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Real members of MyEpilepsyTeam have posted questions and answers that support our community guidelines, and should not be taken as medical advice. Looking for the latest medically reviewed content by doctors and experts? Visit our resource section.
February 15
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A MyEpilepsyTeam Member

I originally had complex partial seizures but they began to change over time as I became older and we tried different medication mixtures. I started to take notice when the seizure would come about then was given information about how the VNS device works. I went through my epilepsy specialist asking a lot of questions as I was unsure on this but did find the VNS device gave me more freedom

February 20
A MyEpilepsyTeam Member

Nick, auras ARE seizures. They are known as "simple partial" seizures, while the standard complex partial ones are the ones that are so scary. The way to tell you have a complex partial seizure is you lose your consciousness. That doesn't mean you pass out, you just don't know what's going on, and when you snap out of it you don't know what did happen while you were seizing.

February 15
A MyEpilepsyTeam Member

Sounds like you have Focal Onset impairment awareness seizures. ( AKA complex partial seizures ) . Meaning you are not alert nor know when you seizure.
I myself never know when I seizure Unless I have a friend , Family or ther person who alerts or witnessed me having a seizure.

February 16
A MyEpilepsyTeam Member

Doctors do find seizure activity on the RNS when I experience auras. I never know before or after I have a seizure.

February 15 (edited)
MyEpilepsyTeam

How can you tell the difference between an aura and a seizure?

Here's the key thing: an aura actually *is* a seizure—specifically, a focal aware seizure. It's just the beginning stage before a larger seizure develops. So when you're experiencing an aura, you're already having a seizure, just not the more intense one that Show Full Answer

How can you tell the difference between an aura and a seizure?

Here's the key thing: an aura actually *is* a seizure—specifically, a focal aware seizure. It's just the beginning stage before a larger seizure develops. So when you're experiencing an aura, you're already having a seizure, just not the more intense one that follows.

The main difference is awareness and symptoms:

During an aura:
- You remain conscious and aware of what's happening
- You might experience warning sensations like a rising feeling in your stomach, déjà vu, unusual smells or tastes, fear, muscle twitching, numbness, or visual disturbances
- This typically lasts less than a minute

During a tonic-clonic seizure:
- You lose consciousness
- You're unaware of your surroundings
- Muscle stiffening and convulsions occur

It's completely normal not to recognize a seizure is happening until you're in it. Many people with focal seizures don't get any warning at all—awareness just suddenly goes away. Only a small percentage of people experience that warning aura beforehand.

If you do notice patterns or sensations before your seizures, keeping track of them can help you and your doctor understand your seizure pattern better. Some people find it helpful to have others film their episodes when possible, as this can provide valuable information about what's actually happening.

February 15

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