Treatment FAQ

what is the treatment for absence seizures

by Vilma Oberbrunner Published 2 years ago Updated 1 year ago
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Absence seizures are treated with antiseizure medications. Ethosuximide (Zarontin®) is the preferred medication to treat absence seizures. Other medications that your healthcare provider might try include valproate (Depakene®), lamotrigine (Lamictal®) and topiramate (Topamax®).Dec 15, 2021

Medication

What are common seizure medication side effects?

  • Acetazolamide (Diamox):
  • Benzodiazepines (Valium, Ativan, Klonopin, Onfi):
  • Carbamazepine (Tegretol) and related drugs:
  • Ethosuximide (Zarontin) and derivatives:
  • Ezogabine/Retigabine (Potiga):
  • Felbamate (Felbalol):
  • Gabapentin (Neurontin):
  • Lacosamide (Vimpat):
  • Lamotrigine (Lamictal):
  • Levetiracetam (Keppra, Keppra XR):

More items...

Therapy

What can I do to help manage or prevent absence seizures?

  • Take the seizure medicine every day at the same time. This will also help prevent medicine side effects. ...
  • Set a regular sleep schedule. Lack of sleep can trigger an absence seizure. ...
  • Keep a seizure diary. Write down the dates of the seizures. ...
  • Ask what safety precautions to take. ...
  • Talk to others about the seizures. ...

Self-care

These are other possible symptoms of an absence seizure:

  • Being very still
  • Smacking the lips or making a chewing motion with the mouth
  • Fluttering the eyelids
  • Stopping activity (suddenly not talking or moving)
  • Suddenly returning to activity when the seizure ends

Nutrition

  • Temporary confusion
  • A staring spell
  • Violent muscle contractions or uncontrollable jerking movements of the arms and legs
  • Loss of consciousness or awareness
  • Emotional or cognitive symptoms, such as anxiety, fear, anger, or déjà vu

See more

What is the best medicine for absence seizures?

What can I take for absence seizures?

What are the signs of an absence seizure?

What are the most common symptoms of an absence seizure?

See more

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What happens if absence seizures go untreated?

Usually absence seizures last no longer than 15 seconds, but that loss of consciousness can make paying attention in school and learning more difficult especially when they occur multiple times a day. Children who have absence seizures may miss things throughout the day and even risk getting hurt.

What triggers an absence seizure?

Causes. Seizures result from overactivity in the brain. Absence seizures occur most often in people under age 20, usually in children ages 4 to 12. In some cases, the seizures are triggered by flashing lights or when the person breathes faster and more deeply than usual (hyperventilates).

Which medication would be appropriate to treat absence seizures?

Drugs prescribed for absence seizure include:Ethosuximide (Zarontin). This is the drug most doctors start with for absence seizures. ... Valproic acid (Depakene). Girls who continue to need medication into adulthood should discuss potential risks of valproic acid with their doctors. ... Lamotrigine (Lamictal).

Can absence seizures go away?

In about 7 out of 10 children with absence seizures, the seizures may go away by age 18. If this happens, medicines may not be needed as an adult. Children who start having absence seizures before age 9 are much more likely to outgrow them than children whose absence seizures start after age 10.

Will absence seizures show up on EEG?

An EEG is a test most often used to diagnose absence seizures. This test records the brain's electrical activity and spots any abnormalities that could indicate an absence seizure.

Can stress cause absence seizures?

Some people experience symptoms similar to those of an epileptic seizure but without any unusual electrical activity in the brain. When this happens it is known as a non-epileptic seizure (NES). NES is most often caused by mental stress or a physical condition.

Can absence seizures get worse?

Children with absence seizures often outgrow the condition. Absence seizures can continue, however. Some people progress to longer or more intense seizures.

Can absence seizures be cured in adults?

You may need to be seizure free for 18 to 24 months before you can stop your medicine. Seizures might happen again while you stop taking the medicine, or after you stop. Rarely, these seizures no longer respond to medicines.

Can absence seizures lead to grand mal?

