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UPDATED: Thu, 01/26/2006 - 11:26am

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benji
benji

nocturnal epilepsey only need advice anyone else have this ?

my daughter has seizurs at night when she sleeps and if she falls asleep during the day . this happens every night about one hour after she goes to sleep and throughout the night averaging 12 to 15 per night she has been on almost all medication but nothing seems to work she does not have any in the day. does anyone else have or know anyone else with this type of epilepsey?

By benji at Thu, 01/26/2006 - 11:26am | 3025 views | 38 comments

Recent Comments on this Discussion

My son had this type, he has since outgrown them, thank god. My son's started at age 6 on my birthday. He ahd just returned from the fall festival at school where he had been in a haunted house with a strobe light. He went to sleep and an hour later he cried out with this weird noise that sent a shiver up my spine. I went to his room to find him having a tonic seizure. He had never had any problems before. nothing perfectly healthy child. We took him to several doctors and it took several years for them to finally diagnose the type of seizure.sometimes he would have focal seizures, sometimes he would appear awake, but delusional, sometimes he would have huge seizures that left him in a vegetative state for hours or days.He and i began to fear sleep. Finally they got him on lamictal after trying every other med. and they slowed and eventually stopped. He wa seizure free for a year before they took him off the lamictal.I'm happy to say he is still seizure free going on three years.I once asked him how it felt to have a seizure.His words still give me nightmares and break my heart. He said it feels like you can't breathe and your chest is going to explode. like your whole body is on fire. I look back at those days as a long horrible nightmare. I pity any mother who has to live through this. I almost lost my son more than once to this horrible disease,(sometimes he would stop breathing with the seizures and we would have to do mouth to mouth till the ambulance could arrive) As bad as it sounds there is hope. My son is 12 now he plays football and skateboards.He does well in school and has alot of friends. The seizures are an ancient memory that he talks about like it didn't happen to him. Children can outgrow some kinds.I thank gog for lamictal and sleep studies those were the keys to his diagnosis and control. I still find myself waiting for that horrible cry in the middle of the night that always preceeded his seizures, but so far so good.

deputyj

My son is 5. He started having seizures in October of last year. My older brother (40 years old) has had, and still has, seizures his entire life. It's not the same when you see your four year old child having one. He is on Depakote now. He was on Keppra, but it made him very explosive. He would go into rages over simple things. He has been completely off of it for a week now. He seems to be calming down already, which is what brought me to this site. He just started school 6 weeks ago, and he has had a difficult time adjusting to being away from Mom and Dad, but that is also coming along. He has not had a seizure in 4 months. We have tried several different medications and ended up taking him to a pediatric specialist a few hours away from our home at the Medical University of South Carolina, and he has made a big difference. He keeps telling us that our son will also probably grow out of these seizures. He said he would have to be seizure free for a year before they would consider taking him off of all meds. We are almost half way there! A lot of praying and being thankful. We are well aware that it could be much worse. Thank you for your entry. It has given me hope!!! :-)

gameco...

peace R.C.
Hi
I thought I said something before .
I have had had szs for 14 yrs i,m 44 and have had these and then no0t had them and only while awake and now again at night .
Very strong gmal causing total shutdown no breathing ? for I now know as long as 4/? min .
Recently I had 2 in one night and awoke on the floor with the coffee table crushed a cut on face and head urinated and vomited and I think the second time also vomited and defacated.
Wow that was a lot to say . I feel maybe the huge change in strengths and types for me recently is directly tied to coming off of lamotrigine and the side effects I had from it ?
I am alone now so I am not sure of all of these .
Also if I take a sleeping pill I am foggy from it and do not know.
I only wished I had realized how serious a issue this was 10/12 yrs back and not said I was fine so much because it now takes me 8 days to recover from just the pulled muscles and I have no memory.
So good thing you are asking ?,s now. Rick

wichit...

I have seizures while I am asleep. My epilepsy went into remision when I was 17 and before then I only Had simple partial seizures during the day but now at age 23 my seizures have progress to night time. I wake up confused, my back, arms, legs and head all hurt, and I wet the bed which is kind of embarresing at my age. But I am currently on 200mg of lamictal a day and I usually have good nights for the most part the medication is helping. It is conforting for me to know that I am not alone.

tom2456

I have seizures while I am asleep. My epilepsy went into remision when I was 17 and before then I only Had simple partial seizures during the day but now at age 23 my seizures have progress to night time. I wake up confused, my back, arms, legs and head all hurt, and I wet the bed which is kind of embarresing at my age. But I am currently on 200mg of lamictal a day and I usually have good nights for the most part the medication is helping. It is conforting for me to know that I am not alone.

tom2456

My official diagnosis is Nocturnal Partial Complex Epilepsy and all of the tonic clonic seizures I've had have been while I've been asleep.

