Understanding Epilepsy -- Prevention

Medically Reviewed by Christopher Melinosky, MD on May 12, 2023
3 min read
What Happens in Your Brain When You Have a Seizure?Watch what happens when abnormal electrical activity interrupts your normal brain function.66

SPEAKER: Your brain contains

billions of nerve cells

called neurons that communicate

with each other

by sending and receiving

electrical impulses.



A seizure occurs when there is

sudden abnormal electrical

activity that temporarily

interrupts normal brain

function.



Large groups of neurons fire

at the same time

like an electrical storm

inside the brain that usually

lasts from 30 seconds

to two minutes.



This extra activity can cause

changes in behavior, sensation,

movements, or awareness.



There are two main types

of seizures.

Focal, or partial seizures

happen in just one part

of the brain,

while generalized seizures seem

to occur all over the brain.



Symptoms usually vary depending

on the type of seizure

and can include

temporary confusion,

staring spells, convulsions,

or loss of consciousness.



If you think you've had

a seizure, talk to your doctor

right away for more information.

<p>Mayo Clinic: "Epilepsy."<br/>UpToDate: "Patient education: Seizures in adults (Beyond the Basics)."<br/>Medline Plus: "Seizures."</p>/delivery/58/21/58214237-dee3-4a29-bf36-39e981dca3e1/vd-1355-ucsf-seizures_,2500k,750k,400k,1000k,4500k,.mp411/27/2016 08:00:00 PM650350seizure illustration in brain/webmd/consumer_assets/site_images/article_thumbnails/video/seizures_animation_video/650x350_seizures_animation_video.jpg091e9c5e8154a892

There are numerous causes of epilepsy ranging from injury to illness and no two people have the same reaction. People with epilepsy may have certain triggers which can lead to seizures. There are ways to try and prevent the seizures by identifying and watching for particular behaviors, environments, or physical and emotional signs that precede attacks. It's not uncommon, for example, to feel annoyed or elated several hours prior to a grand mal seizure, and immediately before the attack.

In addition, the person may become aware of a warning "aura" -- perhaps a taste or smell: This warning may allow you to lie down in time to avoid falling. In cases where the aura is a smell, some people are able to fight off seizures by sniffing a strong odor, such as garlic or roses. When the preliminary signs include depression, irritability, or headache, an extra dose of medication (with a doctor's approval) may help prevent an attack. In the case of a Jacksonian seizure, firmly squeezing the muscles around those that are twitching can sometimes halt the attack.

Take precautions if your seizures are not fully controlled. Avoid or limit alcohol, comply with your state's requirements for a seizure-free period prior to driving a vehicle, and educate family members on steps to minimize injury if you have a seizure. Tell them to protect you against falling, and to roll you onto your side if you lose consciousness.