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Night seizures one hour after falling asleep.

Wed, 09/22/2010 - 23:49
There's plenty of stories on here about people having night seizures. I have about 2 seizures per day, simple partial and always conscience. Half of my seizures occur at night almost exactly one hour after falling asleep. I usually wake up with a strong seizure feeling coming on and then about 3 secs later the fun begins with intense right side shaking, lasts for about 2 mins. Starts in my right hand goes down my whole right side and finishes with my right hand. Seems that night seizures are pretty common on this site but what happens to the body around the one hour mark from falling asleep? That seems to be a trigger for me. Read all about it at: http://www.thegrilledpepper.com/2010/03/seizure-activity/ Thanks!

Comments

Re: Night seizures one hour after falling asleep.

Submitted by Masterjen on Thu, 2010-09-23 - 01:17
Either I read through your story too quickly, or you never did say: what were the video EEG results?? Anyway, yes, I have had night-time seizures. Usually they occur just as I am nice and relaxed and about to fall asleep. Before I was on medication i would also get them just before or just after I've woken up. Medication has helped with the AM ones, but I'm still waiting for the daytime and PM ones to come under control I've been awakened at night with them a few times as well. I, too, would like to know what happens to the body to trigger seizures at the various stages of sleep. Is there something hormonal that goes on? Something in the neurotransmitters within the brain??

Re: Night seizures one hour after falling asleep.

Submitted by GrilledPepper on Thu, 2010-09-23 - 10:21
Unfortunately after 4 days and 8 seizures in the hospital the only thing the Dr said was, "You have very interesting seizures". There was no extra brain activity on the EEG so the video part was all he could look at. About 2 weeks later (July 16, '10) I went in for a Somatosensory Evoked Potential (SEP) test. My impression was that it was a seldom used test but was kind of the next step in trying to locate a trigger. Since then the Dr.'s office has never called me back with anything further to try. After several unanswered/unreturned messages I finally was able to get a hold of my nurse and I basically told her that I wanted to start decreasing my meds since they don't seem to be working. She conferred with the Dr then gave me a safe decrease schedule with a warning that they didn't feel that it was a good idea. I was on 5000mg of keppra a day and now I'm on 3500mg. The only difference is that my seizure activity has been decreasing. She then said in a cheery voice that all my test results came back as "normal". When I mentioned that I'm still having 2-3 seizures a day all she said was that the Dr was still analyzing the results. That was a month ago and I still haven't heard anything from them... I could go on and on about this but suffice it to say that I no longer have faith in what the "normal" way of treating this and the doctors are the first ones to admit that they are just guessing with their medication levels. I've seen several doctors and have asked about the effects of diet, nutrition, and exercise on seizures. When my Neurologist came out and said "look, all I know how to do is prescribe medication" I knew that this was the wrong path for me.

Re: Night seizures one hour after falling asleep.

Submitted by Masterjen on Thu, 2010-09-23 - 11:20
I started a thread a short while ago called "considering dumping my AEDs", so I, too, have wrestled with this. I started having seizures out of the blue 4 months ago, and I am still in the process of being diagnosed (routine EEG and MRI were normal). My seizures were called "partials" but my present neuro. is confused because some seem more like generalized ones, however I do not lose consciousness. My own research (many, many hours) suggests the possibility of jacksonian seizures, in which a seizure starts as a partial but can secondarily generalize - when this happens, consciousness can be maintained. I also believe the origin is in the frontal lobe, possibly from one of the deep structures in this part of the brain, since some of the so-called confusing aspects of my seizures - and the normal routine EEG - entirely fall within the category of frontal lobe seizures. I am being referred by my first neuro to another neuro for a second opinion. Both are "just" general neurologists, as the wait to see a seizure specialist here in B.C. Canada is over a year. I am on no where near the amount of medication you are/were on. How did you even get up in the AM with all that in your system?! I was started on a high (but typical) dose of a common med while in the hospital and I ended up with drug toxicity, so the neuro. has had to take things a little more slowly and cautiously with me (ie. a very "safe" med. and slowly increasing the dose to target levels). This tapering-on process is where I am at now, so seizures are not yet under control, but I am hopeful as I'm already starting to see improvement. Having said that, I still have questioned the rationale of taking anything, because I do not yet have a firm diagnosis. After reading your story and the amount of meds. you've been on with seizures still not under control, I think you have even more of a right to be questioning taking the meds than I do! I'm not a doctor, so take this next part as just an opinion. But, you might want to look up dyskinesia. It is a rare type of movement disorder that is often mistaken for epilepsy. Many Drs. do not consider it as a diagnosis right away, because it is not as well-known as epilepsy. What I've read about it suggests to me it might be worth researching, and then if you feel it could "fit" you, ask what your neuro. thinks.

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