At one point in my treatment, because I was constantly complaining of being tired during the day, one of the secondary members of my medical team suggested I have a sleep study done to examine my REM states while I sleep. She thought problems with REM stages might be contributing to my seizures and causing lack of sleep.

I was found to have sleep apnea! I don't have the classic symptoms to suggest apnea, but I have it anyway.

Perhaps a sleep study will find a secondary sleep problem for your daughter.

I have managed to achieve seizure control with Topamax so far.

spider...

I have cluster seizures in my sleep once every 4-5 weks. The doctor gave my wife diazepam to give me to help and stop them.It's a liquid form of valium that tastes awful but I guess it helps.As far as stopping them on the first place I'm getting know where.That valium really gets me stoned for a few days.

jderry

I have had idiopathic seizure activity due to a head injury since 1983 that was not seen on CT scans or induced by any EEG. I take Dilantin (500mg) daily and also have been shown to have a bit of bone loss due to my metabolizing my meds. That being said, I have had several nocturnal seizures in the last 9 months. My Dr does blood draws often and my drug level always seems a bit low.Hence the increase to 500 mg. The episodes involve me either clenching my jaw or grasping items in a locked grip for a period of a few minutes. My needed sleep level has risen a bit and I benefit from a short nap during the late morning. I still drive my car and have no other restrictions otherwise. I wonder why I have the episodes ( about every few weeks) but I cant dwell on them too much.

woodye...

Im 36 and i have nocturnal seizures. The only meds that works is Keppra. Hope this helps.

bx2vt

I'll be 36 in May. I, too, have nocturnal seizures and have been weened off of Dialtin (was causing hand tremors) and onto Keppra. I just had my 1st ever "seizure while on meds" last night. I'd love to talk with you about your experience with Keppra.

pccoder

Am digging out this old thread after doing a search trying to find more people dealing with nocturnal frontal lobe epilepsy. My 8 y.o. daughter is newly diagnosed. She is having brief seizures (between 10 secs and 2 mins.) about every 20 mins. all night long. Are your childrens seizures similar? The epi. gave us Diastat to give if more than 3 mins. or more than 2 in 10 mins. I am reluctant to give it as it seems according to those instructions I would have to do it every night. Her seizures are brief and seem so mild (leg kicking. arm movements, nose wiping and lip smacking all in 30 secs. or less) I have a hard time believing they are even seizures. During her veeg only the longest episode (72 secs.) showed an eeg change, but based on the fact that they are all stereotyped they believe they are all seizures, just difficult to pick up on eeg due to their location. I would really like to talk with someone who has a similar diagnosis. Thanks.

ac420ec

My son is 8 as well, but was diagnosed with seizure disorder when he was 3. He also has night time seizures; roughly one every hour. Is your daughter currently on medication? If you don't mind my asking, what city are you in?

lgottsch

We live outside of Cleveland, so she goes to an epi at the Cleveland Clinic. She is taking trileptal, its been one month but we have seen no improvement. Is your son taking meds which are effective?

ac420ec

my daughter has seizures all through the night they start about 30 min
s after she falls asleep has been on most meication sometimes she is aware but most time she isnt she is 23 and also has learning difficulties

