The increased risk of death associated with epilepsy is almost entirely limited to the first 10 years after the diagnosis is made. Single seizures that impair consciousness are almost never fatal. The most dangerous setting for someone with episodes of impaired consciousness is driving a motor vehicle, where a brief lapse can prove deadly. Fatal accidents and traumas are increased for people with epilepsy. Death from drowning is also more common among people with epilepsy.
Seizures causing a fatal injury are extremely rare.
Unfortunately, they can occur. Prevention is the best medicine. For people with seizures that impair consciousness or motor control, avoiding situations that place them at risk is important. There must be balance between safety and leading an active, productive, and enjoyable life. For the vast majority of people with epilepsy, this balance can be achieved.