Brief Answer:
Breakthrough events

Detailed Answer:
Good evening.

My name is Dr. Saghafi and I am an adult neurologist in XXXXXXX Ohio.

It sounds as if you're having a cycle of about 1 breakthrough seizure event (petit mal or as we would call it, complex partial event) every 4-5 weeks. More recently you've had more of a flurry of events that you refer to as "float offs" which we would call "zone outs" in lay terms and you've had several of them. You are timing them at 5-10 minutes at a crack which is probably a bit long for these types of events though I don't doubt you may take more than a few minutes to recover from each one and especially if they are happening in close succession to one another.

It is hard to say what should suddenly cause a person under constant control as you have been to suddenly experience a flurry of events, however, a short list of possibilities would be the following:

1. Urinary tract or really any type of infection can reduce seizure control
2. Fatigue, not enough sleep, staying awake too long on consecutive nights
3. Not taking medications on time or completely missing doses of your medication
4. Not eating meals on time or skipping meals
5. Not drinking enough water and other fluids during the day (i.e. poor hydration)
6. Taking new or even Over the counter medications that can either interfere with the seizure medication you are presently on or simply cause seizures straight away.

This is just a short list of possible explanations as to why a person would suddenly lose control of their seizure disorder although truth be told- in my opinion your seizures really should be targeted for better control than 1 episode every 4-5 weeks. Your neurologist should titrate your medication regimen or add an adjunct to whatever you're presently taking so that you really don't have any breakthroughs but to let you go to the point where you're having 1 every 4-5 weeks is bound to not leave you very much wiggle room so that something like this is much more apt to happen.

If this information has been helpful and I've answered your questions would you do me the favor of some written feedback and a STAR RATING of the answer?

And if you have no further questions or comments to place- CLOSING THE QUERY would be greatly appreciated.

In the future I'm happy to answer more concerns personally if you'd allow me this privilege by going to the following website and sending me your questions:

bit.ly/drdariushsaghafi

This query required 26 minutes of physician specific review, research, and final draft documentation for envoy.

---