Morning Seizures: Epilepsy or Other Neurological Issues? - Neurology

More Info

---

Hello! Thank you for reaching out with your concerns regarding your wife's recent diagnosis of epilepsy and the symptoms she has been experiencing. It's understandable to have questions about the relationship between her seizures and the abdominal and back pain she is experiencing in the mornings.

Firstly, it's important to clarify that epilepsy is a neurological disorder characterized by recurrent seizures, which can manifest in various forms, including generalized tonic-clonic seizures (formerly known as grand mal seizures) and focal seizures. The fact that your wife has been diagnosed with epilepsy indicates that her seizures are likely due to abnormal electrical activity in the brain. However, the symptoms you describe—abdominal tightness and back stiffness occurring in the morning—may not necessarily be directly related to her epilepsy.

The timing of her symptoms, occurring between 6:00 and 8:00 AM, could suggest a few possibilities. One potential explanation is that these symptoms may be related to a phenomenon known as "morning seizures," which can occur in some individuals with epilepsy. Morning seizures can be triggered by various factors, including sleep deprivation, hormonal changes, or even the transition from sleep to wakefulness. However, since your wife is aware during these episodes and they do not seem to resemble her previous seizures, it is less likely that they are directly caused by her epilepsy.

Another possibility is that her symptoms could be related to a condition known as "abdominal migraine" or even gastrointestinal issues such as irritable bowel syndrome (IBS), which can sometimes present with abdominal pain and discomfort. Additionally, the stiffness in her back could be related to muscle tension or strain, especially if she has been sleeping in an awkward position or if there are underlying musculoskeletal issues.

Regarding your concern about whether this could be a form of "stiff person syndrome" or "myelitis," it is essential to note that these conditions have distinct clinical features. Stiff person syndrome is characterized by severe muscle stiffness and spasms, while myelitis (inflammation of the spinal cord) typically presents with neurological deficits and may not align with the symptoms you described. Given that your wife is able to relieve her symptoms by walking or taking pain medication, it suggests that these symptoms may be more musculoskeletal in nature rather than indicative of a serious neurological condition.

It is crucial for your wife to follow up with her healthcare provider regarding these new symptoms. A thorough evaluation, including a physical examination and possibly imaging studies, may be necessary to rule out any underlying conditions. Additionally, keeping a symptom diary that tracks the timing, duration, and nature of her symptoms can be helpful for her healthcare provider in making an accurate diagnosis.

In summary, while your wife's morning symptoms may be concerning, they do not necessarily indicate a direct connection to her epilepsy. It is essential to consult with her neurologist or primary care physician to explore these symptoms further and determine the appropriate course of action. Early intervention and proper management can significantly improve her quality of life and overall well-being. Thank you for sharing your concerns, and I wish your wife the best in her recovery and management of her health.