Seizures

What Is a Seizure?

A seizure (SEE-zhur) is unusual electrical activity in the brain that can cause changes in behavior, movement, or feelings. Normally, electrical activity in the brain involves neurons (nerve cells) in different areas sending signals at different times. During a seizure, many neurons fire all at once.

Not all kids who have had one seizure will have another. Epilepsy is when someone has repeated seizures. Some kids will outgrow seizures.

What Happens in a Seizure?

Normally, electrical activity in the brain involves neurons (nerve cells) in different areas sending signals at different times. During a seizure, many neurons fire all at once.

What Are the Different Types of Seizures?

Some seizures affect both sides of the brain, while others involve only one side.

Generalized seizures affect both sides of the brain. Generalized seizure types include:

Focal seizures affect a single area in one side of the brain. Focal seizures types include:

focal aware seizures
focal impaired awareness seizures
focal to bilateral generalized tonic-clonic seizures

Some people have both focal and generalized seizures.

What Are the Signs & Symptoms of a Seizure?

Signs and symptoms of seizures depend on what kind of seizure someone has. They may stare into space or have jerking movements in part of their body or the whole body. Some people may show no signs at all.

What Happens After a Seizure?

After a seizure, the person may feel confused, tired, have a headache, or have other symptoms. This is called the postictal (post-IK-tul) phase. It usually lasts just a few minutes, but can be longer.

What Causes Seizures?

The most common type of seizure in children is from a fever (called a febrile seizure). Other causes include infections, low blood sodium, medicines, drug use (amphetamines or cocaine), brain injury or a tumor, and genetic changes. Sometimes, a seizure's cause is never found.

How Are Seizures Diagnosed?

If a child has a seizure, doctors will look for a cause. Kids who’ve had a seizure might need to see a pediatric neurologist (a doctor who specializes in brain, spine, and nervous system problems). Tests done can include:

blood tests and urine (pee) tests to look for infections or illnesses
EEG to measure brain wave activity
VEEG, or video electroencephalography (EEG with video recording)
CAT scan, MRI, and PET/MRI scans to get very detailed images of the brain

How Are Seizures Treated?

How doctors treat seizures depends on their cause (if known) and the type of seizure. Some won’t need any treatment.

Medicines can help with many types of seizures. If medicine doesn’t work, other treatments are available.

How Can Parents Help?

If your child had a seizure, talk to the doctor about:

any medicines your child should take
any “triggers” (such as fever, flashing lights, hunger, lack of sleep, or medicines) that can make a seizure more likely
any precautions your child should take while swimming or bathing
whether your child should wear a medical ID bracelet
whether your child needs to see a neurologist
if it’s OK for your teen to drive
how to keep your child safe during a seizure. Share this information with caregivers, coaches, and staff at your child’s school.

If your child has another seizure, keep a record of:

when it happened
how long it lasted
what happened right before the seizure
what happened during and after the seizure

This information will help the doctor find what’s causing the seizures and decide on the best treatment.

What Else Should I Know?

If your child has seizures, reassure them that they’re not alone. Your doctor and the care team can answer questions and offer support. They also might be able to recommend a local support group. Online organizations can help too, such as:

The Anatomy of the Brain

The brain is like a computer that controls the body's functions, and the nervous system is like a network that relays messages to parts of the body.

Click through this slideshow to learn more about the brain and nervous system.

Cerebrum

The largest part of the brain, the cerebrum has two hemispheres (or halves). The cerebrum controls movement, speech, intelligence, emotion, and what we see and hear.

Frontal Lobe

The frontal lobe, located behind the forehead, does much of the work of complex thinking, like planning, imagining, making decisions, and reasoning.

Parietal Lobe

The parietal lobe, located behind the frontal lobe, processes information about touch, taste, and temperature.

Temporal Lobe

The temporal lobe, found near the ears, lets us understand sounds and language, allows us to recognize objects and faces, and helps us create memories.

Occipital Lobe

The occipital lobe, in the rear of the brain, processes light and other visual information from the eyes, and allows us to know what we are seeing.

Cerebellum

The cerebellum helps coordinate and fine‑tune movement and balance.

Spinal Cord

This portion of the central nervous system runs down the inside of the spinal column, connecting the brain with nerves going to the rest of the body.

Brain Stem

At the base of the brain, the brain stem connects to the spinal cord and is made up of the midbrain, pons, and medulla oblongata.

Pons

The pons relays messages from the cerebrum to the cerebellum and spinal cord, and helps control movement of the face.

Midbrain

The midbrain helps control eye movements, and allows the brain to communicate with the rest of the nervous system.

Medulla Oblongata

This portion of the brain stem is located just above the spinal cord. It regulates vital functions, such as heartbeat and breathing.

Thalamus

Located in the central part of the brain, the thalamus receives sensory messages, such as touch, from the body, and sends the messages to the appropriate part of the brain to be interpreted.

Ventricles

These hollow spaces in the brain have cerebral spinal fluid (CSF) in them. CSF flows through the ventricles and around the spine in the spinal column, protecting and nourishing the central nervous system.

Pituitary Gland

This tiny gland produces hormones involved in regulating growth, puberty, metabolism, water and mineral balance, the body's response to stress, and more.

Hypothalamus

The hypothalamus regulates functions like thirst, appetite, and sleep patterns. It also regulates the release of hormones from the pituitary gland.

Reviewed by: Amy W. Anzilotti, MD
Date Reviewed: Feb 15, 2021

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