Childhood Absence Epilepsy Most children with this type of epilepsy have no other seizures during childhood, but about one-third of them will develop generalized tonic-clonic (grand mal) seizures later, often in adolescence.

Can I drive if I have absence seizures?

In most states, you must be seizure-free for anywhere from 6 months to a year before you'll be allowed to drive. To reach that milestone, honestly discuss your seizures with your doctor and work with them to find the right treatment.

Are absence seizures common?

Absence seizures involve brief, sudden lapses of consciousness. They're more common in children than in adults. Someone having an absence seizure may look like he or she is staring blankly into space for a few seconds. Then, there is a quick return to a normal level of alertness.

Are absence seizures genetic?

Absence seizures usually begin between the ages of 4 and 8 years old. The cause is usually genetic. However, most children with CAE do not have abnormal results on testing for specific epilepsy genes.

What is the medical history of absence seizures?

If a seizure condition such as absence seizures is suspected, the doctor will begin by taking a thorough medical history, including information on any birth trauma, serious head injury, or infections of the brain such as encephalitis or meningitis.

What is the best medication for a seizure in a child?

Until then, if the problem is severe or interfering with the child's social or academic growth, anti-seizure drugs, such as valproic acid , ethosuximide ( Zarontin ), or lamotrigine ( Lamictal) can help control symptoms.

What is the best test for absence seizures?

An EEG is a test most often used to diagnose absence seizures. This test records the brain’s electrical activity and spots any abnormalities that could indicate an absence seizure. These tests also can help to diagnose absence seizures or rule out other conditions: Blood tests. Tests of the kidneys and liver.

How to prevent seizures from happening?

Taking your medicines exactly as your doctor prescribed is one of the best ways to manage absence seizures. But you can also make some changes in your life to help prevent absence seizures from happening. These include: Get plenty of sleep each night. Find ways to manage your stress. Eat a healthy diet.

Why do seizures happen?

Seizures are caused by abnormal brain activity. These mixed messages confuse your brain and cause a seizure. Not everyone who has a seizure has epilepsy. Usually, a diagnosis of epilepsy can be made after two or more seizures.

How long does an absence seizure last?

Doctors often don’t know why this happens. Most absence seizures are less than 15 seconds long. It’s rare for an absence seizure to last longer than 15 seconds. They can happen suddenly without any warning signs.

Why is it important to sleep when you have epilepsy?

Behavioral and emotional issues . It is important to get enough sleep and manage stress when you have epilepsy. Stress and lack of sleep can trigger seizures. If you have trouble sleeping, talk with your healthcare provider about how to make sure you get enough sleep.

How to help a child with epilepsy?

Allow your child to have some age-appropriate independence and participate in sports and other activities at school, when possible. Driving. Each state has different driving laws for people with epilepsy. Licensing may depend on how severe seizures are and how well they are controlled.

What is the IDEA for children with epilepsy?

Children with epilepsy may be entitled to special services under the Individuals with Disabilities Education Act (IDEA). Working closely with the child’s teacher and school nurse will help improve management of epilepsy at school. It’s important for parents of children with epilepsy to balance safety and fun.

What does it mean when someone has an absence seizure?

They're more common in children than in adults. Someone having an absence seizure may look like he or she is staring blankly into space for a few seconds. Then, there is a quick return to a normal level of alertness.

How long does an absence seizure last?

An indication of simple absence seizure is a vacant stare, which may be mistaken for a lapse in attention that lasts about 10 seconds, though it may last as long as 20 seconds, without any confusion, headache or drowsiness afterward. Signs and symptoms of absence seizures include: Sudden stop in motion without falling. Lip smacking.

How common are absence seizures in children?

Absence seizures are more common in children between the ages of 4 and 14. Sex. Absence seizures are more common in girls. Family members who have seizures. Nearly half of children with absence seizures have a close relative who has seizures.

What happens to the electrical signals during an absence seizure?

