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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Does Recurring Confusion And Feeling Of Passing Out Mean Recurred Seizure?

My 37 year old son in law was found passed out and had started turning blue by the time medics got to him and got him awake. He was transported to the hospital where they kept him overnight. Their diagnosis was a possible seizure causing oxygen deprivation. This occurred last Tuesday, 1/30. Tonight while out shopping with his wife he got very confused, told her there were people in the car with them and he s been very tired, falling asleep sitting up. Could this be from the lack of oxygen or something else going on.
Wed, 14 Jan 2015
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Neurologist,  's  Response
I read your question and I understand your concern.

Confusion and feeling of passing out can be a seizure manifestation.

It is not clear whether he had any tests done after his first seizure (from your description a generalized seizure). Seizures in an adult must be investigated after as usually there is a cause behind them.
So apart from some routine blood tests he should have examination with MRI to look for brain lesions (tumor, stroke, infection etc) and EEG to search for epileptic activity, location and type.
Other exams may be needed at times depending on the physical and imaging exams findings. The fact that he's having these episodes reinforces the need for more exams.
Treatment will be directed towards the cause and anti-epileptic treatment if necessary.
The lack of oxygen described to you has been suggested as a result of the generalized seizure with temporary breathing interruption, as a secondary sign, not as a cause of the seizure.

I hope to have been of help.
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Does Recurring Confusion And Feeling Of Passing Out Mean Recurred Seizure?

I read your question and I understand your concern. Confusion and feeling of passing out can be a seizure manifestation. It is not clear whether he had any tests done after his first seizure (from your description a generalized seizure). Seizures in an adult must be investigated after as usually there is a cause behind them. So apart from some routine blood tests he should have examination with MRI to look for brain lesions (tumor, stroke, infection etc) and EEG to search for epileptic activity, location and type. Other exams may be needed at times depending on the physical and imaging exams findings. The fact that he s having these episodes reinforces the need for more exams. Treatment will be directed towards the cause and anti-epileptic treatment if necessary. The lack of oxygen described to you has been suggested as a result of the generalized seizure with temporary breathing interruption, as a secondary sign, not as a cause of the seizure. I hope to have been of help.