An abnormal electrical discharge in the brain causes a seizure. There are different types, and each can cause different symptoms. A seizure may result from a medical condition or another issue, such as drug use.
The human brain has billions of nerve cells. They control the way we think, move, and feel by sending each other electrical signals. An abnormal electrical discharge can interfere with these signals, resulting in a seizure.
A medical condition, such as epilepsy, can cause these discharges that lead to seizures, as can a brain injury or chronic drug or alcohol misuse.
Below, learn more about the types of seizure, what causes them, and what treatments are available.
Doctors classify seizures into groups based on the part of the brain affected and how the seizure presents.
A generalized seizure results from abnormal electrical activity in both sides, or hemispheres, of the brain.
This type of seizure may be “absent” or tonic-clonic.
Experts sometimes call these “petit mal” seizures. They might cause the person to spend a few seconds blinking quickly or staring into space. The person might describe it as “zoning out.”
Another name for this type is a “grand mal” seizure. Someone having a tonic-clonic seizure might cry out or lose consciousness.
They may fall to the floor and shake, jerk, or have muscle spasms. Afterward, they may feel very tired.
A focal seizure happens when there is abnormal electrical activity in just one part of the brain. Doctors may also call them partial seizures.
The symptoms of a focal seizure depend on the area of the brain affected. This type of seizure might change a person’s movements, sensations, or feelings.
Someone having a focal seizure might:
- make repetitive jerking movements
- become floppy or stiff
- cry out or scream
- have a feeling of déjà vu
- taste or smell something strange
- experience numbness or tingling
- see colored or flashing lights
- become confused
Secondary generalized seizures
An electrical discharge that causes a seizure may start in one side of the brain and spread to both. The name for this is a secondary generalized seizure or a focal-to-bilateral tonic-clonic seizure.
When this happens, the person usually loses consciousness and starts jerking or shaking.
Seizures are often associated with a medical condition, such as:
Some people are prone to seizure-producing electrical discharges, and the reasons are not always clear.
One or more of the following factors may be involved:
- not eating enough
- not sleeping enough
- medication side effects
- drug or alcohol misuse
- a head injury
Depending on the cause, seizures may be preventable. Someone with epilepsy, for example, may be able to prevent seizures if their treatment plan is effective and they use their medication as advised.
Seizures can stem from high or low blood sugar, so for someone with diabetes, for example, the best method of prevention is to keep blood sugar levels stable. A doctor may also recommend antiepileptic drugs (AEDs).
Avoiding the misuse of drugs and alcohol and reading medication labeling carefully before starting a new treatment can also help prevent seizures.
If a person has a single seizure, they may not need treatment. But if a doctor believes that more seizures are likely, they may recommend AEDs. These completely stop seizures in about 70% of people who take them.
If medication does not work and the seizures are focal, the doctor may suggest surgery. This may be a resection, which involves removing any abnormal tissue in the brain that is causing the seizures.
Another surgical option is called disconnection, and it involves separating the abnormal tissue responsible for the seizures from the rest of the brain.
A different option is neuromodulation, which involves wearing an implanted device that alters nerve activity — either through deep brain stimulation, responsive neurostimulation, or vagal nerve stimulation.
Abnormal electrical discharges in the brain cause seizures. The symptoms of a seizure vary greatly, depending on the area of the brain affected.
Seizures often stem from a medical condition, such as epilepsy, dementia, or brain inflammation. Other factors, such as stress, head injuries, and drug or alcohol misuse can also cause seizures.
Medications tend to stop seizures completely, but if this is ineffective, a doctor may recommend surgery or an implanted neuromodulation device.