Treatment FAQ

what harm is there from having seizures and no treatment

by Damon Watsica Published 2 years ago Updated 2 years ago
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If you don’t get treatment for seizures, their symptoms can become worse and progressively last longer. Prolonged seizures can lead to coma or death. While death as a direct result of seizures is rare, the risk of premature death in people with epilepsy

Epilepsy

A neurological disorder that causes seizures or unusual sensations and behaviors.

is up to three times higher

A seizure that lasts longer than 5 minutes, or having more than 1 seizure within a 5 minutes period, without returning to a normal level of consciousness between episodes is called status epilepticus. This is a medical emergency that may lead to permanent brain damage or death.

Full Answer

What is the recovery time after a seizure?

 · Seizures can cause car crashes when they strike someone who’s driving. They can cause people to fall and hit their head or suffer a serious injury, too. There are longer term dangers, too. People with epilepsy often have memory problems, or emotional disorders like anxiety or depression, which can be quite disabling.

Can you control seizures without medication?

 · Those with seizures that result in an alteration or loss of consciousness, like during atonic seizures or tonic-clonic seizures, are at the highest risk of injury. Notably, most risks are not fatal. The type of injuries associated with seizures depends on the type of …

What happens if seizures go untreated?

 · If you don’t get treatment for seizures, their symptoms can become worse and progressively last longer. Prolonged seizures can lead to coma or death. While death as a direct result of seizures is...

How to stop a seizure?

However, absence seizures can get in the way of learning and affect concentration at school. This is why prompt treatment is important. Absence seizures are a type of epilepsy, a condition that causes seizures. Seizures are caused by abnormal brain activity. These mixed messages confuse your brain and cause a seizure.

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What happens if a seizure goes untreated?

If seizures can't be stopped or repeated seizures occur one right after another, permanent injury or death can occur. People with epilepsy can also die from problems that occur during or after a seizure, such as inhaling vomit. This problem can be prevented if the person is turned onto one side as soon as possible.

What happens if you keep having seizures?

They can cause people to fall and hit their head or suffer a serious injury, too. There are longer term dangers, too. People with epilepsy often have memory problems, or emotional disorders like anxiety or depression, which can be quite disabling. Epilepsy can be devastating in terms of quality of life.

Can you live without seizure medication?

Twenty years after the diagnosis, 75 out of 100 people will have been seizure free for at least 5 years, although some may still need to take daily medication. People who have surgery and become seizure free may be able to come off seizure medicine.

How long can a seizure last before brain damage?

If convulsive status epilepticus lasts for 30 minutes or longer it can cause permanent brain damage or even death.

Can too many seizures cause brain damage?

Usually, a seizure does not cause any lasting damage to the brain. However, having many seizures, or having seizures that are particularly severe, may cause a person to become more forgetful or find it difficult to concentrate. People with epilepsy have an increased risk of developing depression.

Can seizures be life threatening?

Seizures can be fatal, but dying from a seizure is uncommon . Epilepsy is a group of conditions in which people have seizures. However, a person without epilepsy can also have a seizure. Many seizure deaths come from external factors like drowning, falling, or choking that occur during a seizure.

How long can you go without seizure medication?

Stop or Switch? The limited research we have suggests that kids should be seizure-free for 2 years, and adults for 2 to 5 years, before you consider stopping medication.

What triggers seizure?

Triggers can differ from person to person, but common triggers include tiredness and lack of sleep, stress, alcohol, and not taking medication. For some people, if they know what triggers their seizures, they may be able to avoid these triggers and so lessen the chances of having a seizure.

Can seizures go away on their own?

But most seizures aren't an emergency. They stop on their own with no permanent ill effects. There isn't much you can do to stop a seizure once it starts. But there are simple steps you can take to protect someone from harm during a seizure.

How many seizures is too many in a day?

Some experts define a cluster as having two or three seizures within 24 hours, recovering between each one. Others define it as having several seizures and recovery periods within a few hours.