During an absence seizure, these electrical signals repeat themselves over and over in a three-second pattern. People who have seizures may also have altered levels of the chemical messengers that help the nerve cells communicate with one another (neurotransmitters).

Why do children have seizures?

In general, seizures are caused by abnormal electrical impulses from nerve cells (neurons) in the brain. The brain's nerve cells normally send electrical and chemical signals across the synapses that connect them.

How long does it take for an epileptic seizure to go away?

After any seizure lasting more than five minutes.

Can seizures be controlled with anti-seizure medication?

This type of seizure usually doesn't lead to physical injury. Absence seizures usually can be controlled with anti-seizure medications. Some children who have them also develop other seizures. Many children outgrow absence seizures in their teens.

What is the medication for absence seizures?

They are known as anticonvulsants (also called antiepileptic or antiseizure drugs).

What are the symptoms of an absence seizure?

Symptoms. During an absence seizure, a child is temporarily unaware of what is happening around him or her. For a few brief seconds, the child stops what he or she is doing. He or she stares straight ahead and does not respond to people speaking. During a seizure, a child's eyelids may blink or flicker very quickly.

What is it called when a child has repeated seizures?

Epilepsy is a brain disorder that causes recurrent seizures if it is not treated. A child with repeated absence seizures is said to have childhood absence epilepsy or petit mal epilepsy. Absence epilepsy can begin at any time during childhood.

How many absence seizures can a person have?

He or she stares straight ahead blankly, and does not respond to questions. The seizure is short and hard to notice. A person can have 50 or 100 absence seizures a day, without them being detected. When the absence seizure ends, the person goes back to his or her normal activities.

How long does it take for a seizure to cause a loss of consciousness?

Both forms of generalized seizures cause a temporary loss of consciousness. An absence seizure causes a loss of consciousness for 30 seconds or less. It is barely noticeable, if at all. The person simply stops moving or speaking. He or she stares straight ahead blankly, and does not respond to questions.

What is it called when the whole brain is involved in a seizure?

A seizure can affect a small area of the brain. Or it can affect the entire brain. If the whole brain is involved, it is called a generalized seizure. The two most common forms of generalized seizures are: Generalized seizures (grand mal seizures) Absence seizures (petit mal seizures)

What is absent seizures?

What are Absence Seizures (Petit Mal Seizures)? The brain's nerve cells (neurons) communicate by firing tiny electric signals. During a seizure (convulsion), the firing pattern of these electric signals suddenly changes. It becomes unusually intense and abnormal. A seizure can affect a small area of the brain.

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Diagnosis

Clinical Trials

Lifestyle and Home Remedies

Coping and Support

Medically reviewed by
Dr. Karthikeya T M
Your provider will work with you to develop a care plan that may include one or more of these treatment options.
Medicines help in controlling the absence seizures. Use of anticonvulsant medications can minimize absence seizures.
Medication

Anticonvulsants: To prevent or stop seizure attacks.

Valproic acid . Lamotrigine . Ethosuximide

Therapy

Psychotherapy:As patients or their relatives may start worrying about their future, counseling is essential and helps management.

Self-care

Always talk to your provider before starting anything.

  • Avoid driving
  • Avoid swimming

Nutrition

Foods to eat:

  • Diet high in fat and low in carbohydrates

Foods to avoid:

  • Synthetic food colors
  • Processed sugar
  • Monosodium glutamate
  • Artificial sweeteners

Specialist to consult

Neurologist
Specializes in treating diseases of the nervous system, which includes the brain, the spinal cord, and the nerves.
Neurosurgeon
Specializes in surgery on the nervous system, especially the brain and spinal cord.
Primary care physician
Specializes in the acute and chronic illnesses and provides preventive care and health.
Pediatrician
Specializes in the health of children, including physical, behavioral, and mental health issues

Preparing For Your Appointment

  • Your doctor will ask for a detailed description of the seizures and conduct a physical exam. Tests may include: 1. Electroencephalography (EEG). This painless procedure measures waves of electrical activity in the brain. Brain waves are transmitted to the EEG machine via small electrod…
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