Types of Seizures--Absence Seizures

Epilepsy is very complicated.  There are over 20 types of seizures, not just the stereotypical tonic-clonic (grand mal) seizure  in which you fall, and your whole body jerks.

Here, I will discuss the absence seizure.  There are two types: simple and complex.

In both cases, the person loses awareness.  Like the tonic-clonic seizure, the simple absence seizure affects the entire brain.  However, this type of seizure is much different—it looks as though the person is daydreaming.  The seizure usually last for a few seconds and the person is able to resume activity right away.  Finally, it is more common in children than in adults.  

On the other hand, the complex absence seizure (otherwise known as a complex partial seizure), affects certain parts of the brain.  During the seizure, depending on the area that is affected, the person may make random movements such as blinking, chewing, or picking at their clothes. They may wander off or speak incoherently.  Therefore, it is imperative to watch the person closely and make sure they do not hurt themselves.  The best thing to do is to talk to the person calmly and block any obstacles in the person’s way.

Usually no first aid is required.  The person will usually be able to resume normal activity after recovering from the seizure.  Only if the seizure does not stop or if the person is injured, pregnant, or has some other complication (the seizure took place in water), is it necessary to call 911 (emergency responders).  During a complex absence seizure, it will take a while for the person to recover, so it is important to stay with the person until they are completely aware.