Epilepsy - Seizure

Low urgency
Very common-
A seizure is caused by abnormal electric shocks in the brain. It can range from a seizure to disconnection phenomena. 5 to 10% of people will have at least one seizure during their lifetime. Epilepsy occurs when the convulsions or seizures are repeated due to a chronic process. This may be due to brain injuries (trauma, sequelae of meningitis, tumors, etc.). When there is no identified cause, it is called idiopathic epilepsy. Symptoms range from tonic-clonic seizures (disconnection, stiffness, muscle spasms), complex partial seizures (repetitive movement of a particular area), absences, etc. It will be diagnosed with the clinical symptoms, laboratory tests and tests such as an electroencephalogram, tomography, etc. Treatment in the acute phase involves the administration of anticonvulsant medications. If you have more than one episode, maintenance therapy will generally be prescribed to prevent relapses. In cases that do not respond to standard treatment, deep sedation (coma induced) may be necessary.
Bibliographic references
  1. Steven C Schachter, MD. Evaluation of the first seizure in adults. UpToDate, Agosto 2016
  2. Steven C Schachter, MD. Overview of the management of epilepsy in adults. UpToDate, Agosto 2016
  3. Bonnett LJ. Treatment outcome after failure of a first antiepileptic drug. Neurology 2014; 83:552.
  4. Daniel H. Lowenstein. Convulsiones y epilepsia. Harrison. Principios de Medicina Interna, 19e. Capítulo 445.
  5. J. J. Zarranz Imirizaldu. Epilepsias. Farreras Rozman. Medicina Interna, ed 18. Capítulo 168
Author
Dr. Sara Vitoria
Copyright
© TeckelMedical 2026

Symptoms

    Seizures


    Difficulty remembering what happened after seizure


    Confusion after seizure


    Involuntary movements of a muscle group


    Coma

Symptoms to watch out for

Seizure longer than 5 minutes
Accompanied by a blow to the head
Fever (temperature higher than 100.4 ºF)
Reduction in the level of consciousness
Pregnancy
History of immunodeficiency (HIV, Diabetes Mellitus, oncological disorders, long-term corticosteroid consumption).

Self-care

Turn the person onto their side during the seizures.
Rest and sleep for 6 to 8 hours a day.
Eat a balanced diet: increase consumption of fruits, vegetables, and white meats, and reduce consumption of fatty and fried foods.
Get regular physical activity at least 3 times a week that is appropriate for your age and physical condition.
Consult with your primary care physician regarding the prescription of anticonvulsants.