benji
My son, Justin, has recently been diagnosed with epilepsy. He started having night seizures about 8 months ago. Most likely times for him are about a half hour after going to bed and an hour before he gets up (sometimes 10 a night). There is not a lot of information on this type of epilepsy, so my wife and I are looking into this ourselves. We have been informed about Diastat, or rectal Diazepam (Valium), that seems to knock it out of him for a few days (when clustering). We are looking more into sedative route than the conventional seizure medicines. My son has been on Phenobarbital (allergic), Zonegran, Lamictal, Klonopin, Depakote, and Topamax. Keep searching for answers! My prayers are with you! It hurt to see your loved ones go though this. Jake Reed
Jake Reed
my sympathy and thought are with you the only one of those medicatsationsemy daughter has not been on is depakote at presant she takes clonazapan which acts like a sedative but does not control the sz it just does not make her so aware of them. she also takes tegretol retard which does not do anything. but the doctor seems reluctant to take her off of them this has been going on for seventeen years my daughter also has severe learning difficulties. and i wonder if the sz will ever stop
benji
Has your doctor tried Diastat, or rectal Diazepam (Valium)? I know this is an emergency medicine, but for some reason it seams to work for my son (for about 2 days). The doctors try to minimize the use of this because of it's dependency. The only other thing I have been recommended it the Ketogenic diet. Our familty has not gone this route yet, but we have tried the adkins diet to get him in a ketogenic state. In the ketogenic state, he was still having sezures, and he was not enjoying his food. I know what you mean when you say the Dr. do not want to take them off other medications. We had to fight a bit with our Dr. My son had such bad side effects he didn't remember how to put his pants on. and couldn't find our kitchen. The harder it gets, the more I have to love him. Jake Reed
Jake Reed
yes many years ago we tried rectal diazpan without success does your son ever have sz during the day or only at night my daughter had them when she was very young but from the age three she started to have nighttime sz only we dont know why
benji
He actually started as a baby with feberal seizures. He had one when he was a year old with a fever of 101. He had one a year later with a fever again. He did not have one again until he was 5. It started at night time, and as no control was found, would go throughout the day. The only time he now has daytime seizures is when he falls asleep or has a sickness. When he gets sick, it is a very hard. He will have seizures every hour, sometimes more. It becomes dangerous because he will have a seizure and then try to throw up when he is not awake. This is my biggest fear. I would like to see a sleep specialist to see what changes in the brain as my child goes through the sleep cycles. There are so few people with nocturnal seizures that I fear the pharmaceutical industry does not want to tackle it (no money in it). There has to be some better answers somewhere. Jake Reed
Jake Reed
your story is similar to mine does your son have any learning difficulties or is their anyone else in your family with epilepsey my daughter is the only one in our family .iwish you every succes in seeing a sleep specilist. has your son had video telemtry and if so was it explained to you what was happening to the brain during sleep
benji
We spent a good part of the week at the Cleveland Clinic in early January. They did a complete study, including the EEG-video telemetry. After falling asleep, every 10 second, my son has seizure activity. Not all of this activity leads to seizures, but it can. Justin, prior to the epilepsy @ age 5, could read, write, and play piano. Now, he can still read a little, but we will have to teach him to write all over. He even has a hard time tracing words. I believe most of this is due to medication. My wife and I are not going to let the Drs change his medication unless he becomes critical. I'm done with the changes. I don't believe any of the seizure meds work on him very well. They just snow him. With the last increase of medication on Saturday, he now will put his coat on upside-down and not know the difference. I'm hoping the Topamax will level out enough for him to be able to learn again. It is hard to watch him drool and roll around on his head when I know how know how smart he is. I miss his old ways, and I'm angry. I have to continually give this to God, because he knows better than I. My mother has a milder form of epilepsy. She went 25 years without medication (from years 25-50) without a seizure. She started having a few a year again and has been on meds ever since. Jake Reed
Jake Reed
i totaly agree with you about the medication when my daughter was on topamax it seemed to work for a few weeks but then she started to get worse and as the topamax increased so did the sz .but the worse drug of all was keppra and her sz became longer and violent iam now looking into alternative medicine and hypnotherpy just dont know what to try next lost all faith in doctors they dont previde many answers
benji
Our doctor wants us to have a genetic test done (I believe uncovered by insurance). This could help pinpoint the type of epilepsy my son has. At this time, it does not change how to treat it (thus, not covered by insurance). Justin went through a metabolic study a few ago. The results are not back yet, but the doctor encouraged us that there are huge studies being done at this time dealing with the genetics of epilepsy. He believes in a few years, these types of tests will pinpoint which type of medicines will work best on each individual. I’m so sorry your daughter and the rest of your family have to go though this. It is very hard. My heart goes out to you. I will try to inform you on any information that I find is helpful. My fear is that it is not helpful to everyone with the same disorder. The Vagus nerve stimulator is the next option. I am going to find out how many children/adults with night seizures have had this installed. I have heard of good results and not so good results using this, but no information on night seizures. The patient may have to be over age 12… I'm not sure. God Bless! Jake Reed
Jake Reed
Hi benji. In the past I have had nocturnal seizures. I wanted to sleep for much of the day which is hard to do with children as you know very well. So I ended up being sleep deprived a lot of the time. I took topamax, now tegretol which works great for me. I have good control, sleep far better. I realise from your post you have lost faith, and are trying to find it again, you want to help your child. I know how it goes, that right now you have enough to handle from the sounds of your post. I found that by reading up on what can trigger your seizures really helps when discussing it. Also, keeping a diary of them if you can't find anyone who is willing to video your seizures for you helps when seeing your doctor or neuro. http://www.epilepsy.com/articles/ar_1109600956.html http://www.epilepsy.com/epilepsy/epilepsy_frontallobe.html This links are from this site, and give good information. Try researching on Google also as nocturnal frontal lobe epilepsy can run in families. Hang in there, stay positive and upbeat. Cat.
happycat2
Hi, I have seizures upon awakening. My husband says I sometimes have nocturnal ones. I've been on Primidone (Mysoline) for 44 years. Recently I have been spraying my pillow with Jasmine. No seizures, I have slept soundly with no problems. Hope this helps. CG
CG
Hi benji, welcome to our little oasis. All of my sz are nocturnal t/c's. Ironically enough, getting enough rest and keeping stress levels low are almost as important as taking my lamictal to stay under control. Is you daughter seeing a general MD, or a neurologist? Maybe a specialist or another doc can better manage your daughter's E. Again, welcome- let us know how things develop. -cc
coolca...
thanks for reply i agree with you about stress but the earlier she goes to bed the more seizures she has. she has been seeing a neurologist and been told its frontal lobe epilepsey but we do not know why she has them only when asleep thanks for your interest.
benji
Hi again- my nocturnal sz also begin at the frontal lobe. I think all nocturnals do. From the main Epilepsy.com page, look under 'Understanding seizures 101'. There's some more good stuff there on t/c sz that may give you some inight. If you'll excuse me for butting in, I'm wondering about her neuro's willingness to dig in and find a new approach to controlling her sz. Wishing the best for you both- cc
coolca...
Thanks u both for your speedy replys :) my daughter has been on tegretol for 15 years now she also had lamictal,topriate and keppra.and at presant is on tegretol and clonazepam but no change so far.have you ever been told why you only have night seizures? and do you get night sweats? good to know we are not alone with this problem and im glad i found this forum thanks
benji
I do have epilepsy, but mine is of the type where I have partils followed by a Gand mal, usually. However I stay with a man 3 nights a week that only has seizures at night and yes the first one is usually about an hour after he goes to sleep. HE has usually about 3 a night sometimes more sometimes less. He is on Lamictal, Depakote and a couple others. A few years ago he was much worse and they implanted the device in his chest. Since then he has been , well as I described above. I also used to work for a person who only had seizures when he was asleep. Both of these people hace tonic colinic seizures. One did have a tumor the other they can't find out what causes them. He just has them Not much advice, but wanted to let you know your not alone.
elbertdee
many thanks for sharing your experiences with me because my sesdaughter has so many she has to sleep alone at night i have not heard of anyone having so many as her it really disrups our lives we have to put padding against the wall because her arm knocks on it and a mattress beside the bed because she falls out i have many sleepless nights because i can hear her sometimes i have to put earplugs in
benji
My daughter has tonic/clonic seizures that manifest mostly at night. Her seizures began at age 9, and she is currently 23 years old. During her pre-teen and teenage years, her seizures would happen at almost anytime during the day or night. She is currently 7 months pregnant, and although not completely controlled, her seizures have been fewer and longer times in between the seizures. We keep a baby monitor in her room, so that we can hear if she has a seizure. It has helped both her piece of mind and ours. I wish I had some magical words to make you feel better. All I can offer is a listening ear and a sympathetic shoulder when you need one. Know that you are not alone. ((( hugs ))), Barbie *************************************** "We are each of us angels with only one wing, and we can fly only by embracing each other." -lucian de crescenzo
txrhb1
I have nocternal epilepsy. I have been able to control it first with Tegretol and now with Lamictal. (They just changed my meds.) I had a hard time controlling it at first. Even now, I have to be VERY careful and take my meds perfectly or I will have one. Like her, mine start about an hour after I go to sleep. The doc says that it has something to do with the sleep cycle that I am in at the time. Most of mine occur in the sleep/wake cycle but I have had them during REM. It is harder for me to wake up if it happens during the latter one. Does she wake up when she has them? I do but I know that many don't. Can you discribe her seizure? Does she go into full body convulsions? Is it focalized in one part of her body? Mine are sometimes focalized.
angelran

