A seizure is the physical findings or changes in behavior that occur after an episode of abnormal electrical activity in the brain.
The term "seizure" is often used interchangeably with "convulsion." Convulsions are when a person's body shakes rapidly and uncontrollably. During convulsions, the person's muscles contract and relax repeatedly. There are many different types of seizures. Some have mild symptoms and no body shaking.
Use of illegal street drugs, such as cocaine or amphetamines
Withdrawal from alcohol after drinking a lot on most days
Withdrawal from certain drugs, including some painkillers and sleeping pills
Withdrawal from benzodiazepines (such as Valium)
Sometimes no cause can be identified. This is called idiopathic seizures. They usually are seen in children and young adults but can occur at any age. There may be a family history of epilepsy or seizures.
If seizures repeatedly continue after the underlying problem is treated, the condition is called epilepsy.
Most seizures stop by themselves. However, the patient can be hurt or injured during a seizure.
When a seizure occurs, the main goal is to protect the person from injury. Try to prevent a fall. Lay the person on the ground in a safe area. Clear the area of furniture or other sharp objects.
Cushion the person's head.
Loosen tight clothing, especially around the person's neck.
Turn the person on his or her side. If vomiting occurs, this helps make sure that the vomit is not inhaled into the lungs.
Look for a medical I.D. bracelet with seizure instructions.
Stay with the person until he or she recovers, or until you have professional medical help.
If a baby or child has a seizure during a high fever, cool the child slowly with tepid water. Do not place the child in a cold bath. You can give the child acetaminophen (Tylenol) once he or she is awake, especially if the child has had fever convulsions before.
For information on how to help someone who is having a seizure, see: Seizure first aid
Call your health care provider if
Call 911 or your local emergency number if:
This is the first time the person has had a seizure.
A seizure lasts more than 2 to 5 minutes.
The person does not awaken or have normal behavior after a seizure.
Another seizure starts soon after a seizure ends.
The person had a seizure in water.
The person is pregnant, injured, or has diabetes.
The person does not have a medical ID bracelet (instructions explaining what to do).
There is anything different about this seizure compared to the person's usual seizures.
Report all seizures to the person's health care provider. The doctor may need to adjust or change the person's medications.
What to expect at your health care provider's office
A person who has had a new or severe seizure is usually seen in a hospital emergency room. The health care provider will try to diagnose the type of seizure based on the symptoms.
Tests will be done to rule out other medical conditions that cause seizures or similar symptoms. This may include fainting, transient ischemic attack (TIA) or stroke, panic attacks, migraine headaches, sleep disturbances, and others.
Epilepsy (to make sure the person is taking the right amount of medicine)
A single seizure due to an obvious trigger (such as use of a certain drug) is treated by eliminating or avoiding that trigger.
There is no specific way to prevent all seizures. However, the following tips may help control some of them:
Always take your medications as your doctor instructed. Family members should observe and record any seizure information to make sure the person gets proper treatment.
Get plenty of quality sleep, reduce stress, exercise, and eat a healthy diet. Poor health habits can make you more likely to have more seizures.
You might help lower your risk of seizures if you:
Use helmets to prevent head injury. This will lessen the likelihood of a brain injury that leads to seizures.
Avoid illegal street drugs.
You should not drive if you have uncontrolled seizures. Every U.S. state has a different law detailing which people with a history of seizures are allowed to drive. If you have uncontrolled seizures, you should avoid activities where loss of awareness would cause great danger, such as climbing to high places, biking, and swimming alone.
Krumholz A, Wiebe S, Gronseth G, et al. Practice parameter: evaluating an apparent unprovoked first seizure in adults (an evidence-based review): report of the Quality Standards Subcommittee of the American Academy of Neurology and the American Epilepsy Society. Neurology. 2007;69(21):1991-2007.
Rubin DH, Kornblau DH, Conway EE Jr, Caplen SM. Neurologic Disorders. In: Marx JA, ed. Rosen’s Emergency Medicine: Concepts and Clinical Practice. 7th ed. Philadelphia, Pa: Mosby Elsevier; 2009:chap 173.
Walker SP, Permezel M, Berkovic SF. The management of epilepsy in pregnancy. BJOG. 2009 May;116(6):758-67.
Luc Jasmin, MD, PhD, Department of Neurosurgery at Cedars-Sinai Medical Center, Los Angeles, and Department of Anatomy at UCSF, San Francisco, CA. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Health Solutions, Ebix, Inc.