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Every time you (or someone with you) has a seizure it is important to write down what happened. Often a doctor will request the patient to keep a seizure log prior to any examination. Always include the date and time of any seizure, as well as how long it lasted, what it looked like, and anything that could have triggered it (such as lack of sleep, stress, or injury). If you are the one who experienced the seizure, ask for input from people who witnessed it. When you or someone you love experiences an unexplained symptoms, it is important for them to visit a doctor. Bring along as much information as possible to help give the doctor a clear picture of the seizure activity. Prepare for a doctor's appointment by: Finding out about any pre-appointment restrictions, and following these restrictions. (The doctor may ask the patient to alter your diet or sleep pattern.) Recording any recent life changes or sources of stress. Writing down any medications the patient is taking, including vitamins. Making arrangements for a family member or friend along to the appointment. Writing down any questions for the doctor. In order to determine the cause of the seizure, the doctor will listen carefully to all of the symptoms and do a basic physical examination. Additionally, the doctor will evaluate the patient for physical and neurological conditions that can lead to seizure activity. The evaluation is likely to include: Blood tests - These will be used to check for signs of infections, genetic conditions, or other health conditions that could be associated with a risk of seizure. A neurological exam - This can help the doctor diagnose the condition and possibly determine the type of epilepsy present. This can include tests of behavior, motor abilities, and mental function. Based on the symptoms present, any previous medical history, the results of any blood tests, and any findings from the neurological exam, the doctor may order a series of tests. Tests used to detect brain abnormalities can include: Electroencephalogram (EEG) High-density EEG Computerized tomography (CT) scan Magnetic resonance imaging (MRI) Functional MRI (fMRI) Positron emission tomography (PET) Single-photon emission computerized tomography (SPECT) Neuropsychological tests Complete Blood Count (CBC) test to eliminate infection, anemia, glucose fluctuations, or thrombocytopenia Blood Urea Nitrogen (BUN) or creatine test to exclude electrolyte disturbances, hypoglycemia, or uremia Drug and alcohol screening Determining the location of the electrical discharges in the brain can help the doctor understand the cause of certain seizures. Neurological analysis techniques are often done in conjunction with other neurological tests, such as MRIs and EEGs. Some neurological analysis techniques include: Statistical parametric mapping (SPM) Curry analysis Magnetoencephalography (MEG)
Maintain a detailed seizure log. Schedule an appointment with your doctor. Request a medical evaluation. Request more advanced tests to detect brain abnormalities. Work with a doctor to pinpoint where seizures originate in the brain.