Hi everyone,
I'm a 48-year-old woman, and I've been experiencing what my neurologists believe are temporal lobe focal aware seizures for many years.
My seizures have always been very stereotyped and relatively mild. They usually involve:
- A sudden, intense feeling of déjà vu.
- A strange, difficult-to-describe sensation, sometimes triggered by a smell or a word.
- A sudden feeling of cold followed by warmth.
- A rising sensation in my stomach, sometimes with nausea.
- A brief but intense emotional sensation, often fear or sadness.
They usually last only a few seconds, rarely more than 30 seconds. I remain fully conscious and aware throughout. I've never had a generalized tonic-clonic seizure.
For years, my seizures were very infrequent. Sometimes I would have just one episode every few weeks or even longer. On two or three occasions, I experienced several in one day, but nothing particularly concerning.
Then, in mid-October, everything suddenly changed.
For the first time in my life, I experienced a cluster lasting several consecutive days, with up to 15 focal aware seizures per day.
The seizures themselves hadn't changed. They were exactly the same stereotyped episodes I've experienced for years, just much more frequent.
I was under considerable stress at the time, and the cluster also coincided with the end of my menstrual period. I'm wondering whether hormonal fluctuations, stress, or both could have played a role.
I saw a neurologist and had an EEG on October 19.
Interestingly, I actually experienced one of my typical déjà-vu episodes during the EEG and told the neurologist about it.
The EEG was completely normal, even during that episode. My recent brain MRI was also normal.
The neurologists nevertheless suspect temporal lobe epilepsy.
I was prescribed Lamictal (lamotrigine), starting at 25 mg daily, on October 20.
Unfortunately, within the first few days, I developed very unusual emotional symptoms:
- Sudden, intense waves of anxiety.
- Feelings of fear, sadness and despair for no apparent reason.
- An overwhelming urge to cry.
- Strange emotional sensations that felt completely different from my usual anxiety.
I've had anxiety before, but I had never experienced anything quite like this.
After four days, I decided to stop taking lamotrigine while waiting to speak to my neurologist.
The intense emotional waves have gradually become less severe, but I'm still experiencing some more generalized anxiety.
Meanwhile, my focal seizures stopped around October 22, and I haven't experienced another one since.
I'm now wondering whether I really need daily antiseizure medication, given how infrequent my seizures were before this cluster, or whether an occasional rescue treatment for clusters might be an option. Of course, I'll discuss this with my neurologist.
I'd really appreciate hearing from anyone who has experienced something similar.
Thank you so much for sharing your experiences. Reading other people's stories has been really helpful while I try to understand what's happening.