What do seizures do to the brain?

A seizure is a burst of uncontrolled electrical activity between brain cells (also called neurons or nerve cells) that causes temporary abnormalities in muscle tone or movements (stiffness, twitching or limpness), behaviors, sensations or states of awareness. Seizures are not all alike.

What are the chances of having a second seizure?

Overall, about 35 percent of patients with a first seizure can be expected to have a second within the subsequent three to five years, although the risk varies from less than 20 percent to 100 percent, depending on clinical characteristics.

How many seizures is too many?

A person is diagnosed with epilepsy when they have had two or more seizures. A seizure is a short change in normal brain activity. Seizures are the main sign of epilepsy.

Can seizures cause death?

Yes, a seizure can cause death. But while possible, this is a rare occurrence. Talk to your doctor if you feel that your current anti-seizure therapy isn't working. You can discuss a different combination of medication or explore add-on therapies to help control your attacks.

What causes multiple seizures in a row?

Doctors don't know the exact cause, though clusters are more likely to happen if you have trouble controlling your seizures in general. "Refractory epilepsy" is when you keep having at least one seizure a month for 18 months, even after trying two or more medications. This could raise your risk for clusters.

How many seizures can you have in a day?

Seizures can also vary in frequency, from less than one per year to several per day. One seizure does not signify epilepsy (up to 10% of people worldwide have one seizure during their lifetime). Epilepsy is defined as having two or more unprovoked seizures.

Is a seizure fatal?

Notably, most risks are not fatal. The type of injuries associated with seizures depends on the type of seizure and severity. 18.

When seizures don't stop, should they be treated?

When Seizures Don’t Stop. Prolonged seizures lasting over five minutes should be potentially considered and treated as status epilepticus, a form of prolonged seizures significantly associated with disease (morbidity) and deaths (mortality). 4.

How to tell if you have a seizure?

From case to case, symptoms of seizures vary. Some symptoms include: 3 1 Temporary confusion 2 Uncontrollable jerking movements of the legs and arms 3 Loss of consciousness or awareness 4 Cognitive changes 5 Emotional symptoms, like fear or anxiety

How many people die from sudden epilepsy?

Sudden unexpected death in epilepsy (SUDEP) occurs about 1 in every 1,000 people dealing with epilepsy. It is a significant, leading cause of death for people with this condition, and most commonly occurs in people with poorly controlled epilepsy. 4

Can epilepsy cause injuries?

Having uncontrollable seizure may put you at risk for injuries. People with epilepsy, by definition having two or more unprovoked seizures, are at greater risk for a seizure-related injury. They also tend to have higher incidences of accidents outside of a seizure.

Why do people with epilepsy have fractures?

Fractures are a common injury in people with epilepsy. Fractures can occur due to the inability to activate protective reflexes during seizures, resulting in falls. 19. The muscle contractions of seizures themselves can also pose a great load on the skeleton.

Why is driving dangerous for epilepsy?

Driving is often a common concern for those dealing with epilepsy due to the possibility of unprovoked seizures occurring while the individual is behind the wheel . However, fatal crash rates are 26 times greater in the drivers with other medical issues than among those dealing with epilepsy. 21

Can seizures be controlled?

Many times, though, the cause of a seizure is unknown. Most seizure disorders can be controlled with medication, but management of seizures can still have a significant impact on your daily life. The good news is that you can work with your doctor to balance seizure control and medication side effects.

Can a seizure cause a loss of consciousness?

There is often no loss of consciousness. Tonic-clonic seizures. Tonic-clonic seizures, previously known as grand mal seizures, are the most dramatic type of epileptic seizure and can cause an abrupt loss of consciousness, body stiffening and shaking, and sometimes loss of bladder control or biting your tongue.

Can a seizure occur after a stroke?

Seizures can happen after a stroke, a closed head injury, an infection such as meningitis or another illness. Many times, though, the cause of a seizure is unknown. Most seizure disorders can be controlled with medication, but management of seizures can still have a significant impact on your daily life.

