Seizures & Epilepsy
Seizure and Epilepsy Neurologist
Not every episode of shaking, staring or loss of awareness is a seizure, and not every seizure means epilepsy. Evaluation establishes what the episode most likely was, whether it is likely to recur, and what testing, treatment and safety planning are appropriate.
Episodes that should be evaluated
- A first convulsive seizure
- Staring spells or episodes of unresponsiveness
- Brief jerking, déjà vu or sensory episodes
- Loss of consciousness of uncertain cause
- Confusion or tongue biting after an episode
- Recurrent unexplained falls
Evaluation
- Detailed description of the event, including from witnesses
- Neurological examination
- EEG, with prolonged or sleep-deprived studies when needed
- MRI of the brain
- Laboratory studies and medication review
- Cardiac evaluation when fainting is a possibility
Treatment and follow-up
Whether to start medication after a single seizure depends on recurrence risk, EEG and imaging results, and individual circumstances including driving and occupation. When medication is started, the choice accounts for seizure type, other medical conditions, pregnancy planning and side effect profile.
Follow-up addresses seizure control, medication tolerability, bone and vitamin considerations, and referral for further evaluation when seizures continue despite appropriate medication.
Sleep, alcohol and seizure triggers
Sleep deprivation is one of the most consistent seizure provocateurs, and alcohol — particularly binge use and withdrawal — is another. Consistent sleep, treatment of sleep apnea, medication adherence and moderation of alcohol are practical parts of seizure control.
Safety guidance covers driving regulations, swimming, heights, bathing and work considerations, and is reviewed at each visit.
Emergency seizure situations
Frequently asked questions
- What happens after a first seizure?
- Evaluation usually includes a detailed history, examination, EEG, brain imaging and laboratory studies, then a discussion of recurrence risk, whether medication is appropriate, and driving and safety restrictions.
- Does a normal EEG mean I did not have a seizure?
- No. A routine EEG can be normal in people with epilepsy. It adds information about risk but does not exclude the diagnosis.
Request a Neurology Appointment
Text 815-276-7050 with your first name and the word "appointment," or call 815-337-7100 to schedule. Our office will follow up to confirm your evaluation.
In-person visits and televisits (telehealth) are both available.
What happens after you text
Text 815-276-7050 with your first name and the word "appointment." Our office calls you back to schedule — you do not need to fill out a form.
When you'll hear back
Texts and calls received during office hours are typically returned the same business day. You can also call 815-337-7100 directly.
Insurance and referrals
Insurance participation and referral requirements vary by plan. Our office will confirm what your plan requires before your visit.
Please do not send urgent or emergency medical information by text. If you believe you are experiencing a medical emergency, call 911 or seek emergency medical attention. Please avoid sending sensitive medical information by ordinary SMS unless instructed otherwise.