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Suggest Treatment After Seizure While Sleeping

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Posted on Mon, 12 Oct 2015
Question: I had a seizure in my sleep last week and was in the hospital for four days. They discovered my heart rate drops down to upper 30's and oxygen saturation drops to 72% while sleeping. They had oxygen delivered at home to use while I am sleeping while I wait for my sleep study to be done. Last night I would wake up every few minutes trembling and shaking with seizure like symptoms. What can I do to sleep? Is it possible to have seizures during sleep that occur that often?

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Answered by Dr. Ajay Panwar (2 hours later)
Brief Answer:
Yes.It is usual.Sleep can precipitate seizures.

Detailed Answer:
Hi xxxx.
Thanks for being on healthcaremagic.com.
I am Dr.Ajay Panwar,a neurologist,here to answer your query.

Yes,that's quite possible.In fact,that's usual in the clinical practice.This is because sleep is a well studied and well documented,provocative factor for seizures.We even use it as a provocative maneuver while doing an EEG(Electroencephalogram) of a patient with seizures.

At this point,you should get the following investigations done-
1)MRI Brain with Epilepsy protocol
2)EEG

Also,as the clinical possibility of seizure is very strong,empirical antiepileptic drugs should be started.Many patients achieve an excellent response with just a single antiepileptic drug and remain seizure free on drug.

If you have any further questions,I shall be glad to have you in follow-up.

Regards
Dr.Ajay Panwar,
MD,DM(Neurology)
Note: For further follow up on related General & Family Physician Click here.
Above answer was peer-reviewed by : Dr. Raju A.T
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Answered by
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Dr. Ajay Panwar

Neurologist

Practicing since :2007

Answered : 1827 Questions

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Suggest Treatment After Seizure While Sleeping

Brief Answer: Yes.It is usual.Sleep can precipitate seizures. Detailed Answer: Hi xxxx. Thanks for being on healthcaremagic.com. I am Dr.Ajay Panwar,a neurologist,here to answer your query. Yes,that's quite possible.In fact,that's usual in the clinical practice.This is because sleep is a well studied and well documented,provocative factor for seizures.We even use it as a provocative maneuver while doing an EEG(Electroencephalogram) of a patient with seizures. At this point,you should get the following investigations done- 1)MRI Brain with Epilepsy protocol 2)EEG Also,as the clinical possibility of seizure is very strong,empirical antiepileptic drugs should be started.Many patients achieve an excellent response with just a single antiepileptic drug and remain seizure free on drug. If you have any further questions,I shall be glad to have you in follow-up. Regards Dr.Ajay Panwar, MD,DM(Neurology)