How long does a tonic clonic seizure last?

They may last for several minutes.

What is the most dramatic type of epileptic seizure?

Tonic-clonic seizures. Tonic-clonic seizures, previously known as grand mal seizures, are the most dramatic type of epileptic seizure and can cause an abrupt loss of consciousness, body stiffening and shaking, and sometimes loss of bladder control or biting your tongue. They may last for several minutes.

What are the symptoms of seizure?

Seizure signs and symptoms may include: Temporary confusion. A staring spell. Uncontrollable jerking movements of the arms and legs. Loss of consciousness or awareness. Cognitive or emotional symptoms, such as fear, anxiety or deja vu.

What is a clonic seizure?

Clonic seizures. Clonic seizures are associated with repeated or rhythmic, jerking muscle movements. These seizures usually affect the neck, face and arms on both sides of the body. Myoclonic seizures. Myoclonic seizures usually appear as sudden brief jerks or twitches of your arms and legs.

Does having a seizure hurt?

Generally, the experience of having a seizure does not hurt. That’s because some seizures cause unconsciousness, so you’re unaware of what is happening. However, you might have a headache before or after a seizure.

Do you lose consciousness during a seizure?

But during the actual seizure, you typically lose consciousness. There have been some reports of people staying conscious during generalized onset seizures. For example, in a 1997 case report, two people were aware during seizures. Both reported feeling pain during seizures.

What is a seizure?

Summary. A seizure is an abnormal, temporary change in the brain’s electrical activity. It occurs when something disrupts the connections between nerve cells in the brain. Some seizures are related to medical conditions, such as alcohol withdrawal or high fever. Other seizures are unprovoked and don’t have a specific cause.

What is it called when you have a seizure?

If you have recurrent, unprovoked seizures, it’s called epilepsy. There are also many types of seizures. Some seizures cause involuntary shaking and loss of consciousness, while others may cause blank staring or confusion. Depending on the kind of seizure, you may have certain sensations before, during, and after.

Can you feel pain during a seizure?

Pain during seizures is rare. . Some types of seizures make you lose consciousness. In this case, you won’t feel pain during the seizure. If you do feel pain, it’s usually caused by the side effects of a seizure. This means you’ll feel the pain when the seizure ends and as you regain consciousness.

What does focal aware seizure mean?

a sensation of a “wave” traveling through your head. a sensation that your leg or arm is smaller or bigger than it is. For some people, a focal aware seizure may be an aura, which is warning of a stronger oncoming seizure.

Can you lose consciousness during a generalized onset seizure?

myoclonic seizures. You might feel an aura before a generalized onset seizure. But during the actual seizure, you typically lose consciousness. There have been some reports of people staying conscious during generalized onset seizures. For example, in a 1997 case report, two people were aware during seizures.

Markers of brain injury

A 2017 study looked for markers of brain injury in individuals with a specific type of focal epilepsy. To do this, they analyzed post-surgical tissue samples from 20 people with frequent seizures that were resistant to treatment with antiseizure medications.

Structural changes

A 2018 study investigated structural changes in the brains of people with epilepsy. To accomplish this, pooled data from 24 different research centers around the world was used.

Brain atrophy

A 2017 meta-analysis assessed 42 articles on temporal lobe epilepsy that was resistant to treatment with antiseizure medications. The researchers found that:

Seizures and memory networks

A 2016 study in rats looked at how seizure-like activity impacted memory consolidation. Memory function can be affected in some types of epilepsy, including temporal lobe epilepsy.

Brain aging

A 2020 study used a modeling program to estimate brain age in 104 individuals with temporal lobe epilepsy and 151 healthy individuals. Some notable points from this study are:

What came first?

Injury to the brain can cause epilepsy to develop in some individuals. This can happen due to things like traumatic brain injury, stroke, or inflammation in the brain.

Does type of epilepsy play a role?

There are many different types of seizures, all with different characteristics. According to the National Institute of Neurological Disorders and Stroke, doctors have identified over 30 different types of seizures.

