Epilepsy Foundation

How many of you have had a car accident…an abrupt fall…a physical assault?  If you are one of those people and you have suffered a head injury, the probability of seizure activity increases dramatically…

 

“Seizures may develop immediately after an injury to the brain or may develop in delayed fashion, showing up months or years after the initial trauma. Generally speaking, the risk of post traumatic seizures is related to the severity of the injury — the greater the injury, the higher the risk of developing seizures. Even mild to moderate injuries can result in seizures.

 

There are many kinds of seizures and seizures are not an uncommon condition among persons without head injuries. It is thought that a head injury disrupts the pathways of the brain and that an epileptic seizure can be viewed as a sort of short-circuit of the brain’s electrical functioning. During the seizure the electrical fields in the brain are overloaded, resulting in seizures.

The most commonly seen seizures related to traumatic brain injury are “generalized” seizures, which are also called “Tonic-Clonic” or “Grand Mal” seizures.

 

Persons who have had head trauma are twelve times as likely as the general population to suffer seizures.

 

Approximately 57% of head injured individuals developed epilepsy within one-year of injury. Longer onset epilepsy beginning more than four years after the trauma occurs in 20% of patients who developed epilepsy.

 

It is estimated that 30% of all individuals suffering head trauma developed post-traumatic seizures and 80% of the time they occur within the first 24-months.”

 

Reference: http://www.braininjury.com/seizuresandheadinjury.html

 

Phylis Feiner Johnson

www.epilepsytalk.com

 

Tags: accident, brain, injury, post-traumatic, risk, seizures, tonic-clonic

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Thats interesting. Thanks for that.

All of head head injuries are to be considered mild or moderate. Theyve never sent me to a hospital.

My first seizure occurred before my more serious head injuries though. i was receiving many mild head injuries -- mostly casue my dad kept out basement steps well waxed and the floor was concrete. i went sailing down those stairs on more than one occassion. I also got knocked pretty good in a soccer game one time.

I was in a car wreck where after the wreck, my friends and I walked a while to get back home and then we took out in another car and I had a seizure while in the back of my friends car. He never really wanted to pick me up much after that. they called the ambulance and I went to the hospital and my dad picked me up when he got off work.

I had this one time when I was about 17 that I was sitiing atop a jungle gym that had two tower structures and joining the two towers was a set of monkey bars. I was just sitting there smoking and I got up to leave and I walked across the top of the monkey bars and when I was just about to step onto the towerat the other end, I slipped through the bars and went all the way the the ground hitting my head. My vision went screwy -- slightly cockeyed and alomost monochrome. It was weird so i went inside and locked the door in case I had a seizure but I never did. I think it mighthave been this injury that increased bothmy tremor and my eyesight problem and maybe one other thing I have...becasue they all seemed to make themselves permenantly known shortly after that.
Boy Dave, you really got beat up. It's amazing that you're still walking and talking and lucid!

It's interesting, my first seizure occured before my first fall also. I had a seizure and then I fell to the floor of the shower (and almost drowned!) So, in my case, it's a matter of "which came first, the chicken or the egg???"

Phylis Feiner Johnson
www.epilepsytalk.com
I had a bad reaction to the small pox vaccination as a baby, which caused encephalitis, mesial temporal sclerosis, and seizures. I had fallen and hit my head a few times when I was little. Meds. kept me seizure free through childhood, then they returned most likely due to hormonal imbalance. Main time I had seizures after they returned was around my period, so they were catamenial.

After the seizures returned, I fell and hit my head quite a few times while having one. Fell against the wall a few times, ran into the basement pole a few times when I felt a seizure start, fell and hit my head on the floor a few times, and fell face first into a file cabinet at work, hit my left eye, and needed stitches. After hitting the file cabinet at work, I had to see an optometrist and have my vision tested. It didn't cause any internal damage to my eye, but that eye still has a bit of a blur. It was a lot worse at the beginning, but has improved over the yrs. I fell out of the shower a few times, but I was lucky to have my dad catch me, before my head hit the floor.
I've been told I have a "head of steel" and "rubber bones"; having been in numerous motor vehicle accidents - cyclist, passenger, driver - out of them all 3 were major ones especially in 1988 being pronounced DOA on the site out in the rural area. Nonetheless, I had been seizing before that - only I did not know what it was as a child to teen and young married woman until it was finally pulled together. It was made mention of, but no "big whoopie" about it.

