11 Comments
founding
Aug 29, 2023Liked by Gavin Giovannoni

In my nearly 40 years with MS, I've had trigeminal neuralgia, treated with carbamazepine, an anti-seizure med. Like many others, I have restless legs syndrome, which you recently discussed and said (I think) there's a form of seizure going on. Do either of these make it more likely I'd have an actual epileptic-type seizure?

Expand full comment
founding

Hi Pam, after enduring the unendurable TN, I finally tolerated topiramate for the trigger nerve pain. I haven’t anything seizure like except when I lost my R hearing and that involved brain stem issues, etc. However, I have a 42 year old whose juvenile migraine aura at age 8 seemed like petit mal. (Now she has horrendous adult migraine.) I told her to demand an MRI since I have MS but they won’t do one. Grrr. I’m still on my anti-seizure med. Don’t know if yours helps at all with the legs if you’re still on it.🌷

Expand full comment
founding

Hi Italien - though I keep a fresh supply of carbamazepine in my purse just in case TGN shows up, it's been a few years since my last seizure. So I've been using magnesium gel for restless legs - but I just started to try taking a short walk in the evening, and so far that seems to keep the RLS quiet. Sorry the docs won't do an MRI...do they give a reason?

Expand full comment
founding

Hi Pam, I’m glad walking help’s settle down the legs! Here in the states, it’s all about money. That’s it. I’m really afraid she is going to actually have a seizure-like event before these people check anything. The hospital/medical complex claptrap that they are going broke from “nuisance lawsuits” is, in my opinion, a scheme to be almost completely immune to mistake. (I used to represent medical institutions back in the Jurassic Era.) The patient’s sole worth is their earning capacity. She’s young and working, so I’m stumped! I’m worthless due to my age and advanced disability. (Apologies, I didn’t mean for that to be so lengthy!)

Expand full comment
founding

Italien, I don't blame you for feeling frustration and exasperation. I would have thought that your having MS would be an important indicator that an MRI would provide important information.

Expand full comment
Aug 29, 2023Liked by Gavin Giovannoni

I don’t actually know if my experiences were seizures, maybe not. But during my first relapses which affected cognition as well as motor, i would frequently get a momentary sensory spasm/rushing/tightening feeling - it would start from my toes and make me unable to move and rush up my body to my brain and making me feel really spaced out and drunk for only a minute at a time. It was triggered by sudden noise and fear, like a dog barking or a door knocking or one of my children calling out - something sudden and I’d not be able to move! It was like a fight or flight response - but instead it was freeze! It went on for years although became milder over time.

Expand full comment

Hello Karen- I’ve have symptoms that are brought on, for moments, by startling surprises such as noise. A brief leg spasm might be brought on that way, (a truck driving by, my wife in the kitchen) or with physical touch to the area. Early on, I’d have 10 second “waves” of concurrent symptoms like slurred speaking combined with limp and balance. If I were riding my bike, over I’d go. The symptoms in the later examp were part of a larger relapse which eventually subsided. Are these all “seizures” too?

Expand full comment

Hooray , thank you , information on seizures with MS. I have extensive MS damage in teh Right parietal and prefrontal regions and also some , but less in the left. After several decades of MS - brain only, no physical dysfunction, i started getting weird ' blown fuse' like sensations in head and feeling of falling to the left .....and so on - GP suspected focal parietal seizues but referral to the main city neurologist who without any tests, told me patronisingly - oh its just a variant of normal . Over the next decade or so the episodes changed in nature and increased in the area affected - no use going to doctors after being told twice its ' normal ' ie given the default diagnosis of ' it was all in my head' but I kept a diary of it as it was fascinating seeing how they 'evolved' as they got worse . When I went 'bush ' on an adventure for some months , they got much more frequent and worse - debilitating . Felt like all my neurons were firing at once in a centralised area - and the wrose they got the wider and deeper the area - and the worse the vertigo, the visual, the visceral and the sensory effects.....followed by the after effects of feeling 'out of it , very sleepy etc Once it happened when people around so I was taken to a small town emergency centre and they suspected focal seizures and referred me to my neurologist when I got back home.

Ha ha .... he wouldn't even see me at first even though I had sent him all teh symptoms and details ... and he was kind of dismissive - Eventually got an EEG over three months after they symptoms had diminished to minimal, and as usual it was abnormal ( as has been for many years ) and the wave voltages so small that they could not be fully analysed or something . Anyway verdict was it was unlikely to be seizures - only rationale seemed to be becasue they are so rare ! But interestingly I was being monitored annually for other problems - retinal - and it was perfect timing as my appointment came up after my bout of neural 'events' and they noticed for the first time my visual field on teh left was mildly impaired.... so they startd investigating and monitoring me 6 monthly . The neuro opthalmologists were brilliant and listened to me, understood my descriptions of how my vision ( and other senses ) were impaired and after ruling out everything else suspect that the partial seizures could have caused a bit of damage . Damage affecting visual fields that now after three years is virtually resolved. i have kept good notes on the effects and evolution of the focal seizures as it is so interesting - and also it appears to be fairly rare so it hopefully be of use to someone sometime ; either before or after my donated brain is examined. With the internet and sharing of ideas and expereinces such as this forum more people may find there are others who can describe the same ' what it is like' symptoms . Sorry this is so long and convoluted but its just in case there is someone out there that knows what I am talking about .

Thank you

Expand full comment

Hi Tom, I don’t know whether your symptoms are a seizure, you’d have to ask Prof G! All I can say is that I experienced hundreds of these episodes over years, dozens each day and the moments when it happened, it affected my entire body and cognition in one sweeping sensation, it wasn’t a discreet area involved - if that makes sense. But i too would love to know what it was and whether it was a type of seizure or just another weird MS thing!

Expand full comment

Thanks so much for writing about this. I was diagnosed with MS 18 years ago, and 5 years later had my first two seizures, which were thought to be provoked by Rebif (my DMD at the time). I changed to Copaxone and started anti seizure meds but unfortunately went on to have disease progression and further seizures. It has been a very bumpy ride finding the right balance of meds, but I am now excited to say I have been seizure free for 8 years and also have very stable MS disease - having been on Tysabri, Ocrevus and now on Kesimpta! It has been a journey.

Expand full comment
Comment deleted
Expand full comment
founding

C- That is truly terrifying. I’m wondering about fluorescent lighting? I’ve heard people say the “flickering” albeit subtle, could trigger a seizure. Quite frightening in court! Glad you’re controlled.🌷

Expand full comment