Seizures during sleep

[Charlote__0]

  : : My husband began having seizures in his sleep about three years ago.  In that
  : : time he has had approximately 10 of them.  After the first one he had an MRI
  : : and an EEG, but they both came back negative.  The dotor ruled it sleep
  : : deprivation.  It was nine months between the first and second one. The others
  : : did not occur after a lack of sleep.  I can usually tell when he is going to
  : : have one because for the two or three nights before he will twitch in his
  : : sleep.  I am very concerned about him because he refuses to return to the
  : : doctor.  If he returns, he will lose his job.  He drives a commercial vehicle,
  : : and seizures are a reason to lose your CDL.  Could you tell me the possible
  : : cause of these seizures?
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  : Thanks for the question and I think you are wise to be concerned. If your husband is having seizures he should not be driving until they are under control. If he is having these events it is possible that he is not having a seizure at all but movements related to various sleep stages. He really needs to undergo further testing to determine what is going on and to have an EEG during one of these events. This will help clarify if the event is in fact a seizure. It is well known that sleep deprivation can lower the seizure threshold and make it more likely that a seizure will occur in a patient. This needs to be evaluated further. If you wish a referral to CCF call 216 444 5559.
  : This information is provided for general medical education purposes. Please consult your doctor for diagnostic and treatment options.
  I really appreciate your answer.  I do know for sure that he is having seizures.  He bites his tongue and tightens the muscles in his legs and arms.  He has all the symptoms of a grandmal seizure. I was just wondering if you could think of a cause for this to start happening in a 28 year old male.  The last couple ones he has had, have not come after being deprived of sleep.  I just thought it was strange that they only occur in his sleep.   
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This makes it all the more imperative that your husband be evaluated by a neurologist. If you live close to Cleveland, the seizure specialists at CCF are top-notch. But don't delay this one. Driving is really a safety issue for not only your husband but also for other drivers.
The cause should be sought - it is usually not obvious and in many cases no clear cause is found. But it is still important to look for a cause.
There are lots of medications now for seizures.
Like the ad says, just do it.
I hope this helps. CCF MD mdf.