I think Dave and I area related. *laughing* I have done my own extreme sports - speed skating, which one wheel lost its bearings and plowing through the thick wooden board and through the people and nearly out the emergency exit after turn 4; never went to the Hospital either ... actually to be honest, I would rather hitch hike or ride a bike than to be in a Rambler Ambulance!

:-/

Fell out what people estimates nearly 3-4 story high oak tree ( how is unknown, I might have seized ) and again at my parent's tree which was 4.5 stories high East Plaka Holly. No one ever taken me to the ER except when I ate the Venus Fly Plant when I was younger (trust me, it does not taste very good) and having my stomach pumped and IPEC; *gag*.

That is only a tiny itty bitty story, if I typed anything more - it would turn into a book ...

Nevertheless, I bear scars, old and new - a reminder what Epilepsy CAN DO - STRIKE WITHOUT WARNING!

Let's put it this way - I have a life long 2 boyfriends which we would never be separated:
Ace Bandage and Ben Gay.


:-/
My epilepsy occurred 2 years after falling and getting a concussion while snowboarding. Nobody told me it could happen but it did and now I have grand mals. My husband always asks me if I regret snowboarding now. It's hard to answer. Part of me says no. Part of me says yes. Hard one to answer.
It's interesting to see these statistics. I'm one of those people who has no definitive idea why I have seizures. I have had a number of MRIs over the years and they always come back normal. I was in a motorcycle accident about a year before the seizures started and had hit my head on the ground. I was wearing a helment and never lost consciousness, so I figured I would be OK. So, maybe it was the accident, maybe not. I'll never know for certain. But, the statistics here make a strong case for it being the head trauma.
April, have you ever heard of the new "Humpty Hat" helments? (An unfortunate name, I know!) It ostensibly looks like a simple winter cap -- a cross linked polymeric foam insert cushions the skull and brain.

It’s designed so that the padding conforms to the various lobes of the brain, a feature known as "anatomic mapping". The frontal, temporal, parietal, and occipital lobes of the brain and the overlying skull in these areas is protected by the specific placement of these foam pads.

Although it was designed for winter sports such as skiing, there’s not much difference in the damage you can do falling down a slope or falling on the floor. So, it’s something to consider. Warm and comfy in the winter, light enough to roll up and stick in your pocket and take wherever you go. For more informations, go to: http://www.humptyhat.com/aboutus.html

Phylis Feiner Johnson
www.epilepsytalk.com


April Jazeboski said:
My epilepsy occurred 2 years after falling and getting a concussion while snowboarding. Nobody told me it could happen but it did and now I have grand mals. My husband always asks me if I regret snowboarding now. It's hard to answer. Part of me says no. Part of me says yes. Hard one to answer.
Paul, have you ever considered having Video EEG Monitoring ? It's a prolonged simultaneous recording of the patient’s behavior along with the EEG. Seeing EEG and video data at the same time permits precise correlation between seizure activity in the brain and the patient’s behavior during seizures.

Video-EEG can be vital in the diagnosis of epilepsy and epileptic seizures. It allows the doctor to determine:

Whether events with unusual features are epileptic seizures…
The type of epileptic seizure, and…
The region of the brain from which the seizures arise.


For more information about diagnostic testing options, go to http://epilepsytalk.com/2010/03/31/beyond-eegs%e2%80%a6diagnostic-t...

