to drive as it is for women.

> I think it's probably worse for a man, ecspecially one whose livelihood
> depends on it.

What on Earth makes you say that?

> If his seizures are controlled for a length of time, chances
> are he will be able to drive again.

Or she ...

Mary
TIMMCO - 05 Sep 2004 21:12 GMT
Hi Cathy - my first seizure came at that same age and all the tests were
normal.  It happened to be three months following the death of my younger
brother - who was my closest family member.  I understand that if one is able
to control the seizures, through medication, for a certain amount of time, that
driving priviledges can be restored.

Most people have a very negative view of seizures.  Despite all of the down
sides, I recommend that during the 24 - 48 hour period following seizures, one
keeps an open and receptive mind, and allows awareness of any new thoughts or
visions which may arise.

Best wishes for your future.  Tim
Mary Fisher - 05 Sep 2004 21:43 GMT
> Hi Cathy - my first seizure came at that same age and all the tests were
> normal.  It happened to be three months following the death of my younger
[quoted text clipped - 6 lines]
> keeps an open and receptive mind, and allows awareness of any new thoughts or
> visions which may arise.

That's very wise advice.

Don't panic.

Mary

> Best wishes for your future.  Tim
cabbagecaff - 05 Sep 2004 23:59 GMT
Thankyou all for your comments. At this stage of complete shock and
ignorance it is brilliant to speak to people who actually have experiece
on their side. Perhaps he will not be diagnosed as epileptic, but if he
is, hopefully he will be controlled with drugs and will keep his job. It
is all a tremendous trial for us both. I am not used to him being
dependant, and he is not used to me being kind to him!
I will keep you all posted!
Cathy
Mary Fisher - 06 Sep 2004 17:30 GMT
> Thankyou all for your comments. At this stage of complete shock and
> ignorance it is brilliant to speak to people who actually have experiece
[quoted text clipped - 3 lines]
> dependant, and he is not used to me being kind to him!
> I will keep you all posted!

Please do. If he is diagnosed with a form of epilepsy his and your
experiences will be worth sharing with others.

Mary
> Cathy
cabbagecaff - 06 Sep 2004 17:53 GMT
Does anyone know if there is an absoltely definitve test for epilepsy, or
is it mostly "wait and see" and guesswork?
Thanks again
Cathy
Mary Fisher - 06 Sep 2004 21:24 GMT
> Does anyone know if there is an absoltely definitve test for epilepsy,

I don't believe that there is.

But what do I know ...

Mary
gaross - 06 Sep 2004 22:28 GMT
> Does anyone know if there is an absoltely definitve test for epilepsy, or
> is it mostly "wait and see" and guesswork?
> Thanks again
> Cathy

 Several of the main seizure types produce a recognizable waveform on an
EEG  (Electroencephalogram), or specific Damage from an infection or
accident might show up on an MRI (Magnetic Resonance Image)  -- like a 3D
X-ray of the inside of the head.
  Some types of seizures may not show up as easily on the EEG, although
many do.

  Many of the main seizure types also have some recognizable behaviours or
symptoms that might suggest where the seizure is originating.   (If you have
an older post from Julie on your reader,  the Idaho Epilepsy Support site is
listed at the end, (I forgot to bring it 'in here' with me) -- if you click
to that site and look at the First Aid for Seizures, that page describes
'how we act'  from an observer's point of view to several of the Main
seizure types.   /G. (I'll post the address later, if some older posts of
Julie's aren't still up on my server.)
Mary Fisher - 06 Sep 2004 22:33 GMT
> > Does anyone know if there is an absoltely definitve test for epilepsy, or
> > is it mostly "wait and see" and guesswork?
[quoted text clipped - 6 lines]
> X-ray of the inside of the head.
>    Some types of seizures may not show up as easily on the EEG,

Quite. That means that it's not definitive.

Mary
gaross - 06 Sep 2004 22:42 GMT
You help her.
****************8

> > > Does anyone know if there is an absoltely definitve test for epilepsy,
> or
[quoted text clipped - 11 lines]
>
> Mary
Bob - 06 Sep 2004 22:46 GMT
>    Many of the main seizure types also have some recognizable behaviours or
> symptoms that might suggest where the seizure is originating.   (If you have
[quoted text clipped - 3 lines]
> 'how we act'  from an observer's point of view to several of the Main
> seizure types.

