Epilepsy or seizure disorder? Why stroke?

Posted by tonyde @tonyde, Sep 26, 2023

Do I have epilepsy or a seizure disorder? How do they differ? What would cause a stroke? My neurologist tells me my MRI's show many strokes and has asked "when did you have your last seizure?" or stated "let's try these meds to control your seizures". He has never referred to my having a seizure disorder or epilepsy and, for whatever reason, I'm relunctant to ask. My seizures started after a car accident 20 years ago and were referred to as frontal lobe partial complex seizures. My seizures were under control for many years, three years ago they have increased in intensity to "grand mal" type seizures, have become more frequent and sometimes multiple seizres a few minutes apart. I have had difficulty speaking and walking for as much as 12 hours after a seizure, a few caused ER visits and I have been hospitalized twice. I had one seizure while in the hospital that caused me to make very loud noises, I overheard the nurse say "I heard him all the way down to the nurses station", the neurologist replied, "I would have thought he was faking had I not saw that" and the nurse said, "we called in the stroke team". I was too out of it to ask questions. What would have caused a stroke?

Interested in more discussions like this? Go to the Epilepsy & Seizures Support Group.

@santosha

Hi @tonyde

I have learned some time ago a classification of triggers that I find interesting: physical, external and internal.
Physical triggers:
Examples: glúten, little or bad sleep, menstruation, low sodium, flashing lights, etc.
External Triggers:
Speaking in public is something that stresses me much and is an external trigger to my seizures
Internal Triggers:
Examples: emotions such as fear, stress, anxiety, rage, etc.

I do have signs that a seizure is going to happen, though I do not always remember them after the seizures. I believe the seizure erased that from my memory. When I have this sensibility I try to stop what I am doing and do some breathing. It helps sometimes. Give it a try.

Chris (Santosha)

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Hi Chris,

I hadn't thought about gluten being a trigger, I've never had an issue with gluten, my daughter is gluten intolerant and that makes me wonder if gluten is a seizure trigger for me.

Tony

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@jakedduck1

@santosha
@tonyde
@1775house
I also have Postictal seizure confusion which includes language, speech, writing, and thought forgetfulness and also have it when not having seizures. Occasionally, the most basic words both in speech, writing and spelling elude me.
Do you guys have these symptoms of Aphasia during normal everyday conversations or when writing?
Jake

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I've had instances where the words just don't come out writing would be impossible. It's frustrating thinking about it afterwards. I don't have the mental capacity during to think much about it, I can only focus on trying to speak.

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Hi Tony (@tonyde),
I also did not have an issue with gluten, but as it is known gluten provokes inflammation in our gut and the gut is our second brain. This is why the Keto diet (very little carbohydrates) helps in epilepsy as well.
Give it a try, stay one month without gluten, and see for yourself. I tried that in November 2021 after reading the book Brave New Medicine by Cynthia Li MD. My seizures decreased from 12 to 4 in that month. It was then December and many parties were around and I went back to my daily diet. The seizures came back to 12 in that month (my usual number of seizures in a month at that time). And in January 2022 I went back to this gluten-free diet, sticking to it since then. My husband who does not have epilepsy also stopped eating gluten, deflating. He did not lose weight, but some trousers that were tight did fit him again.
Chris

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@1775house

Hey folks out there - my grammar, punctuation and writing skills are horrible - sorry if that letter did not make much sense I'll try reading them before posting. - Leslie

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Hi Leslie,
I easily understood everything you wrote, now reading your "it might not have made much sense" makes me wonder about my writing.
Tony

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@tonyde
Thank you for your concern about seizures in public but it’s not necessary. It doesn’t matter where or when the seizures happen.
i’m not sensitive about where seizures happen or how many people wanna watch. They’re gonna happen when they’re gonna happen and if people don’t understand what’s happening that’s their problem not mine. The only thing that bothers me is when spectators say cruel things to me. Epilepsy, having a seizure or falling for any reason should not be associated with shame or embarrassment like someone mentioned in another post.
Jake

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@tonyde
One thing I forgot to mention in my last post. Taking gluten out of my diet was much much easier than I thought. Nowadays we have many products gluten-free: pizza, bread, biscuits, cakes, pasta (Barilla has excellent gluten-free products) and many others.
Chris

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I haven’t been in this site in a while because, honestly, I have been fighting increasing depression. Cannot seem to stop it. Caused by seizures or the lacosimide? Emotions are off the chart. Cry at everything, and just can’t get a grip on this. I hate the idea of taking another med but this is terrible. So Jake and Santosha, my dear friends, I need your sage advice. Help please!

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@baa

I haven’t been in this site in a while because, honestly, I have been fighting increasing depression. Cannot seem to stop it. Caused by seizures or the lacosimide? Emotions are off the chart. Cry at everything, and just can’t get a grip on this. I hate the idea of taking another med but this is terrible. So Jake and Santosha, my dear friends, I need your sage advice. Help please!

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I strongly suggest talking to your neurologist about changing your meds, do your own research and don't be afraid to quiz your doctor. Use a board-certified neurologist if possible; seizures are not a PCP issue.

I dealt with serious depression caused by my seizures and side effects of meds. It wasn't a "one drug solves all" situation for me, it took years before my doctor found the proper mix of Lamictal and Trileptal.

Stay positive by telling yourself this is only temporary, you will get better.

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@tonyde

I strongly suggest talking to your neurologist about changing your meds, do your own research and don't be afraid to quiz your doctor. Use a board-certified neurologist if possible; seizures are not a PCP issue.

I dealt with serious depression caused by my seizures and side effects of meds. It wasn't a "one drug solves all" situation for me, it took years before my doctor found the proper mix of Lamictal and Trileptal.

Stay positive by telling yourself this is only temporary, you will get better.

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Thank you for your response. I’ve used this neurologist since 2013 and do like him but he isn’t a specialist. Not one here I don’t believe. I am going to talk to him next visit, and before I take anything else will check it out.

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@baa

Thank you for your response. I’ve used this neurologist since 2013 and do like him but he isn’t a specialist. Not one here I don’t believe. I am going to talk to him next visit, and before I take anything else will check it out.

Jump to this post

Good luck and stay positive, you'll get there.

Your doctor may do an EEG, one issue may be that an EEG doesn't always disclose epilepsy or other seizure disorders. Per Mayo Clinic website:

"EEG tests are used to show the presence or absence of specific brain activity in specific areas of the brain, with an accuracy within milliseconds1. However, EEG has relatively low sensitivity in epilepsy, ranging between 25–56%,"

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