Can you have more than one seizure?

Not everyone who has one seizure will have another one, and because a seizure can be an isolated incident, your doctor may not decide to start treatment until you've had more than one. The optimal goal in seizure treatment is to find the best possible therapy to stop seizures, with the fewest side effects.

Can a seizure cause anxiety?

If you're living with a seizure disorder, you may feel anxious or stressed about what your future holds. Stress can affect your mental health, so it's important to talk with your health care professional about your feelings and seek ways you can find help.

What to do after a seizure?

After a seizure, your doctor will thoroughly review your symptoms and medical history. Your doctor may order several tests to determine the cause of your seizure and evaluate how likely it is that you'll have another one. Tests may include: A neurological exam.

What tests can be done to determine if you have a seizure?

Your doctor may order several tests to determine the cause of your seizure and evaluate how likely it is that you'll have another one. A neurological exam. Your doctor may evaluate your behavior, motor abilities and mental function to determine if you have a problem with your brain and nervous system. Blood tests.

Does keto help with seizure?

Following a diet that's high in fat and very low in carbohydrates, known as a ketogenic diet, can improve seizure control. The ketogenic diet is very strict and can be challenging to follow, as there is a limited range of foods allowed. Variations on a high-fat, low-carbohydrate diet, such as the low glycemic index and modified Atkins diets, though less effective, aren't as restrictive as the ketogenic diet and may provide benefit. These modified diets are still being studied.

Can you change your seizure medication before pregnancy?

In some cases, it may be appropriate to change the dose of seizure medication before or during pregnancy.

Can anti-seizure medication affect birth control?

Some anti-seizure medications can alter the effectiveness of birth control (oral contraceptive) medication. If contraception is a high priority, check with your doctor to evaluate whether your medication interacts with your oral contraceptive, and if other forms of contraception need to be considered.

Can epilepsy cause seizures?

Seizures Not Caused by Epilepsy. An electroencephalogram can often determine whether a seizure is caused by epilepsy. Getty Images. About 8 to 10 percent of people will have a seizure during their lifetime, but that doesn’t mean they have epilepsy . Many of those people never have another seizure.

What percentage of people with epilepsy have nonepileptic seizures?

It is estimated that 5 to 20 percent of people diagnosed with epilepsy may actually have nonepileptic seizures. Among people diagnosed with intractable seizures (seizures that aren’t responding well to treatment) who seek inpatient epilepsy monitoring, 25 to 40 percent are later diagnosed with PNES. PNES is believed to be a type of disorder called ...

Can epilepsy be diagnosed after one seizure?

Additionally, the causes of some seizures are never identified. People are not usually diagnosed with epilepsy after just one seizure, and they are not usually prescribed antiseizure drugs.

What causes a seizure in the brain?

Acute symptomatic seizures can be caused by acute neurological problems like a recent stroke, a recent head injury, a subdural hematoma or subarachnoid hemorrhage (bleeding in the brain), or inflammation of the brain ( encephalitis) caused by an infection.

What causes a person to have a seizure?

Acute symptomatic seizures can also be caused by some metabolic irregularities: Hypoglycemia (low blood sugar), usually in people with diabetes. Hyperglycemia ( high blood sugar ), usually in people with diabetes. Hyponatremia (low blood sodium)

What causes a symptomatic seizure?

Acute symptomatic seizures can also be caused by some metabolic irregularities: Drug intoxication, poisoning, or overdoses of illicit drugs — like cocaine, amphetamines, or PCP — or some prescription medications.

What does a nonepileptic seizure look like?

Nonepileptic Seizures. From the outside, nonepileptic seizures look like epilepsy, but the hallmark electrical brain activity of epilepsy isn’t found on the diagnostic tests. Nonepileptic seizures are also known as nonepileptic attack disorder, psychogenic nonepileptic seizures (PNES), dissociative seizures, conversion seizures, and pseudoseizures.

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