Phylis Feiner Johnson
www.epilepsytalk.com



Paul Gross said:
It's interesting to see these statistics. I'm one of those people who has no definitive idea why I have seizures. I have had a number of MRIs over the years and they always come back normal. I was in a motorcycle accident about a year before the seizures started and had hit my head on the ground. I was wearing a helment and never lost consciousness, so I figured I would be OK. So, maybe it was the accident, maybe not. I'll never know for certain. But, the statistics here make a strong case for it being the head trauma.
I think for the rest of my life I will be confused how my seizures all of the sudden started. It started with the neurologists saying that the falls that I had, where I hit my head, was the reason for the seizures. These were bad falls where I hit my head on concrete, but it was over 20 years earlier. Once it was in the bottom of a swimming pool where I felt a shocking/electrical feeling up my body through my neck when it happened. It wasn't until they cut out an area of my brain that was discolored, that they gave a different reason for the seizures. After the section that was cut out and tested, I was told that the seizures were being caused by "Chronic Spinal Meningitis". I just have a hard to believing that. I still, years later, don't trust that is the whole reason. How could I have "chronic spinal meningitis" and never know it?? Would you go ahead and just believe that. I had read about the spinal meningitis, and everything I read said that you need to get to medical care immediately. I never did, never knowing I had it! I can look back at being really sick, like a bad flu, and wondering if it was related but.....I will never know. I still wonder then why did I have "chronic" meningitis? Does that mean I can still get it and cause more seizures??? I have not been told anything my the medical experts and wish they did so I don't have to continue wondering if if will return for the same reason. hmmmm, what do you think? laura
Laura, I think you should get your medical records and take them to a neuro. And perhaps get tested. Because, according to Jordan Grafman, PhD, of the National Institute of Neurological Disorders and Stroke in Bethesda, Md. when he was discussing soldiers with head injuries, he said "“For a surprising 13 percent, the post-traumatic epilepsy didn’t show up until more than 14 years after the brain injury.” See http://epilepsytalk.com/2010/07/24/brain-injured-solders-still-at-r...

Phylis Feiner Johnson
www.epilepsytalk.com

Lrjg said:
I think for the rest of my life I will be confused how my seizures all of the sudden started. It started with the neurologists saying that the falls that I had, where I hit my head, was the reason for the seizures. These were bad falls where I hit my head on concrete, but it was over 20 years earlier. Once it was in the bottom of a swimming pool where I felt a shocking/electrical feeling up my body through my neck when it happened. It wasn't until they cut out an area of my brain that was discolored, that they gave a different reason for the seizures. After the section that was cut out and tested, I was told that the seizures were being caused by "Chronic Spinal Meningitis". I just have a hard to believing that. I still, years later, don't trust that is the whole reason. How could I have "chronic spinal meningitis" and never know it?? Would you go ahead and just believe that. I had read about the spinal meningitis, and everything I read said that you need to get to medical care immediately. I never did, never knowing I had it! I can look back at being really sick, like a bad flu, and wondering if it was related but.....I will never know. I still wonder then why did I have "chronic" meningitis? Does that mean I can still get it and cause more seizures??? I have not been told anything my the medical experts and wish they did so I don't have to continue wondering if if will return for the same reason. hmmmm, what do you think? laura
thank you for the information Phylis! I had both scarring from where the seizures were being recorded and it was a different area that has turned gray. Now, I do not think that all that gray part of the brain was taken out. I was about to say that if it is chronic Meningitis, does that mean I can see it again? I went two years without even getting a cold/runny nose after my TLS. Then.....about three months ago I was soooo sick with a flu with a very high temperature. I was so weak I could hardly walk. Now I wonder, if I was diagnosed with chronic spinal meningitis, was this it again?? I did not go in to see a doctor when I was sick. I still question the reasoning for my seizures before my TLS being from Chronic Spinal Meningitis. but then......what else started my seizures all of the sudden????
I had an AVM rupture and subsequent surgery to stop the bleeding/remove that. just short of two years after that I had my first seizure (which was a tonic-clonic). My "normal" seizure from then on was the best of both worlds, I'd have a complex-partial w/secondary generalization.
Come to find out, the seizures where coming from the scar tissue and atrophy from the stroke/surgery.

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