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Diseases & conditions
Brain & nerves

Epilepsy

Epilepsy is a brain condition that causes repeated seizures (fits), which are sudden bursts of abnormal electrical activity in the brain. It can start at any age. It is not caused by spirits or the evil eye, and it is not contagious. With the right daily medicine, most people with epilepsy stop having seizures and live normal lives.

Symptoms

  • Sudden falling, stiffening and jerking of the arms and legs
  • Loss of consciousness, sometimes with tongue biting or passing urine
  • Staring spells or brief absences with no response
  • Sudden jerks of an arm or leg
  • Strange feelings, smells or confusion before or after a seizure
  • Tiredness, headache and confusion after a seizure

When to see a doctor

Get medical help quickly if you notice any of these:

  • A first-ever seizure: see a doctor the same day
  • A seizure lasting more than 5 minutes, or seizures one after another without waking up: get emergency help now
  • A seizure in water, with a head injury, or in a pregnant woman
  • Difficulty breathing or not waking up normally after a seizure
  • Seizures continuing despite medicine, or side effects such as a rash

In an emergency, go to the nearest hospital or clinic straight away.

Causes

  • Often no cause is found
  • Brain injury from a difficult birth, a head injury or a stroke
  • Brain infections such as meningitis
  • Family history
  • Brain tumours (rare)
  • Triggers in people with epilepsy: missed medicine, lack of sleep, fever, flashing lights

Prevention

  • Good care in pregnancy and childbirth reduces brain injury in newborns
  • Wear helmets and seat belts to prevent head injury

Talk to a doctor

Get advice by video, voice or chat without leaving home.

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  • If you have epilepsy: take your medicine every day, sleep enough and avoid alcohol and drugs
  • Do not swim alone, climb heights or work near open fire until seizures are controlled
  • Treatment

    • Daily anti-seizure medicine prescribed by a doctor, usually for years
    • Take it at the same time every day and never stop it suddenly
    • Tests may include an EEG (brain wave test) and a brain scan
    • Regular follow-up to adjust the dose and check for side effects
    • Women planning pregnancy should talk to their doctor first, because some medicines need to be changed
    • Amulets and traditional remedies cannot replace medicine

    Common questions

    What should I do when someone has a seizure?

    Stay calm, move hard objects away and put something soft under the head. Do not hold the person down and do not put anything in their mouth. When the jerking stops, turn them on their side and stay with them. Get emergency help if it lasts more than 5 minutes.

    Can a person with epilepsy marry and have children?

    Yes. Most people with epilepsy marry and have healthy children. Women should plan pregnancy with their doctor, take folic acid before pregnancy and never stop their medicine without advice.

    General information onlyThis guide does not replace an examination by a doctor. Do not start or stop a medicine without a doctor's advice.