Aa
A
A
A
Close
Neurology Forum
This expert forum is not accepting new questions. Please post your question in one of our medical support communities.
Avatar universal

Seizure Problem

I had my first grand mal seizure a few months ago.

A couple of days ago, I had a a second grand mal seizure.

The first lasted around 4-5 minutes and the second lasted for around 2-3 minutes.

I had an EEG, CT Scan, blood work, and a holter monitor for the heart, and all of my results came back normal.

My neurological exam was also normal.

I had the aforementioned tests 1-2 days after my first grand mal episode.

I had several aura episodes, and I had many panic/anxiety attacks.

I am almost 20 years old, and I live in Canada.

What do you recommend I do at this stage?

Do I need anymore investigations, or should I be treated for epilepsy?
1 Responses
Avatar universal
If these were true generalized or grand mal seizures (often accompanied by tongue biting, bowel or bladder incontinence, witnessed shaking/stiffness, period of drowsiness and confusion afterwards), then you definitely should be treated. Further workup should include an MRI of the brain (may be a long wait in Canada) and an EEG with hyperventilation and photic stimulation at the very least. Depakote (causes weight gain),Dilantin (gum, liver problems) Lamictal (rare severe rash), and Topamax (kidney stones)are meds that can possibly help depending on what kind of seizure you have.

At this age, we would think of a condition called juvenile myoclonic epilepsy which  is a syndrome composed of grand mal, absence (brief sparing spells), and myoclonic (jerks especially in the morning on waking) seizures. Usually presents at about 16 years old (+/- a few years) as kids start to stay up more and experiment with alcohol, both of which provoke seizures. Can be brought out with flashing light stimulation during an EEG. Not difficult to manage but requires lifelong treatment. If you don;t have any of the other types of seizures I mentioned, then you could just have grand mal seizures. But I still recommend treatment. Good luck.
Popular Resources
Find out how beta-blocker eye drops show promising results for acute migraine relief.
In this special Missouri Medicine report, doctors examine advances in diagnosis and treatment of this devastating and costly neurodegenerative disease.
Here are 12 simple – and fun! – ways to boost your brainpower.
Discover some of the causes of dizziness and how to treat it.
Discover the common causes of headaches and how to treat headache pain.
Two of the largest studies on Alzheimer’s have yielded new clues about the disease