I am so sorry that you or any of us have to go through this… It is so scary , disheartening, depressing, sad….. Makes me want to cry 😢😢. I have a 17 year old with similar issues so I have the same questions. I just keep praying & not lose hope because I know there are things out there that can & will improve his quality of life. It is just so hard to keep searching & not findind things that really work. But please don't give up & I defently would get 2nd, 3rd, 4th ….. Opinions. Lifting you & your family up now.

My son, 24 yrs old, started having seizures 3 yrs ago. I have witnessed several of these seizures and want to know if what I'm witnessing is typical. He will stiffen and collapse to the floor, have convulsions for a time, seem to go into a deep sleep for a minute or two, then rouse and get up off the floor all the while being unconscious) and flail around the room knocking things over, stumbling into everything, basically destroying the room until he regains consciousness. He has no remembrance of any of this and usually "wakes" to find me hovering over him wondering why I'm hovering over him. All this is followed by splitting headaches, sometimes a bitten tongue and generally feeling horrible. It can take him several hours before he even feels like participating in life again. Is this common? Are most of you experiencing these scenarios?

Hi, @momofconcern – I applaud you for your interest in and pursuit of learning more about seizures, with your 24-year-old son starting to have them three years ago. I've moved your post to this discussion where you were participating before, "Living with Epilepsy: Introduce Yourself and Meet Others," as there have been many participants in this discussion who can potentially respond to your questions in trying to understand seizures.

Hoping that others here can share about whether this seizure pattern that ultimately culminates in basically destroying the room till he regains consciousness, with him having no memory of the whole incident and then feeling rather horrible thereafter and not wanting to participate in things for several hours is typical of their own or a loved one's experiences with seizures. I'd like to invite @caseybach @jakedduck1 @patrassi @crstyday40 @dawn_giacabazi @mmas @frosty27 and others to share and offer some support as you look for answers.

How often does your son have this type of seizure? Has he gotten injured at all during these episodes?

@momofconcern
Good afternoon,
OK here we go again. I’ve already lost two messages.
First I’d like to welcome you to Mayo Clinic connect.
I think the first and most important thing to understand is that epilepsy is an extremely individualized condition, different people react very differently. You made the following statement,
”He will stiffen and collapse to the floor, have convulsions for a time, seem to go into a deep sleep for a minute or two, then rouse and get up off the floor all the while being unconscious) and flail around the room knocking things over, stumbling into everything, basically destroying the room until he regains consciousness.”
The following sounds like a normal tonic clonic seizure, ”stiffen and collapse to the floor, have convulsions for a time, seem to go into a deep sleep” The part I’m not understanding is where you say,
”then rouse and get up off the floor all the while being unconscious)”
Are you sure that he’s not in the post ictal stage (Recovery phase) of his seizure where he’s very confused versus unconscious?
is the episode that you mention his regular seizure or does the getting up part seldom happen. if he is unconscious I’d be curious to know if he’s having a focal impaired seizure after the tonic clonic. I don’t know if that ever happens although I know the reverse can happen which is known as a focal to bilateral tonic clonic seizure.
does your son ever have focal seizures or an Aura? Once he comes to after walking around the room does he sleep again or is he very tired? Have his doctors tried switching, adding or increasing medications in the past three years? since he’s been having seizures for three years has his doctor ever mentioned that he may have intractable epilepsy? i’m not sure where you’re at or if you’re even in the United States. I was going to say that Mayo Clinic in Rochester Minnesota has the best epilepsy center in the US. has he ever had a video EEG? you might request from your neurologist that he be seen by an Epileptologist who are the most knowledgeable epilepsy specialists. they are often better trained in the interpretation of EEG’s.
As far as it taking several hours for him to feel like participating in life or game yes that’s extremely common, which is known as the post-ictal phase.
For the most part of what you describe it's a typical tonic-clonic seizure scenario?
Have you told his neurologist the same story that you did here? i’d be curious in knowing how he replied.
Do you know what type of epilepsy your son has Temporal Lobe, Frontal Lobe or does he have an epilepsy syndrome?
In case you decide to have your son seen at an epilepsy center below is a link of centers throughout the United States, just enter your zip code or State.
https://www.naec-epilepsy.org/about-epilepsy-centers/find-an-epilepsy-center/
I also posted your message on an epilepsy site and will let you know of any replies.
Blessings,
Jake

@momofconcern

Here are a couple of replies that I got from the coping-with-epilepsy forum.

1….. It can't hurt to get a second opinion from a neurologist on treatment options for your son. There are a lot of medications out there — a second neuro could review the ones your son is on and perhaps suggest modifications or a different combination that might provide some relief. The neuro might also have advice for how to cope with your son's chaotic post-seizure recovery routine.

Was there a precipitating event for your son's seizures or did they arrive out of the blue? How is he when he's not having seizures? I imagine he has some opinions about the direction his care should take as well.

