Seizures that do not need to be treated with medication

  When one’s loved one has a seizure, the family is most often extremely worried. Especially when a young child has a seizure, parents are even more worried and go around seeking medical help regardless.  In fact, 9% of people will have one seizure, or in layman’s terms, one limb twitch, in their lifetime. This single limb convulsion occurs for a variety of reasons, such as head trauma, central nervous system infection, cerebral hemorrhage, cerebral thrombosis, toxic and metabolic disorders, as well as sudden withdrawal from alcohol and drugs, and even some causes that are difficult to identify. Usually seizures appear within a week after the occurrence of the above-mentioned diseases and cease after a week; therefore, there is no need for long-term antiepileptic drugs. Strictly speaking, only one limb convulsion cannot be diagnosed as epilepsy, it can only be called a “seizure”. In short, people who have their first or only one seizure do not need to worry too much, and they do not need to take anti-seizure medication.  Some people with epilepsy have recurrent seizures, but they only have them at night (usually when they are just going to sleep or close to waking up). If the duration of each seizure is only 1-2 minutes and the seizures are infrequent, they can also be taken without antiepileptic drugs. This is because the greatest danger to the patient from epilepsy is the possibility of traumatic accidents during seizures and the psychological disturbance caused by seizures in public. Nocturnal seizures, on the other hand, do not cause traumatic accidents and are not known to the public nor do they interfere with normal work. Although taking antiepileptic drugs may reduce seizures, once antiepileptic drugs are started, they need to be taken for a long time, and stopping them at random can often lead to increased seizures or even life-threatening seizure states. Antiepileptic drugs almost always have many side effects and can cause damage to the body when taken for long periods of time. On balance, it is better for these patients not to take their medications.  Some children have recurrent seizures, but have normal intellectual development and normal imaging such as MRI. These patients may have “benign epilepsy” and the seizures usually stop after puberty. If the seizures are infrequent, they may not be treated with antiepileptic drugs.