[38M] Experiencing seizures with associated headaches

Patient Description

A 38-year-old male reports experiencing seizures approximately every other week. The seizures are preceded by an aura, described as flashing lights in the brain and a headache. During the seizures, the patient feels uncomfortable and limp, with subtle twitching, and feels the need to lay down. These episodes typically last around 15 minutes. The patient also experiences a sharp headache behind the forehead, which transitions into a throbbing sensation, rated as a 6 out of 10 in severity. The patient has a history of head trauma but has not identified any specific triggers or alleviating factors for the seizures or headaches.

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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:

  • Seizure Disorder (Epilepsy): Your description of experiencing seizures every other week, with auras like flashing lights and headaches, suggests a possible seizure disorder. Seizures can vary in type and severity, and they often require medical evaluation for a proper diagnosis. Common treatments include anti-seizure medications, lifestyle changes, and sometimes surgery, depending on the cause and type of seizures.

  • Migraine with Aura: The flashing lights and headache you experience could be indicative of migraines with aura. Migraines can sometimes trigger seizure-like symptoms, although they are distinct conditions. Treatment typically involves medications to prevent migraines and relieve symptoms, as well as lifestyle modifications to avoid triggers.

  • Post-Traumatic Seizures: Given your history of head trauma, it's possible that your seizures are related to past injuries. This can sometimes lead to a condition known as post-traumatic epilepsy. Treatment often involves anti-seizure medications and monitoring by a healthcare professional.

What you can do

  1. Consult a Healthcare Professional: It's important to see a doctor or neurologist for a thorough evaluation. They may recommend tests such as an EEG or MRI to better understand your condition and tailor a treatment plan for you.

  2. Keep a Symptom Journal: Use MDandMe to track your seizures, headaches, and any potential triggers. This information can be invaluable for your healthcare provider in diagnosing and managing your condition.

  3. Avoid Known Triggers: If you identify any specific triggers for your seizures or headaches, try to avoid them. Common triggers can include stress, lack of sleep, certain foods, or flashing lights.

  4. Ensure Safety: During a seizure, ensure you're in a safe environment to prevent injury. Lying down in a safe place and having someone nearby who knows how to help can be beneficial.

What you should look out for

  • Seek Immediate Medical Attention: If your seizures become more frequent, last longer than usual, or if you experience a significant change in your symptoms, seek medical help promptly.

  • Monitor for New Symptoms: Be aware of any new or worsening symptoms, such as changes in consciousness, severe headaches, or any neurological changes, and report these to your healthcare provider.

Remember, while I can provide information and suggestions, it's crucial to consult with a healthcare professional for a formal diagnosis and treatment plan.

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29 d ago

People Also Ask


What are the common symptoms of a seizure disorder?

Common symptoms of a seizure disorder include sudden, uncontrolled electrical disturbances in the brain, which can cause changes in behavior, movements, feelings, and levels of consciousness. Symptoms can vary widely but often include convulsions, twitching, and auras such as visual disturbances or unusual sensations.


How can migraines with aura be distinguished from seizures?

Migraines with aura typically involve visual disturbances like flashing lights or zigzag patterns, followed by a headache. Seizures, on the other hand, may involve loss of consciousness, convulsions, or other neurological symptoms. A healthcare professional can help distinguish between the two through medical history and diagnostic tests.


What is post-traumatic epilepsy and how is it treated?

Post-traumatic epilepsy is a condition where seizures occur as a result of a head injury. It is treated with anti-seizure medications and regular monitoring by a healthcare professional. In some cases, surgery may be considered if medications are not effective.


What steps can I take to manage and track my seizure and headache symptoms?

To manage and track symptoms, keep a detailed symptom journal noting the frequency, duration, and any potential triggers of seizures and headaches. Avoid known triggers, ensure safety during seizures, and consult with a healthcare professional for a tailored treatment plan. Using tools like MDandMe can help in tracking and managing these symptoms effectively.


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