My daughter has seizures only after she falls asleep. This started when she was 4 years old. She still used to nap during the day then but didn't usually have a seizure. They only happened after night time sleep. She's 8 now and if she takes a nap during the day she will sometimes have a seizure but this is because she's really tired (sleep deprivation) from the weekend or if we were at an outing all day or something like that. Her seizures start within 15-20 minutes of her falling asleep and she only has one. Then she is fine for the rest of the night. They started out as tonic clonic and she took tegretol and was almost seizure free for a year and then I think she had a growth spurt and started having them again because she outgrew her dosage. Since then she has the focal seizures where she twitches in her eyes and mouth area. She stiffens up sometimes and other times she has full movement in her body. I've actually seen her come out of the seizure briefly (few seconds), say something to me, and then start seizing again. It's really bizarre. Now she's been on topomax and that worked for awhile and when she reached the highest dose she could be on that, we are now weaning her off that and she's on trileptal. This transition has been trying because she recently started school and we had family in town for Labor Day. So her seizures have increased but I think it's all triggered from sleep deprivation and stress. She goes months without a seizure and then something will happen like family in town, school ending and she stays up a little later, or she has a friend stay over and they stay up too late and get up early and she ends up having a seizure or a few over a few days. I treat her like a normal child but I am very diligent about monitoring her sleep. She needs 10 hours and if for some reason she doesn't get it I let her sleep in and I take her to school rather than get her up for the bus. I don't let her stay over at friend's houses and it's rare that friends stay over here. I keep her in activities and she's a very smart child. Cognitively it has not effected her. They say she'll outgrow it in her teen years. Her 2nd grade teacher had childhood epilepsy that started at 4 and she outgrew it when she was 7 and the lady that owns the modeling agency we used to be involved with has a daughter who had epilepsy that started when she was 5 and she outgrew it when she was 17. I'm hopeful that it's something she'll outgrow in her teen years. In the meantime I'm comfortable with the meds right now controlling it to a point. My parents are flipping out and want other answers. My mom wants to take her to Cleveland Clinic but according to my current neurologist the only other option is no meds at all and I'm not comfortable with that.