Here it is!
http://www.epilepsyidaho.org/seizure.htm

Bob
signus - 09 Sep 2004 19:05 GMT
I did not finish reading all the the postings, however, I would like to
share my husband exp. w/szr.  He has had 4 szr. in his entire life: 1 -
when we where first married, 2- our first child born, 3-sold business
stiffed $$, and 4 - building house and starting a new business.  Notice
that they are all STRESS related.  My husband only took szr. at night
after he went to sleep; all times I called rescue because I was scared.
The other thing I notice is he cannot sit still and he breath has a tin or
iron smell before he has a szr.  Please continue chat about it..it is very
hard to go through.  Best wishes
cabbagecaff - 07 Sep 2004 00:06 GMT
Thanks everyone. Now another question! Do epeleptic fits always cause the
sufferer to be very sleepy after? My husband was NOT sleepy when he came
round. He also didnt become incontinent - although I know this isnt always
the case.
TIMMCO - 07 Sep 2004 02:13 GMT
Sleepiness is not a definite outcome, nor is pant's peeing.  I've had some of
each.
Post seizure dreams can be extraordinary and I again stress the value of
keeping an open awareness following seizures for
new perspectives.   Tim
turbinado - 07 Sep 2004 02:56 GMT
I always need to sleep for at least 2 hours after a seizure, but I have
never been incontinent (thank God!). But every person is different.

> Thanks everyone. Now another question! Do epeleptic fits always cause the
> sufferer to be very sleepy after? My husband was NOT sleepy when he came
> round. He also didnt become incontinent - although I know this isnt always
> the case.
Julie - 07 Sep 2004 04:31 GMT
Welcome to our group.  I'm sure it is a frightening situation to try to cope
with, but you are taking the first steps by asking questions.  Let me ask you
some questions.

If you saw your husband's seizure.  What did he do before the seizure, during
the seizure, and after the seizure.

We have a wide range of experience here, people who have epilepsy and people
who have loved ones with seizure disorders.  People from many countries.

Tonic clonic seizure are convulsions.  They used to call these seizures grand
mal seizures.  Usually after a tonic clonic seizure a person is very exhausted
and we ache all over because our body is tensing up and convulsing.  We are
unconscious during the seizure, but when we regain consciousness we feel
drained of our energy and that is when I need to rest.  I go to bed and
sleep.  It usually takes several days to recuperate.

Take care,
Julie Walton, Volunteer Webmaster
Epilepsy Foundation of Idaho
http://www.epilepsyidaho.org

> Thanks everyone. Now another question! Do epeleptic fits always cause the
> sufferer to be very sleepy after? My husband was NOT sleepy when he came
> round. He also didnt become incontinent - although I know this isnt always
> the case.
Mary Fisher - 07 Sep 2004 09:37 GMT
> We have a wide range of experience here,

That's my point, in reply to the original question. There IS no absolute, no
definite, no regularity. We're all different in our experiences of and our
reactions to our various types of seizures, that's why it's dangerous to
tell people what to expect. If someone doesn't have the same experiences as
us they might think that they are not experienced an epileptic seizure so
not seek help.

> Tonic clonic seizure are convulsions.  They used to call these seizures grand
> mal seizures.

Still are in some places.

>  Usually after a tonic clonic seizure a person is very exhausted
> and we ache all over because our body is tensing up and convulsing.

Not in my case.

>  We are
> unconscious during the seizure, but when we regain consciousness we feel
> drained of our energy and that is when I need to rest.

I wasn't drained of energy. I slept afterwards for my normal span and was
perfecly normal thereafter. If my seizure hadn't been witnessed I wouldn't
have known about it.

>  I go to bed and
> sleep.  It usually takes several days to recuperate.
[quoted text clipped - 3 lines]
> > round. He also didnt become incontinent - although I know this isnt always
> > the case.

Everyone is different. It might take time for your husband to be treated in
the best way for him. Don't be impatient, follow the advice of the medics
and if one treatment doesn't work be prepared to try another. It might be
that there is no 100% side-effect-free and 100% control treatment, as with
all things in life we have to accept compromises.

It's nothing to do with epilepsy, it's about my cancer. I keep reminding
myself that while I hurt I live. Make the most of it.

