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Epilepsy is a complex and often confusing disorder. It can be scary if a loved one has a seizure and you don't know what to expect or how to respond. Knowing what's happening and what you should do is important when caring for someone with epilepsy. Being informed and prepared is the best way to fight back against the neurological condition.
While epilepsy concerns vary depending on age, there is some general information that you should know if you’re around someone with epilepsy.
First, it's important to know what kind of epilepsy your loved one has, and what it means. Not all seizures are the same.
This is the seizure more commonly associated with epilepsy. The person loses consciousness, falls to the ground, and convulses. Five to 20 minutes can pass before the person regains consciousness. Fortunately, oftentimes the patient will receive some kind of advanced warning that a seizure is coming, otherwise known as an aura.
During this seizure only a loss of consciousness occurs without the motor response. The person will seem to stop what they are doing and stare off for a short time. They have no memory during that period.
This type of seizure involves brief jerking movements from both sides of the body that range from subtle to dramatic. The person is conscious during the seizure. Myoclonic seizures are most common in infants.
Automatic repetitive behavior is a key aspect of the complex partial seizure. A person will repeat a small gesture like moving their mouth or picking at an object for a short time while their consciousness is altered. Also during this kind of seizure a person might have uncontrollable laughter or fear, experience deja vu or hallucinations, or smell unusual odors.
The most subjective of all seizures, simple partial seizures are characterized by:
They often affect emotions with:
Sometimes a euphoric or heightened consciousness-like feeling occurs.
The partial or myoclonic seizures require no outside assistance and often pass unnoticed by others. The more serious seizures require immediate care, especially the tonic-clonic seizures and others that affect the whole brain.
Stress, sleep deprivation, or being emotionally upset can heighten the risk of a seizure, so caregivers should focus some effort on a person's mental well-being. That includes paying attention to:
Often those who experience an aura are able to prepare themselves for the oncoming seizure. If they are able to articulate that to you, then you can provide some help. Even if it’s just letting the person know you won't leave their side.
If your loved one has a seizure, it's important to remain calm. It’s not uncommon for a person to fall asleep after the seizure for up to 20 minutes. Stay with the person and note the length of the seizure.
When helping a friend or loved one prepare for a seizure, follow these steps.
Those with epilepsy can live regular lives with the right treatments and precautions. Still, there are moments when they might need assistance. The right care, comforting words, and some understanding go a long way.
Written by: The Healthline Editorial Team
Medically reviewed on: Oct 13, 2014: George Krucik, MD, MBA
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