OT Doctors: Having a seizure with no history of seizures

It's called the "first seizure". Usuall precedes the "second seizure".

How old is she? Have a buddy this just happened to. Ended up being late onset juvenile epilepsy. He's 30 btw. Easily treatable with medication.

We are all capable of having a seizure... We all have a seizure threshold. When our body undergoes significant stress (injury, illness, hyperthermia, metabolic/electrolyte imbalances, etc.) we can cross that threshold and a seizure can result.

The seizure threshold is different for different people, one person's threshold can be much lower, thus he/she is more prone to have a seizure when subjected to stress.

With your friend's sister, if this is her first seizure, she should get preliminary work-up to make sure that her seizure threshold is not lower by abnormal brain electrical activity, structural brain lesions, or metabolic disturbances.

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Needs a neurologist and an MRI

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EEG in addition.

Coincidentally this happened to my wife 2 years ago after the Jack White show in Nola. Sitting in Cafe Du Monde and she had a Grand Mal out of nowhere.
She was rushed to the hospital where the doctors couldn't find anything wrong. We were very fortunate that an LSU Neuro resident stopped by and looked at her optic disc and said it was enlarged. Spinal Tap revealed that her Intracranial pressure was over double what it should be. She was diagnosed with idiopathic intracranial hypertension. Basically she was making too much spinal fluid or it wasn't draining properly. She had an LP shunt put in that drains excess fluid and she hasn't had any issues in 2 1/1 years now.

My daughter(23) developed juvenile myoclonic epilepsy at the age of 12. Never had a seizure before in her life and no family history that we know of. Kept her overnight at the hospital that night and did an EEG...showed nothing since the seizure had passed. Had her 2nd seizure about a month later and was diagnosed with epilepsy. Tried various medications the first couple of years but feel we've found the correct one(Lamictal XR). Probably something she'll have the rest of her life. Has probably had about 5 seizures once we got her meds regulated. She knows her triggers and tries to prevent them from happening(stress, lack of proper sleep, etc.)...sometimes kinda tough for a college kid. Hope your friend figures out her ailment quickly....may never have another one.

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We are all capable of having a seizure... We all have a seizure threshold. When our body undergoes significant stress (injury, illness, hyperthermia, metabolic/electrolyte imbalances, etc.) we can cross that threshold and a seizure can result. The seizure threshold is different for different people, one person's threshold can be much lower, thus he/she is more prone to have a seizure when subjected to stress. With your friend's sister, if this is her first seizure, she should get preliminary work-up to make sure that her seizure threshold is not lower by abnormal brain electrical activity, structural brain lesions, or metabolic disturbances.

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ADHD meds can also lower seizure thresholds.