Myoclonic Epilepsy with Absence Seizures: A Patient's Journey

Myoclonic epilepsy with absence seizures

Hello Doctor, I have been diagnosed with epilepsy since I was in the third year of junior high school.
It started after I went on a roller coaster, and the next morning I suddenly knocked over a cup of water.
I didn't think much of it at the time, but over the next two years, I also knocked over plates and cups and experienced absence seizures.
It wasn't until the third year of high school, when I was under a lot of academic pressure, that I fainted twice.
When I regained consciousness, the medical staff informed me that I had experienced convulsions during the fainting episodes.
I then went to the hospital for further examination and was diagnosed with epilepsy.
However, the doctor did not provide detailed information about the type of epilepsy I have, only stating that the condition is not severe.
I was prescribed 250 mg of Oxcarbazepine, initially taking it twice a day (one in the morning and one in the evening), and for the past two years, I have been taking one pill every evening.
The convulsions have stopped, but I still experience absence seizures, which occur infrequently—sometimes not at all in a day, and other times several times in a day.
Each time I have an absence seizure, I experience psychological stress afterward.
I have been on medication for nearly seven years now, and I would like to know if the absence seizures will improve and if there are any other recommendations.
Thank you for your response.

C, 20~29 year old female. Ask Date: 2020/04/24

Dr. Cai Zongzhang reply Neurology

Hello, you are continuing your medication, but are you regularly attending check-ups and undergoing relevant tests? The decision to discontinue antiepileptic medications must be carefully evaluated, weighing the benefits of stopping the medication against the risk of seizure recurrence.
It is recommended that you discuss this with your physician.

Reply Date: 2020/04/24

More Info

Understanding myoclonic epilepsy with absence seizures can be a complex journey, especially for someone who has been living with the condition for several years. Your experience of having seizures that began in middle school, followed by episodes of absence seizures and myoclonic jerks, is not uncommon among individuals with epilepsy.
Myoclonic epilepsy is characterized by sudden, brief jerks or twitches of the muscles, while absence seizures involve brief lapses in consciousness. These types of seizures can occur together, and managing them often requires a comprehensive approach that includes medication, lifestyle adjustments, and ongoing communication with healthcare providers.

From your description, it seems that you have been on a medication regimen with a drug called "Yuanxian" (likely referring to valproate or a similar anticonvulsant) for about seven years. It's encouraging to hear that your convulsive seizures have stopped, but the persistence of absence seizures can understandably be a source of concern. The variability in the frequency of your absence seizures—sometimes occurring multiple times a day and other times not at all—can be typical for this condition.
The first step in addressing your concerns is to have an open dialogue with your neurologist or healthcare provider. They can provide clarity on your specific type of epilepsy and help you understand the potential for improvement in your absence seizures. It’s important to note that while some individuals may experience a reduction in seizure frequency or even remission over time, others may continue to have seizures throughout their lives.
In terms of treatment, if your current medication is effectively controlling your seizures without significant side effects, your doctor may recommend continuing it. However, if the absence seizures remain bothersome, your doctor might consider adjusting your dosage or exploring other medications. There are several anticonvulsants available, and sometimes a combination of medications is necessary to achieve optimal control.
Additionally, lifestyle modifications can play a crucial role in managing epilepsy. These may include:
1. Stress Management: Since you mentioned experiencing psychological pressure, finding effective stress management techniques—such as mindfulness, yoga, or counseling—can be beneficial. Stress is a known trigger for seizures in many individuals.

2. Sleep Hygiene: Ensuring you get adequate and quality sleep is vital, as sleep deprivation can exacerbate seizure activity.

3. Regular Follow-ups: Regular appointments with your neurologist can help monitor your condition and make timely adjustments to your treatment plan.

4. Education and Support: Joining support groups or educational programs about epilepsy can provide you with valuable resources and a community of individuals who understand your experiences.

5. Avoiding Triggers: Identifying and avoiding specific triggers that may lead to seizures can also be helpful. This might include certain activities, flashing lights, or even specific emotional states.

In conclusion, while the journey with myoclonic epilepsy and absence seizures can be challenging, there are many avenues for support and management. Engaging with your healthcare team, exploring treatment options, and implementing lifestyle changes can significantly improve your quality of life. Remember, you are not alone in this journey, and there are resources available to help you navigate your condition.

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