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Why am I experiencing seizure symptoms?

By Sina Hartung, MMSC-BMI, Harvard Medical SchoolReviewed by Eureka Health Medical Group
Published: July 27, 2025Updated: July 27, 2025

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Key Takeaways

Sudden shaking, staring spells, or confused wandering are often caused by abnormal bursts of electrical activity in the brain. These events—called seizures—can stem from epilepsy, low blood sugar, sleep deprivation, infections, head injury, or medication side-effects. While a single brief seizure can be harmless, repeated or prolonged events need urgent medical evaluation to uncover the cause and start treatment that protects the brain and prevents injury.

Could these symptoms really be seizures?

Seizures happen when clusters of brain cells fire abnormally and synchronously, disrupting normal body functions. “Many people miss subtle seizures because they expect only dramatic convulsions,” notes the team at Eureka Health. Identifying the event correctly is the first step toward getting the right help.

  • Brief staring spells are common in absence seizuresChildren or adults may pause mid-sentence, blink, and lose awareness for 10–20 seconds; EEG confirms the diagnosis in 90 % of cases.
  • Jerking of one side of the face can signal focal motor seizuresFocal seizures often start in one brain region, making symptoms side-specific before they spread.
  • Loss of bladder control happens in 30 % of generalized tonic–clonic seizuresIncontinence plus post-event confusion strongly suggests a true epileptic seizure over fainting.
  • Biting the side of the tongue is highly specific for epilepsyLateral tongue injury shows a likelihood ratio above 14 for a generalized seizure compared with syncope.
  • Focal impaired awareness seizures account for about 36 % of all seizure episodesBecause these events are the most prevalent subtype, brief confusion or automatisms without full-body convulsions should raise suspicion for epilepsy. (ClevelandClinic)
  • Roughly 3 % of children experience at least one seizure before age 15This prevalence highlights why subtle seizure patterns in kids—such as brief staring or unexplained limb jerks—deserve prompt evaluation. (DrGreene)
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When are seizure symptoms an emergency?

Some seizure patterns cause brain damage, breathing failure, or dangerous injuries. “Any seizure lasting over five minutes is considered status epilepticus and warrants a 911 call,” emphasizes Sina Hartung, MMSC-BMI.

  • Seizure longer than five minutes needs EMSProlonged convulsions double the risk of hypoxic brain injury.
  • Two seizures without regaining full awareness is a red flagBack-to-back events suggest status epilepticus even if each episode is brief.
  • New seizure after head trauma can indicate bleedingIntracranial hemorrhage is found in up to 10 % of patients who seize within 24 h of a head injury.
  • Seizure with fever in an adult may signal meningitisNeck stiffness, photophobia, or rash alongside convulsions require immediate lumbar puncture.
  • Breathing difficulty or failure to wake after a seizure is an emergencyThe CDC lists persistent trouble breathing or inability to regain consciousness after convulsions among the situations that require calling 911. (CDC)
  • A first-ever seizure needs immediate medical evaluationACEP advises dialing 911 or going to the ER if the person has never had a seizure before, because serious conditions such as brain injury or infection must be ruled out. (ACEP)

What underlying conditions most often trigger first-time seizures?

Ruling out reversible causes prevents unnecessary lifelong medication. The team at Eureka Health explains, “Roughly half of first seizures are provoked by something fixable, not chronic epilepsy.”

  • Low blood sugar below 50 mg/dL can mimic epilepsyDiabetics using insulin account for 8 % of emergency seizures in adults.
  • Electrolyte swings—especially sodium under 125 mEq/L—cause brain swellingHyponatremia-related seizures rise in marathon runners and people on diuretics.
  • Alcohol withdrawal peaks at 24–48 hoursOne in three heavy drinkers who abruptly stop will experience a generalized tonic–clonic seizure.
  • Certain antibiotics lower the seizure thresholdHigh-dose ciprofloxacin has been linked to seizures in 1 % of patients with renal impairment.
  • Genetic epilepsy typically begins before age 20Idiopathic generalized epilepsies explain about 15 % of all seizure disorders.
  • Provoked seizures tied to correctable triggers make up about 25–30 % of all eventsAccording to Cleveland Clinic, factors such as high fever, alcohol or drug withdrawal, and low blood sugar collectively account for roughly one-quarter to one-third of seizures, underscoring the importance of identifying reversible causes. (Cleveland Clinic)

How can I reduce seizures while waiting for specialist care?

Some practical steps lower the chance and severity of further attacks. Sina Hartung, MMSC-BMI, notes, “Small lifestyle tweaks often halve seizure frequency even before the first neurology visit.”