2….. Often when a person has temporal lobe epilepsy they sometimes get a hot temper after the seizure or before. I've had temporal lobe epilepsy for 48 yrs. and before a seizure I would sometimes get mad and break dishes or punch the wall and I was conscious during all of this. I later found out that the seizure med I was taking was causing a lot of the problems and after I went off of tegretol I was much better.
You may want to take your son to see an Epileptologist which is a Dr. that specializes in epilepsy and knows how to treat it very well. I saw many different neuros over the yrs. but after seeing an Epileptologist the Dr. did a DNA test on me to find the best seizure med for me, he told me what caused my seizures and I was able to have surgery to reduce the seizures. Tell your son to put a cold washcloth on his face and the back of his neck 3 times a day and anytime he starts to feel a seizure begin if he does this it will calm the neurons down in the brain a stop the seizure or reduce them. I was in a medical study a few yrs. ago and they found that my temperature went up a couple degrees but when I put the cold washcloth on my face it stopped my seizures and the coldness from the washcloth calmed the neurons down. My Dr. also put me on cbd oil
(med marijuana) and I am amazed at how that has brought my seizures to the lowest in my life. I wish you and your son only the best and
May God Bless The Both of You,
Sue

Thank you Jake for responding. Some of the terms you mentioned are new to me. My son was in college when these seizures began and I went to the Neurologist with him in the beginning stages. Since then, he has regularly seen that doctor but I have not been at those appointments. I have not heard of the Ictal stage, but that sounds right. He reports to me that he doesn't hear me and is not aware of my presence during the post seizure time frame when he is very confused and stumbling and unpredictable. There doesn't seem to be any anger attached to any part of this seizure process, it appears to be more like a zombie. The neuro has not labeled his epilepsy as temporal lobe or frontal lobe or any other that I know of. I'm at a phase of wanting to know more now that he has dropped out of college and returned home and I am experiencing these seizures with him more often. He tried to stay in school and was not letting on how difficult his life had gotten until he finally broke down and admitted that he just couldn't handle the stress of it all. He was failing more classes than he was passing and partly due to the missed classes/tests/etc as a result of the seizures. I want him to have a high quality of life and get a handle on this epilepsy to minimize its effect. I want to understand this better so I can help him more so I really appreciate your help. I will be looking into the Epileptologist idea, I had no idea they existed. Just for record, we are in Georgia.
Namaste'
Cheryl

@momofconcern
Hello,
I wonder if he could have post-ictal delirium, I’d ask the neurologist about that. It sounds like you need to go to his neurology appointment and find out exactly what the doctor believes is happening. I imagine he’s already had a CT or MRI scan and an EEG. It really sounds to me is that he would benefit from being admitted into an epilepsy center were they would try to get him to have a seizure so they could video it as well as run a constant EEG (VEEG.) all level 3 & 4 epilepsy centers have Epileptologists.

Most patients with postictal delirium do not require specific treatments, but simply need to be protected as their postictal confusion resolves. Patients need supportive care to avoid injuries; for example, windows should be closed and dangerous objects removed; bedrails with padding can be raised around the patient.
The third link is about Post-ictal psychosis which I don’t believe you fit with his symptoms but I’m no doctor.

Here is another reply from coping with Epilepsy.

Post-ictal delirium/aggression/psychosis is a known phenomenon, but there doesn't seem to be a lot of information on treating it at home. The articles below suggests that treatments to consider include treatment with pindolol (a beta-blocker), benzos or anti-psychotics, VNS, surgery — none of which are without consequences of course.
A second opinion might still be helpful for the parent

1..https://pubmed.ncbi.nlm.nih.gov/31799509/

2..https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3175608/

3..https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2265810/#idm140452567296896title

Jake

Hello! I have had complex partial temporal lobe seizures since 1996. I have had depth electrodes surgically implanted in both temporal lobes to determine the exact site. I had brain surgery following that surgery. Seizures were still uncontrolled. I had a second brain surgery 6 years later. Seizures remained uncontrolled. They only became nocturnal afterwards. No medication has ever eliminated them.

Hello! I have had seizures for 53 years. I've had brain surgery twice to no avail and been on many and almost all possible medications. I've never been seizure free. I've taken lamotrigine and Depakote for years. Approximately a year ago my doctor added Zonisamide. I now have one seizure a month. All are nocturnal seizures.

Hello my name is Cherie and I have a beautiful daughter Melissa who is 42 and has seizures. My husband and I are her caregivers.

Hello @cherieann57 and welcome to Mayo Clinic Connect. I look forward to getting to know more about you and your daughter. Can you tell us a bit more about your daughter? What type of seizures does she have? Has she had them since childhood? How are they managed?

Hi, I'm Linn. I have had partial seizures for over 40 years. I have tried different medications but none have ever stopped my seizures. Recently I tried Keppra and later Tegretol as add ons but neither worked and caused acid reflux. I have been taking Lamictal since 2004 because that doesn't have intolerable side effects but unfortunately does not eliminate them. I have tried neurofeedback and the ketogenic diet (which I was on for 1 year and quit due to acid reflux). Thought of maybe going to Mayo to see if someone there might be able to help with a cases where meds don't work.