I had my first Grand Mal about 4 and half years ago. I had an EEG done then and it showed that I had epilepsy. I've had arm jerks upon waking. Well, lately I've been having hand tremors. I got another EEG done and it didn't show any spike in epilepsy problems. A few nights ago I was out with my mom and told her we had to go because I felt funny and was having arm jerks. In the car the jerks just kept coming one right after another. That lasted for hours until we went to the e.r. My neurologist is making me go to the epilepsy place in our state to see what is going on, to see if it is really epilepsy or something else, since there were no spikes in the EEG. He asked my mom if a twitch in my sleep, which I don't. Do you have to twitch in your sleep to have epilepsy? I'm also confused lately. Sorry if this is hard to understand, I 'm just looking for some help