Epilepsy and epileptic seizures

An epileptic seizure is a sudden event caused by abnormal electrical activity in the brain. Having a seizure does not necessarily mean having epilepsy: a specialist assessment is needed to characterise the episode.

Types of seizures

Seizures can take very different forms: with loss of consciousness and jerking of the whole body, but also with brief absences, unusual sensations, repetitive movements or jerks limited to one part of the body. An account from someone who witnessed the episode, and if possible a video, is very valuable.

Some episodes that look like seizures actually have other causes, such as fainting (syncope): telling them apart is the neurologist's first task.

What to do after a first seizure

After a first seizure a neurological assessment is indicated. The main tests are the electroencephalogram (EEG) and brain MRI with a dedicated protocol, which help estimate the risk of further seizures and identify the cause.

Treatment and daily life

Most people with epilepsy achieve good seizure control with antiseizure medicines, chosen according to the type of epilepsy, age, sex and other health conditions. In drug-resistant cases, specialist treatments are considered at dedicated centres.

The visit also covers practical aspects: driving, work, sport, pregnancy and regular sleep.

Neurological visit in Milan, Osio Sotto (Bergamo) and Pistoia

Dr. Raffaello Bonacchi, neurologist and neuroradiologist, sees patients in Milan, Osio Sotto (Bergamo) and Pistoia, and also offers online consultations with review of tests and images already performed.

Frequently asked questions

Can I drive after a seizure?

It depends on the type of seizure and the diagnosis: the law provides for periods of suspension and specific assessments. The neurologist gives advice for each individual case.

The information on this page is for general information only and does not replace a medical visit. For sudden or severe symptoms call 112 or go to the Emergency Department.