Condition

First-Time Seizures in Adults: Exploring the Causes

Oct 01, 2023

Adults without a history of epilepsy may find first-time seizures disturbing. Infectious infections and lifestyle factors cause adult-onset seizures. These elements must be understood for accurate diagnosis and therapy.

Understanding what causes adult seizures is essential to detecting and treating them. Several factors can cause seizures in persons who have never had one.

Infections of the Central Nervous System

Infections of the CNS cause seizures. Infections from bacteria, viruses, parasites, or fungi can cause brain or spinal cord inflammation and seizures. Seizures and brain damage can result from meningitis, encephalitis, and cerebral toxoplasmosis.

  • Meningitis: Brain and spinal cord membrane infections can cause seizures.
  • Encephalitis: Virus-related encephalitis disrupts brain function and may cause seizures.
  • Cerebral Toxoplasmosis: This parasite brain infection can cause seizures in those with weaker immune systems.

The Role of Brain Tumors

Brain tumor development significantly contributes to the onset of seizures in adults. The formation of abnormal cells in the brain interrupts regular neural activities, potentially leading to seizures. The tumor's location, dimension, and growth rate play a role in determining the intensity and frequency of the seizures.

  • Astrocytomas and Glioblastomas: Originating from the supportive tissue within the brain, these tumor types are notorious for inducing seizures. The alterations and pressure they introduce interfere with the brain's electrical equilibrium, resulting in adult seizures.

Impact of Traumatic Brain Injury (TBI)

A traumatic brain injury can significantly increase seizure risk. Alcohol abusers, over-65s, and those with severe contusions are in danger.

  • Post-Traumatic Seizures: Approximately 50% of post-traumatic seizures occur within 24 hours of damage. The danger stays high for months, requiring medical monitoring.

Substance Use and Withdrawal

Substance use and withdrawal are notable causes of seizures in adults. The alteration of neurotransmitter activity and electrolyte balance due to the use of certain substances can induce seizures. Illicit drugs, antidepressants, and abrupt cessation of barbiturates are common triggers.

Alcohol-Related Causes

The relationship between alcohol consumption and seizures is two-fold. Alcohol poisoning, resulting from the rapid intake of large quantities, and withdrawal from chronic use can induce seizures by affecting the central nervous system and altering electrolyte balance.

Stroke

Stroke represents a significant cause of adult-onset seizures. Brain blood flow and oxygen delivery affect electrical activity. Ischemic and hemorrhagic strokes can cause seizures, with risk proportional to severity.

Common Types of Seizures in Adults

Adult seizure types must be identified for accurate diagnosis and therapy. Different forms of adult seizures have other symptoms.

Focal Seizures

Focal seizures, originating from one part of the brain, are one of the prevalent types of seizures in adults. They are categorized based on the level of awareness during the seizure:

  • Focal Aware Seizures: The individual remains conscious and may experience involuntary movements, sensory disturbances, or autonomic symptoms.
  • Focal Impaired Awareness Seizures: Consciousness is impaired, and the individual may exhibit unusual behavior, movements, or sensations.

Generalized Seizures

Generalized seizures involve both brain hemispheres and manifest in various forms:

  • Generalized Tonic-Clonic (GTC) Seizures: Characterized by a loss of consciousness and convulsive movements, these are adults' most recognized seizures.
  • Absence Seizures: Brief lapses of consciousness, often with subtle motor signs, predominantly diagnosed in children but can persist into adulthood.
  • Myoclonic, Atonic, and Clonic Seizures Represent different motor symptoms, such as sudden muscle contractions, loss of muscle tone, and rhythmic muscle contractions, respectively.

Nonepileptic Events

Some events resemble epileptic seizures but are not caused by abnormal brain activity. These include psychogenic nonepileptic seizures (PNES), often stress-related, and syncope, resulting from a temporary reduction in blood flow to the brain.

Prevalence and Statistics

The prevalence of seizures, particularly among adults experiencing them initially, underscores the critical need for increased awareness and education. The CDC reports that 1.2% of Americans have epilepsy, indicating a widespread health condition. Adults' first seizures highlight the importance of understanding their forms and causes.

Incidence Rates

Research indicates a notable incidence rate for unprovoked seizures in adults, approximating 61 per 100,000 person-years. It has been observed that the likelihood of experiencing seizures tends to escalate as individuals age. These statistics underline the necessity for effective health products and healthcare products tailored to manage and potentially mitigate the risks associated with seizures.

Adult-Onset Epilepsy

A substantial number of epilepsy diagnoses are attributed to adult-onset epilepsy. This reality emphasizes the imperative nature of familiarizing oneself with the causes of seizures in adults and the availability of suitable health products. As adult-onset epilepsy constitutes a considerable portion of new epilepsy cases, the role of healthcare products in managing this condition cannot be overstated.

Risk Factors

Several identifiable risk factors contribute to the occurrence of seizures in adults. These include age, a familial history of seizures, vascular diseases, and previous brain injuries. Recognizing these factors is vital, as it guides the selection of appropriate healthcare products, enabling individuals to manage their condition better. The availability of specialized health products for you can make a significant difference in addressing and managing these risk factors.

Importance of Health Products

The availability and utilization of appropriate health and healthcare products are paramount in managing seizures, particularly for those experiencing them for the first time in adulthood. These products are crucial in controlling symptoms, improving quality of life, and reducing the frequency of seizures. Ensuring access to and knowledge of the right health products is essential in addressing this prevalent health concern.

Approaches to Diagnosing Seizures in Adults

Determining what causes seizures in adults is crucial for setting the right course of treatment. Medical professionals rely on a multifaceted approach involving clinical evaluations, patient medical history reviews, and sophisticated imaging procedures to effectively diagnose adult seizures.

Clinical Evaluation

The diagnostic journey for adult seizures typically commences with a comprehensive clinical evaluation. This stage involves extensive interviews to collect pertinent details about the seizure episode, including its duration, accompanying symptoms, and potential precipitating factors. Clinicians also probe into the patient's familial history of seizures and personal medical records to uncover any underlying factors that could induce seizures in adults.

  • Neurological and Physical Examination
  • Blood Tests.

Studies through Imaging

Leveraging state-of-the-art imaging techniques is fundamental in examining the brain's anatomy and pinpointing abnormalities that might instigate seizures in adults.

  • Magnetic Resonance Imaging (MRI)
  • Computed Tomography (CT) Scan
  • Electroencephalogram (EEG)

Additional Testing

Depending on the initial findings, additional tests might be recommended to explore further the types of seizures in adults and their causes:

  • Lumbar Puncture: Used to detect infections, bleeding, or other abnormalities in the cerebrospinal fluid.
  • Functional MRI (fMRI): Helps map the brain's active areas before surgery for seizure treatment.