Is my girlfriend’s seizures being misdiagnosed as panic attacks?
Hey all! So my girlfriend suffers from seizures and has since she was about 12, but didn’t actually recognize or do anything about it until about 2 years ago where she started seeing a neurologist.
Anyways for those 2 years, she was off and on meds as she would struggle to remain compliant on taking it at the proper times. About 3 months ago she started Kepra at 750MG, before this she would seize a few times a week and have some cluster seizures thrown in there(these all typically happened at night in a shower or just before bed but typically her seizures tend to happen at night with no warning besides the “aura” and sick feeling just beforehand. I’ve done some research, I’m no expert obviously nor do I suffer from seizures, but I know they can be caused due to immense stress or changes like hot/cold water, flashing lights, doing things too quickly, etc. this is seems to check out because well, her main seize place is the shower, or at a rave, or just late night shopping and walking around she falls sick.
Anyways, she started Kepra at 750MG a few months back and her seizures went from kinda often to sporadic, maybe once or twice a week to none at all and maybe a cluster of them once a month if that. So to me and her, her seizures improved but not completely absolved.
Her neurologist attempted to put her on a new med that would supposedly do the trick or at least something to try out, but ofc insurance won’t cover. So the doc increased Kepra from 750-1000MG 2 weeks ago. That first week she had her period and she suffers more seizures during that time so when she started to seize more and more she thought nothing of it. This past week, she has still continued to increase her seizing to a few times a day again as if progress was reverting. The past 3 days she began to suffer clusters of 6 or so and then would be fine or well would knock out and go to sleep. Of course during these now increasing amount of seizing, she begins to stress more and panic more etc, but even so a lot of these happened just randomly she fell ill and bam, she’ll have the multiple seizures with no warning, no emotion bringing it on etc.
Yesterday she had so many clusters I had to give her nayziliam spray, which helped a few hours before she began to seize in groups again. Due to this immense stress and over work of her brain, she could no longer walk and if she tried, she seized. Ofc she would almost collapse everytime but I was with her and holding her each time attempting to help her walk but never making it but a few steps; so we went to the ER, where we are now.
She is now being seen by a neurologist and we have done a EKG and now a EEG, but the neurologist said something along the lines of, without any tests even being done, that he thinks she’s having panic attacks, not seizures and that it’s extremely common to confuse them. And I can see how they are similar ofc, but he said this is all most likely due to stress. Not epilepsy/seizures. I don’t agree with him. He then said Kepra, in theory should at 1000MG, halt all seizing. That’s simply makes no sense. She improved her seizures at 750MG and grew worse at a higher dosage, that either means her body needs to adjust and that’s why she’s experiencing more seizures or 1000MG just doesn’t suit her and isn’t the “sweet spot” for that medication for her.
I digress, i believe personally it could easily be a mixture of both panic attacks and seizures but you can’t just eliminate epilepsy and say it’s all stress because a lot of these seizures happen sudden, no warning, no pre existing stress, happy moods, calms moods etc. and if they were due to stress, why would Kepra at 750MG improve her amount of seizures compared to her having no medication. She went from multiple a week plus a cluster possibly, to maybe once or twice if at all while on meds.
I would really appreciate any advice and thoughts from those who know better than me/us and or has experienced this themselves. Thank you.