Connect with others who understand.

  •   Learn from expert-reviewed resources
  •   Real advice from people who’ve been there
  •   People who understand what you’re going through
Sign Up Log In
Powered By
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.
August 13
 · 
Be the first to react
A MyEpilepsyTeam Member

I had a lot of them at night as the doctors were trying all the different medicines. For me, the Zonisamide had moved all the seizures to night and in bed. This was harder at first. Something you need to notice is which side of the body is affected more. This should determine which direction you lie on your bed. The phone or calling unit has to be reachable; for me, the seizures came from the left temporal lobe, so the right side recovered more slowly because the left controls the right side of the body. So I set up the bedroom so that when the left side of my body was movable, I could sit up and hit the phone while lying down. Depending on the severity, this would usually have effects long into the day. That is why I had lists and "normal orders" for things I did, so I knew I did everything. Finally, I had brain surgery, and I have been seizure-free ever since. Next week will be 12 years seizure-free.

August 13
A MyEpilepsyTeam Member

Oh wow. That sounds amazing. 12 years!!! They're still trying to get my meds to the right levels. I always have injuries on my left side except the tongue biting which is both. Really bad memory loss, although that is becoming more constant. I always feel pretty bad the day after and sometimes into the next day. I write down everything I have to do as I'd forget things all the time otherwise.

August 14
MyEpilepsyTeam

Nocturnal tonic-clonic seizures (also called grand mal seizures) are more common than many people realize — they affect up to 15% of people with epilepsy. It's actually quite a lot to manage alongside daytime absence seizures, so it makes sense to want to understand what's happening.

During a tonic-clonic seizure, there are Show Full Answer

Nocturnal tonic-clonic seizures (also called grand mal seizures) are more common than many people realize — they affect up to 15% of people with epilepsy. It's actually quite a lot to manage alongside daytime absence seizures, so it makes sense to want to understand what's happening.

During a tonic-clonic seizure, there are three phases:

- Tonic phase: The body stiffens and muscles contract
- Clonic phase: Rhythmic jerking of the face, arms, and legs
- Postictal phase: A recovery period where you may feel exhausted, confused, or have headaches

These seizures typically last 1–3 minutes. Any seizure lasting longer than 5 minutes is a medical emergency. Because nocturnal seizures happen during sleep, you might not always know one occurred. Some clues to look out for when waking up include:

- Unexplained exhaustion or confusion
- Sore muscles or body aches
- Headaches
- Biting your tongue during the night
- Wet sheets (loss of bladder control can happen)

Sleep deprivation from nocturnal seizures can also trigger more daytime seizure activity, so managing them well is really important. There are some practical safety steps worth considering for nighttime:

- Use a low bed frame or place the mattress on the floor
- Put a mat beside the bed in case of a fall
- Mount bedside lamps on the wall rather than on a nightstand
- Move furniture away from the bed
- Consider a nighttime seizure monitor that detects excessive movement

It's also worth having a seizure action plan — a document that tells others what to do in an emergency — especially for people you live with. Treatment-wise, anti-seizure medications are the main approach. A doctor may also adjust medication timing so that a higher dose is taken before bed, which can help reduce nighttime seizures specifically. It's worth having a conversation with your neurologist about whether your current treatment plan is optimized for both your nocturnal and daytime seizures.

August 13

Related Questions

View All
A MyEpilepsyTeam Member asked a question 💭
Reynoldsburg, OH

A MyEpilepsyTeam Member asked a question 💭
Houston, TX