[20F] Experiencing seizure-like activity with muscle cramps

Patient Description

A 20-year-old female is experiencing seizure-like activity that lasts from 20 minutes to 2 hours. These episodes typically occur at night and may be triggered by stress or loud situations, though they can also occur unexpectedly. She remains conscious during these episodes. The patient describes a sensation of shakiness in her chest and back, with fluttery eyes and muscle cramps lasting about 20 seconds. Recently, she experienced difficulty breathing during an episode, unable to take a breath in for around 40 seconds. An EEG has been performed and returned normal. The patient's family history includes depression and anxiety in her mother and sister, and PTSD and sleep apnea in her father. No known drug allergies or current medications reported.

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Arora's Assessment

What might be happening

Based on the information you've provided, here are some possible explanations for your symptoms:

  • Panic Attacks: These can sometimes mimic seizure-like activity and include symptoms like rapid heart rate, chest tightness, shortness of breath, and muscle cramps. They can be triggered by stress or occur unexpectedly. Given your history of anxiety, this could be a likely explanation.

    • Treatment typically involves therapy, such as cognitive-behavioral therapy (CBT), and sometimes medication to manage anxiety symptoms.
  • Non-Epileptic Seizures (NES): These are episodes that resemble epileptic seizures but are not caused by electrical disruptions in the brain. They can be related to psychological factors, such as stress or trauma.

    • Treatment often involves addressing the underlying psychological factors through therapy.

It's important to consult with a healthcare professional to rule out any other serious conditions and to receive a proper diagnosis. Since you've already had an EEG, it might be helpful to discuss these episodes further with your doctor or a neurologist.

What you can do

  1. Consult a Healthcare Professional: It's important to discuss your symptoms with a doctor to receive a formal assessment and appropriate treatment.

  2. Track Your Symptoms: Use MDandMe to journal your symptoms, track progress, and share longitudinal medical notes with your provider. This can help identify patterns or triggers.

  3. Practice Relaxation Techniques: Techniques such as deep breathing, meditation, or yoga can help manage stress and anxiety, potentially reducing the frequency or severity of episodes.

  4. Maintain a Healthy Lifestyle: Ensure you get enough sleep, eat a balanced diet, and engage in regular physical activity to support overall well-being.

What you should look out for

Seek medical attention if you experience any of the following:

  • Severe Shortness of Breath: If you find it extremely difficult to breathe or can't catch your breath.
  • Loss of Consciousness: If you lose consciousness during an episode.
  • Chest Pain: Intense or persistent chest pain.
  • Prolonged Seizure Activity: If the seizure-like activity lasts longer than usual or doesn't stop.
  • Confusion or Disorientation: If you experience confusion, disorientation, or difficulty speaking.

These symptoms could indicate a more serious underlying condition that requires prompt medical evaluation. If you experience any of these symptoms, please seek medical help immediately.

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3 d ago

People Also Ask


What are the common triggers for non-epileptic seizures?

Non-epileptic seizures can be triggered by psychological factors such as stress, trauma, or emotional distress. They are not caused by electrical disruptions in the brain like epileptic seizures.


How can panic attacks be differentiated from epileptic seizures?

Panic attacks often involve symptoms like rapid heart rate, chest tightness, and shortness of breath, and the person remains conscious. Epileptic seizures typically involve a loss of consciousness and are confirmed by abnormal electrical activity in the brain, which can be detected by an EEG.


What are some effective treatments for managing anxiety-related symptoms?

Effective treatments for managing anxiety-related symptoms include cognitive-behavioral therapy (CBT), relaxation techniques like deep breathing and meditation, and sometimes medication prescribed by a healthcare professional.


When should I seek medical attention for seizure-like episodes?

You should seek medical attention if you experience severe shortness of breath, loss of consciousness, intense chest pain, prolonged seizure activity, or confusion and disorientation during episodes.


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2 Comments


Anonymous#4896

17 hr ago

How do I get an assessment for myself?

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Anonymous#25337

17 hr ago

Hi there! I'm glad you're taking the step to seek an assessment. To get started, you might want to schedule an appointment with your primary care doctor or a healthcare provider. They can help evaluate your symptoms and may refer you to a specialist, such as a neurologist or a psychologist, based on what they find. If you're comfortable, consider using tools like MDandMe to track any symptoms you experience. This kind of information can be really helpful for your healthcare provider to understand your situation better. Remember, you're not alone in this, and reaching out for help is a positive step forward. 😊

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