Numbness in Hands and Feet After Epilepsy Recovery - Neurology

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Numbness in the hands and feet?


I had a history of epilepsy in my childhood, but it has been cured.
Recently, when I feel very happy, my hands and feet become numb.
Is this related to my epilepsy?

Selena, 10~19 year old female. Ask Date: 2010/03/11

Dr. Gao Chunde reply Neurology


There are various types of seizures, including sensory, motor, autonomic, and even psychological manifestations.
It is difficult to completely rule out any connections between them.
If you have concerns, you may visit a neurology clinic to have a specialist analyze and explain your specific situation in detail.

Reply Date: 2010/03/11

More Info


Numbness in the hands and feet can be concerning, especially for someone with a history of epilepsy. While it is essential to consult a healthcare professional for a personalized evaluation, I can provide some general insights into the potential connections between your past epilepsy and the symptoms you are experiencing.

Firstly, it is important to understand that epilepsy itself is a neurological disorder characterized by recurrent seizures. The brain's electrical activity is disrupted, leading to various symptoms, including convulsions, loss of consciousness, and sometimes sensory disturbances. After recovering from epilepsy, some individuals may experience residual effects, including sensory changes like numbness or tingling in the extremities. This could be due to several factors:
1. Nerve Damage or Irritation: Seizures can sometimes lead to temporary or permanent nerve damage, especially if they are severe or prolonged. This damage can manifest as numbness or tingling sensations in the hands and feet.

2. Medication Side Effects: Many individuals with epilepsy are treated with antiepileptic drugs (AEDs). Some of these medications can have side effects that include peripheral neuropathy, which can cause numbness or tingling in the extremities. If you are still on medication or have recently changed your regimen, this could be a contributing factor.

3. Anxiety and Stress: Emotional states can significantly impact physical sensations. High levels of excitement or anxiety can lead to hyperventilation, which may cause temporary numbness or tingling in the hands and feet. This is often due to changes in blood flow and oxygen levels in the body during periods of heightened emotion.

4. Circulatory Issues: Sometimes, numbness can be related to circulatory problems, where blood flow to the extremities is reduced. This can happen due to various reasons, including posture or underlying vascular conditions.

5. Other Neurological Conditions: While your history of epilepsy is relevant, it is also crucial to consider other potential neurological conditions that could cause similar symptoms. Conditions such as multiple sclerosis, diabetic neuropathy, or vitamin deficiencies (like B12 deficiency) can also lead to numbness in the hands and feet.

Given these possibilities, it is advisable to monitor your symptoms closely. If the numbness persists, worsens, or is accompanied by other concerning symptoms (such as weakness, loss of coordination, or changes in vision), it is essential to seek medical attention. A healthcare provider can perform a thorough evaluation, which may include neurological examinations, blood tests, and possibly imaging studies to determine the underlying cause of your symptoms.

In conclusion, while there may be a connection between your past epilepsy and the numbness you are experiencing, it is essential to consider various factors, including medication effects, emotional states, and other potential neurological issues. A healthcare professional can provide a comprehensive assessment and recommend appropriate management strategies to address your symptoms effectively.

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