Hugs,

Mary
Dave ???? - 08 Sep 2004 00:32 GMT
Howdy!

Here's my 2 p.

> > We have a wide range of experience here,
>
[quoted text clipped - 12 lines]
>
> >  Usually after a tonic clonic seizure a person is very exhausted

> > and we ache all over because our body is tensing up and convulsing.
>
> Not in my case.
>
> >  We are
> > unconscious during the seizure,

NOT NECESSARILY..
(ON 2 COUNTS!!)

1: When I have simple partial seizures I am conscious by all defenitions of
the word. I am aware of my surroundings, I can think, I can communicate. I
just FEEL it.

2: How are we defining "unconscious" here?
When I have a complex partial seizure I appear to be aware of my
surroundings and can respond to questions (some of the responses may not be
100% coherant, but I can still respond to questions.)
HOWEVER
If by "conscious" you mean aware of my surroundings, then I am - according
to that definition - unconcious. It's closer to amnesia than non-responsive.
(A chunk of time will just dissapear from my life without my being aware of
it.)

> > but when we regain consciousness

(see above)

> >we feel
> > drained of our energy and that is when I need to rest.
>
> I wasn't drained of energy. I slept afterwards for my normal span and was
> perfecly normal thereafter. If my seizure hadn't been witnessed I wouldn't
> have known about it.

In MY case I don't sleep afterwords and I usually don't get any sleep at all
that night. (My sleep schedule gets thrown out of wack for a few days.)

> >  I go to bed and
> > sleep.  It usually takes several days to recuperate.
[quoted text clipped - 18 lines]
>
> Mary

Signature

Dave ????

http://www.howdydave.com

Mary Fisher - 08 Sep 2004 15:38 GMT
> > I wasn't drained of energy. I slept afterwards for my normal span and was
> > perfecly normal thereafter. If my seizure hadn't been witnessed I wouldn't
> > have known about it.
>
> In MY case I don't sleep afterwords and I usually don't get any sleep at all
> that night. (My sleep schedule gets thrown out of wack for a few days.)

No, but mine was in my sleep. I was asleep before, possibly during and
certainly afterwards. I wok up as normal, Spouse asked if I were OK, I said
yes, why? And he told me. I felt no different from any other morning.

Mary
cabbagecaff - 07 Sep 2004 11:17 GMT
It was first thing in the morning, Ian was brushing his teeth. He had
absolutely no warning and just crashed backwards into the bath -the noise
of which alerted me - and lay face up, legs relaxed stretched out draped
over the end of the bath, arms and shoulders jerking, foaming at the
mouth, and he had bitten his tongue. He was breathing very heavy - like
his usual loud snore!. This stage went on for a few minutes, then he lay
still, snoring loudly, then he started to come to and was very confused,
didnt know where he was, arms flailing, trying to argue with the medics
which were trying to get him into the ambulance. He realised where he was
about 5 minutes later, then next time he remembers was about 15 minutes
later in hospital.
We are in England, now awaiting an MRI scan and EEG. He has had blood
tests, CT scan and liver/kidney function, blood pressure, heart tests and
everything is fine.
Thanks again everyone. Some of the things you say are a comfort - most are
very frightening, but I need to find out as much as I can in order to
accept this and move forward.
Cathy
Mary Fisher - 07 Sep 2004 11:27 GMT
> Thanks again everyone. Some of the things you say are a comfort - most are
> very frightening, but I need to find out as much as I can in order to
> accept this and move forward.

Please don't be frightened, we're all proof that seizures don't mean the end
of the world.

Look after him ...

Hugs,

Mary
> Cathy
Julie - 09 Sep 2004 03:50 GMT
People react to epilepsy and seizure disorders as if it were the end of the
world.  You will find, as Mary said, there are many people coping with epilepsy
and leading very fulfilling lives.  The more you know, the better prepared you
will be for the next seizure.  Your husband may come to recognize the signs (for
him) that indicate a seizure is near.  In that case he needs to lay down right
away.  If he is laying down and isn't getting hurt he won't need to go to the
emergency room.  Be careful not to hold him down.  That is when an arm can get
dislocated.

Take care,
Julie

> > Thanks again everyone. Some of the things you say are a comfort - most are
> > very frightening, but I need to find out as much as I can in order to
[quoted text clipped - 9 lines]
> Mary
> > Cathy
 
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