Trisscity

I am in my late 50's and have had noctural-only temporal lobe seizures since I was 8 years old.   I have, in earlier years, gone for months without having them, however for the last 15-20 years have averaged between 0-3 a night.  I now have approximately two per night, 5 nights per week. 

 I took dilanten for many years, but have been taking tegretol for about the last 15 years or so. 

 I never know that I have had a seizure and have no indication that one is to occur.  I have been on a number of drug studies trying experimental medication and have during the tapering off/titrating up of old and new medications had very rare daytime temporal lobe seizures.

I often sit up in bed, swing my arms left and right and shout very loudly (it used to be cheers as if I was at a sporting event but for the last few years it has turned into swearing, or so I am told).

 I often never injure myself.  

My doctor has very, very few patients that fit my profile of seizure type. He believes that my seizures are triggered by REM sleep, which I tend to agree with.

My seizure activity has never hampered my active, vigourous sporting lifestyle (I ski, skate, scuba dive, play tennis, sail, swim, exercise, etc.)

I have never found a medication that fully controls my seizures, tegretol has come closest.

PLEASE LET ME  KNOW IF YOU HAVE HAD SIMILAR EXPERIENCES AS MINE AND IF YOU HAVE FOUND MEDICATIONS THAT ARE PARTICULARLY EFFECTIVE WITH THIS TYPE OF SEIZURE.

I would be happy to enterain any questions that you might have as well.

best regards,

DBL 

DBL

Hello 

Iam 21yrs old and was first diagnosed  with epilepsy when i was  19. At first my seizures were just random but  for the last year they have been nocturnal mine  are  not very often only had  10 in the last 12 months where yours are  due to REM sleep mine are from sleep deprivation  and i also do not know that i have had a fit i just wake up  and get the fright of my life as my mum is  lying in my bed next to me other then some times  i  do get this funny feeling  that i sometimes can have a fit after or nothing happens. Iam also taking tegretol and has been the best one i have  used.  well just thourght i would write and say as iam  new to this  and i have never met any one really kinda the same  and i just have  one question  do you  have trouble with your memory  of like the day before and stuff  after the seizures at night as  i find that when i have one  i have  trouble  remembering the day  things like converstions  etc

laus

Yes, I have lousy short term memory.... my neorologist says this is because every night my synapses or brain waves or whatever get scrambled during the seizures and it effects mostly your short term memory.

 I have seizures every night and have have had them that frequently for a long time so it has become second nature to me.

 It is not so severe that it is incapatitang, I have had a sucessful professional career, it is just anoying.  Most people who I interact act with, other than perhaps my kids and wife, don't seem to notice it.

I seem to function well enough at work and in social circles.  It just isn't as sharp as it would be if I wasn't having seizures regularly .... all of which are nocturnal.

regards,

DBL

DBL