Your Good Health: Seizure-like episodes pose question of epilepsy

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Your Good Health: Seizure-like episodes pose question of epilepsy
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It’s important to separate a seizure, which anyone can get if there is enough stress to the brain, from epilepsy

Dear Dr. Roach: My husband experienced seizure-like episodes, without tonic/clonic body movements, in high altitude while travelling and being physically active in Colorado and skiing in France. Both episodes happened at least 12 hours after physical activity. Our general physician back home felt that these were not true seizures, but a reaction to possibly being dehydrated and in high altitude.

I have been researching online, and seizure-like reactions seem to occur due to electrolyte imbalances. It is very hard to get to a neurologist without an excessive wait time. Do you think anti-seizure medications are warranted?, a condition where the person is susceptible to recurring seizures. For it to be considered epilepsy, a person generally needs at least two unprovoked seizures at least 24 hours apart. Only epilepsy is treated with long-term anti-seizure medicines.

Some recreational drugs cause seizures, but withdrawal from drugs and especially alcohol is more common. Metabolic diseases of the kidney and thyroid are also common. Sleep deprivation, brain injury , brain tumors, and brain infections are all common triggers that your husband probably had an evaluation for.

Most people experiencing their first seizure while at a high altitude were eventually found to have epilepsy after further testing, including an electroencephalogram . The high altitude doesn’t cause the seizure; it just increases the risk of a seizure in a person who has an underlying propensity for it. This may also occur with many medicines, especially those used for depression.

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timescolonist /  🏆 15. in CA

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