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WHAT IS IT LIKE TO HAVE AN EPILEPTIC SEIZURE: WARNINGS AND AURAS
Sometimes seizures occur out of the blue. But many people who have epilepsy have a time before a seizure during which they may feel restless, irritable, depressed or uncomfortable. A few people feel more energetic than usual before a seizure, and have a feeling of well-being.
These feelings or altered behaviour are called the ‘prodrome’, and they usually build up slowly for hours or even days before the actual fit begins. Prodromes are more common in children than in adults, and are especially common in people who have temporal lobe epilepsy.
The prodrome is quite different from the aura. The prodrome is a warning that a seizure is going to happen sometime in the future: maybe in a few hours, maybe in as much as three days. But the aura means that the seizure has actually begun. The aura is part of the seizure, caused by seizure activity beginning in the brain. Anyone who has epilepsy may discover that they usually have a prodromal, warning phase, but you will only have an aura if you have simple partial or complex partial seizures – auras do not occur as part of a generalized or grand mal seizure.
Even if the person about to have the seizure does not realize that they are in any way different during their prodrome, the people around them may notice some change in their mood or behaviour. Mothers of children who have epilepsy often say that they can tell when their child is going to have a fit. One mother told me:
‘I can always tell when Mick’s going to have a fit, though I honestly can’t tell you just howl know. A day or so before I may feel there s something about the way he’s looking at me. His eyes seem different. Or he just behaves “differently” somehow, perhaps seems a bit duller than usual, though I doubt if anyone else but me or his dad would notice it.’
*10/193/2*
