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Should I wake my partner when I see a nocturnal seizure beginning?

Sat, 10/26/2013 - 11:57
My partner is nocturnal epileptic and though infrequently, he does still suffer night-time seizures occasionally. The last but one time this happened I heard the initial stages of the seizure (rapid loud gulping) and I woke him up and made him drink a glass of water. He 'came to' then fell back to sleep and tho was a little groggy the next day he seemed ok and went to work. About 6 months later (2 nights ago) the same thing happened around 1am - I interrupted the seizure at the gulping stage. After water he went back to sleep seemingly fine - Then our toddler woke at 4am and I got her into bed with us. We fell back to sleep - then at 4.30am I was awoken by what I call stage 2 of a seizure - a loud barking animal like noise - I can only think that I must have slept through the gulping stage. Immediately I thought of the baby so I moved her to the edge of the bed (safely) so I was in the middle, then set to work waking my partner, it was much harder than at the gulping stage, but I did manage to before he got to the next stage (tonic clonic) I again made him drink water (i never force it on him he holds the glass himself) as there seems to be a strong link between dehydration and seizures. Once again he went back to sleep. The next day he did feel a bit 'hungover' (metaphorically he doesn't drink alcohol) but certainly not as bad as when he's had a full nocturnal seizure. My query is simply to ask if I'm doing the right thing by interrupting these seizures? I have scoured the internet but can find nothing about trying to halt a seizure only how to manage them (safety from injury etc). I am aware I probably shouldn't have got the baby In with us but was half asleep and had actually forgotten about the gulping earlier. Does anyone know anything about it? I am purely talking nocturnal seizures tho as he never has daytime seizures at all.

Comments

Re: Should I wake my partner when I see

Submitted by emma coquet on Sun, 2013-10-27 - 01:14
thanks joe - i will look into what you say but really it's just the question of waking him during a seizure that i'm trying to get to the bottom of - but your specialist sounds great so maybe we should look around em x

Re: Should I wake my partner....

Submitted by Nerak95 on Sat, 2013-10-26 - 17:29
If someone is having a seizure, you can't do anything that will wake them from the seizure.  That's one good way to tell if someone is, indeed, having a seizure. If you can break the pattern, activity, episode, it's not a seizure.  You cannot actually stop a seizure unless it's done with medication that's given via an IV.
If one would have a seizure as a result of dehydration, they have to really be dehydrated for that to happen and one glass of water doesn't treat real dehydration.   Although some people are still coherent during a seizure, drinking a glass of water could be dangerous in case they would aspirate.
Could it be that the noises that your partner is making could be sleep apnea?
The "hangover" is most likely the residual effect of having the seizure. Sometimes it can really make you feel like crap afterwards.
I certainly would have your partner contact his neurologist. Sometimes drugs can lose their effectiveness.  One thing I'd like to mention is that if your partner is on a generic form of Tegretol, make sure he sticks with the same manufacturer. People can respond differently to generic drugs but most of the time if they stick with the same manufacturer, things are stable.  Also, if in the event that he had switched to a different manufacturer of a generic Tegretol and these episodes that he's having is new, this could be a result of a change in manufacturer.
Karen
If someone is having a seizure, you can't do anything that will wake them from the seizure.  That's one good way to tell if someone is, indeed, having a seizure. If you can break the pattern, activity, episode, it's not a seizure.  You cannot actually stop a seizure unless it's done with medication that's given via an IV.
If one would have a seizure as a result of dehydration, they have to really be dehydrated for that to happen and one glass of water doesn't treat real dehydration.   Although some people are still coherent during a seizure, drinking a glass of water could be dangerous in case they would aspirate.
Could it be that the noises that your partner is making could be sleep apnea?
The "hangover" is most likely the residual effect of having the seizure. Sometimes it can really make you feel like crap afterwards.
I certainly would have your partner contact his neurologist. Sometimes drugs can lose their effectiveness.  One thing I'd like to mention is that if your partner is on a generic form of Tegretol, make sure he sticks with the same manufacturer. People can respond differently to generic drugs but most of the time if they stick with the same manufacturer, things are stable.  Also, if in the event that he had switched to a different manufacturer of a generic Tegretol and these episodes that he's having is new, this could be a result of a change in manufacturer.
Karen

Re: Should I wake my partner....

