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Seizures

WHAT YOU SHOULD KNOW

A seizure, also called a convulsion or a fit, is a sudden attack of brain activity that causes a loss of control over movement. The attacks last anywhere from a few seconds to several minutes. People of any age can be affected.

Causes

The most common type of seizure is idiopathic (ID-ee-o-PATH-ik) epilepsy, a form of epilepsy whose cause is not known. This brain disease causes recurrent attacks. Seizures can also be caused by head injury, withdrawal from alcohol or other drugs, a high fever, a brain tumor, or an infection. Sometimes, no cause can be found.

Signs/Symptoms

People with epilepsy often know when they are about to have a seizure. When the seizure starts, the victim may lose consciousness. The face, arms, and legs may begin to jerk. Victims may lose control of their bladder and bowels or vomit without knowing it. After the episode, the victim may feel irritable, confused, or sleepy.

Care

The doctor can prescribe medicine to prevent further convulsions.

WHAT YOU SHOULD DO

  • Instructions for the seizure patient:
    • If your doctor prescribes medicine to prevent seizures, take it exactly as directed. Do not stop taking the medicine without talking to your doctor first.
    • Avoid activities in which a seizure would cause danger to yourself or to others. Do not operate dangerous machinery, swim alone, use ladders, or climb in high or dangerous places such as roofs or girders. Do not drive until your doctor says it's okay.
    • Wear an emergency medical identification bracelet with information about your condition. If you have a seizure, people around you will be able to tell what's wrong and get appropriate help.
    • If you have any warning that you may have a seizure, lie down in a safe place where you can't hurt yourself.
    • Teach your family and close friends what to do if you have a seizure.
  • Instructions for others if a seizure occurs:
    • Stay calm. To keep the person from falling onto hard or sharp objects, move these potential hazards out of the way.
    • Don't force anything into the person's mouth or try to open clenched jaws. Turn the person on his or her side when the violent movement stops or the victim begins vomiting.
    • When the seizure is over, the person may be confused or drowsy and may need reassurance that everything is all right. Help him or her to rest and relax.

Call The Doctor If...

  • You have any problems that may be related to the medicine you are taking.
  • You are caring for someone who has had a seizure and he or she:
    • Does not wake shortly after the seizure.
    • Has new problems (such as difficulty seeing, speaking, or moving).

Seek Care Immediately If...

  • You are caring for someone who has had a seizure and he or she:
    • Is injured during the seizure.
    • Develops a high temperature.
    • Vomits and breathes the vomit into the windpipe.

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