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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Can Children Have A Nosebleed Prior To Seizures?

My daughter is 9, she has been diagnosed with autism however at around 3 she was put on meds for focal sizures. She has since then come off the meds and she has an episode about 2-3 month where her anxiety goes up and she will start to have nose bleeds and then what apears the post symptoms of a seizure where all she wants to do is sleep. She has recently went to the nurologist who doesn t seem to have any answers for me. Can children have a nosebleed prior to seizures? Can anxiety cause a seizure to take place? Thanks, Mom in SC
Mon, 6 May 2019
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Neurologist 's  Response
Hi,

Anxiety can definitely be a seizure trigger. The absolute relationship between nosebleeds as a prelude to an epileptic event is not well known. There are many people with known epilepsy who do relate having nosebleeds shortly or immediately prior to a seizure event. But also there are metabolic causes to be ruled out such as Factor deficiencies in the blood (Factor IX, the Von Willebrand factor).

It is also possible that on those times she suddenly becomes anxious that in fact, she is manifesting prodromal symptoms of a seizure. It's too bad that she has these episodes so infrequently because she would otherwise be an excellent candidate for video monitoring. Does she lose control of her bowel or bladder as well, become very quiet, fixed stare? Then, becomes exhausted?

I think there are a number of ways to go on diagnosing your daughter. Your best chance at an answer is to seek out a pediatric epileptologist.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Dariush Saghafi, Neurologist
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Can Children Have A Nosebleed Prior To Seizures?

Hi, Anxiety can definitely be a seizure trigger. The absolute relationship between nosebleeds as a prelude to an epileptic event is not well known. There are many people with known epilepsy who do relate having nosebleeds shortly or immediately prior to a seizure event. But also there are metabolic causes to be ruled out such as Factor deficiencies in the blood (Factor IX, the Von Willebrand factor). It is also possible that on those times she suddenly becomes anxious that in fact, she is manifesting prodromal symptoms of a seizure. It s too bad that she has these episodes so infrequently because she would otherwise be an excellent candidate for video monitoring. Does she lose control of her bowel or bladder as well, become very quiet, fixed stare? Then, becomes exhausted? I think there are a number of ways to go on diagnosing your daughter. Your best chance at an answer is to seek out a pediatric epileptologist. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Dariush Saghafi, Neurologist