Submitted by 3Hours2Live on Sun, 2013-10-27 - 06:00
Hi Nerak95, Many individuals experience epileptic seizures (about 10%) that can be inhibited before the seizure spreads beyond such where inhibition possibilities lose effectiveness for them. The majority of examples are with absence seizures, but that is not exclusive: "Parents, relatives, and patients have frequently reported that epileptic seizures, mainly absence seizures, can be inhibited by a sudden simple stimulus such as clapping, shouting, or gentle shaking of the shoulder. Although reported in the literature and well known to epileptologis, this phenomenon has seldom been investigated." "Sensory Stimulation for Inhibition of Epileptic Seizures" by Peter Rajna and Cristina Lona (Epilepsia, 30(2):168-174, 1989). I used to be able to briefly stop my periodic clusters of seizures at the aura stage by staying awake (with failure at final onset sleep), but that ability stopped, and I haven't discovered any sensory stimulation as a replacement, as I previously posted at epilepsy-dot-com: As I used to get plenty of warning of more intense seizures coming on the next day, with warnings the night before my cluster seizure day, I've tried all kind of tricks to stop the impending seizures. Since my cluster seizures previously hit about once a month, I even tried to find a way to induce them on the best day possible just to get them over with for that month. I never did find any technique that worked beyond simple seizures in limited environments; otherwise seemingly successes were no better than chance random occurrences. I did find ways to induce minor visceral sensations that were weak sensations similar to the very intense visceral sensations of moderate aura. Then, disagreeable such sensations were much more easily induced than agreeable such sensations (i.e., it's easier to induce "sensations of great fear" than sensations of "heavenly ecstasy," but both can be accomplished with long enough and careful schedules of reinforcement). My very limited seizure control success might just be from co-morbid Asperger's, rather than pseudo-Asperger's from imitative side-effects of temporal lobe epilepsy and/or Geschwind Syndrome. Recently, (but I already lost track of it) I read a sloppy research paper that I regard as overly "free will" biased, that claims that focal seizures (such as warning aura) that spread through paths close to "volitional" parts of the human brain, can be stopped in it's path by "willingly overloading" that "volitional" part of the brain with intense activity. It seems a bit optimistic to me, then what do they really mean? With the warning aura, yell loud obscenities at the moon? Hit my thumb with a hammer for the distractionary pain? Stick my nose in a skunk for the distractionary smell? Think real hard about a very difficult crossword puzzle clue? Take a strong swig of caffeine or a stiff drink, or just strongly think about it? The closest I've came, is to take a strong dose of Keppra with a warning aura, but I don't think that's what they meant. They also cited a few too many cases of success (with no failures), but the different powers of thought being able to stop the aura spreading to a bigger seizure just didn't work for me, even with many experiments with and without additional physical actions. From a previous posting, a more scientific article cited was in: I also tried variations with sensory stimulation to stop secondary tonic-clonics from strong periodic clusters of seizures. Some reports of success from others with stimulation involve very counter-intuitive results, esp. a 1989 article in Epilepsia, 30(2):168-174 "Sensory Stimulation for Inhibition of Epileptic Seizures": http://onlinelibrary.wiley.com/doi/10.1111/j.1528-1157.1989.tb05450.x/abstract The posting, with other similar subject postings, was here at: http://www.epilepsy.com/discussion/983031 This path only works when you're not signed on here, otherwise it defaults to the home page of epilepsy.com frequently. http://www.epilepsy.com/discussion/985312 Tadzio PS.: Many more relevant references at end of an article in Hungarian at (Epilepsia article currently blocked 10/27/2013): http://vitalitas.hu/olvasosarok/online/rehabilitacio/2000/1/5.htm & "Sleep and Epilepsy: Strange Bedfellows No More" http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3608109/ Try smelly shoes????: http://www.webmedcentral.com/article_view/791 http://www.ncbi.nlm.nih.gov/pubmed/18353533 (Maybe Ovid's success with tarantula dung is true)

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