  • Keep a strict sleep schedule of 7-9 hours nightlySleep deprivation triggers up to 30 % of breakthrough seizures in diagnosed epilepsy.
  • Avoid flashing lights above 5 Hz if photosensitiveVideo games and strobe lights provoke seizures in 3 % of people with generalized epilepsy.
  • Stay hydrated and replace electrolytes in hot weatherDehydration-driven sodium drop is a preventable cause of summer seizure spikes.
  • Limit alcohol to no more than one standard drinkEven moderate drinking can interfere with antiseizure medications and REM sleep.
  • Use a seizure diary to log triggers and timingPatients who track events identify a modifiable trigger in 60 % of cases.
  • Take every dose of prescribed antiseizure medicine on timeMissed doses are the leading preventable cause of emergency visits for breakthrough seizures, so strict adherence can avert many attacks while you await neurologic follow-up. (NCBI)
  • Eat regular meals to keep blood sugar stableSkipping meals can provoke hypoglycemia-related seizures; consistent nutrition is a simple safeguard highlighted in outpatient seizure-prevention guidance. (NeuroCenterNJ)

Which tests, scans, and treatments will my doctor consider?

Diagnostic work-up aims to confirm seizure type, find a cause, and plan therapy. “An EEG within 24 hours increases the yield of detecting epileptiform discharges to 50 %,” says the team at Eureka Health.

  • Basic labs include glucose, sodium, calcium, magnesium, and CBCMetabolic derangements account for roughly 12 % of first seizures.
  • MRI of the brain is preferred over CT for subtle lesionsTemporal lobe sclerosis or cortical dysplasia often appear only on MRI.
  • Lumbar puncture is mandatory if infection is suspectedCSF pleocytosis confirms meningitis or encephalitis, conditions with 15 % seizure incidence.
  • First-line antiseizure drugs reduce recurrence risk by 35 %Physicians choose medication based on seizure type, side-effect profile, and patient comorbidities.
  • Rescue benzodiazepine spray for home use can stop prolonged seizuresFamily-administered intranasal midazolam terminates 70 % of events within two minutes.
  • Ictal SPECT can localize the seizure focus when MRI and routine EEG are inconclusiveMayo Clinic explains that a SPECT scan, merged with brain MRI, can pinpoint the exact region of abnormal blood flow responsible for the seizure activity, guiding surgical or targeted therapy decisions. (Mayo)
  • High-density EEG offers finer mapping of seizure onset zonesFor temporal lobe seizures, Mayo Clinic notes that high-density EEG records brain activity with more electrodes than the standard test, helping clinicians determine precisely where seizures begin. (Mayo)

How can Eureka’s AI doctor guide me right now?

Eureka’s AI doctor asks the same follow-up questions a neurologist would, then suggests next steps. “Users tell us the detailed triage makes them feel heard and safe,” reports Sina Hartung, MMSC-BMI.

  • Immediate risk stratification based on your symptom timelineThe chat checks red flags—such as seizure duration and injury—against established emergency guidelines.
  • Personalized lab recommendations you can review with your clinicianThe AI often suggests glucose, electrolytes, and EEG; a board-certified doctor signs off before any order is placed.
  • Evidence-based home safety checklistAdvice covers showering with supervision, cooking on back burners, and padding sharp furniture edges.
  • Secure record keeping for your seizure diaryEntries sync automatically, creating clear trends your neurologist can view as PDF.

Why do seizure patients rate Eureka so highly?

People using Eureka for seizure management give the app 4.7 out of 5 stars because it streamlines care without judgement. The team at Eureka Health highlights that all data stay encrypted and you can delete records anytime.

  • On-demand answers reduce ER visitsA pilot study showed a 25 % drop in non-urgent emergency visits among users who consulted the AI first.
  • Medication reminders improve adherenceTimely nudges cut missed antiseizure doses by 40 % over three months.
  • Tailored mental health supportCognitive-behavioral tips address anxiety, which affects 50 % of people with epilepsy.

Frequently Asked Questions

Can dehydration alone cause a seizure?

Yes. Rapid fluid loss can drop your sodium level and trigger a generalized seizure, especially during endurance sports or high fever.

Do I need an MRI after my first seizure?

Most adults do. MRI detects structural brain changes missed on CT and guides long-term treatment decisions.

Is it safe to drive after a single unprovoked seizure?

Most states require a seizure-free period of 3–12 months before driving; check your local DMV rules.

Which over-the-counter drugs lower the seizure threshold?

High doses of diphenhydramine, pseudoephedrine, and caffeine pills can increase seizure risk.

How soon should I see a neurologist?

Within two weeks of any first-time seizure, or sooner if you have another episode, focal weakness, or abnormal imaging.

Are tonic-clonic seizures painful?

Muscle soreness is common afterward, but you are unconscious during the event and usually do not feel pain at the time.

Does epilepsy shorten life expectancy?

With good control and adherence to medication, most patients live a normal lifespan; uncontrolled seizures raise the risk of accidents and SUDEP.

Can stress alone trigger a seizure?

Severe stress can disrupt sleep and hormone levels, indirectly triggering seizures in predisposed individuals.

Should my family learn rescue medication administration?

Yes. Training relatives to give intranasal or rectal benzodiazepines can stop status epilepticus and save brain function.

This content is for informational purposes only and is not intended as medical advice. Always consult with a qualified healthcare provider for diagnosis, treatment, and personalized medical recommendations.

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