Diagnosing Epilepsy

Diagnosing Epilepsy

Epilepsy is a condition that should be diagnosed and treated as soon as possible. Most diagnoses are made by a neurologist —a doctor who specializes in the treatment of brain disorders, including epilepsy. An epileptologist is another kind of doctor that specializes specifically in the diagnosis and treatment of epilepsy.

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Your neurologist’s first tool is your medical history. He or she needs you to gather as much detailed information as possible about your overall health and your history of seizures. Our downloadable health record can help you give details about your seizures to help your neurologist find the best way to treat your epilepsy.

Your neurologist will perform a physical exam that may include looking into your eyes with a bright light, testing your reflexes, observing the way you walk, and blood tests.

Any change of normal activity in the brain can cause a seizure. A person who has epilepsy is more likely than other people to have a seizure.

Neurological Exams

Neurological exams are tests that show neurologists how your brain and the rest of your nervous system are working. These include:

  • EEG: The electroencephalograph (EEG) is the most common diagnostic test for epilepsy. It is used to detect changes in the brain’s normal electrical activity. Knowing this, a neurologist can prescribe treatment that will most likely control the epilepsy.
    Learn more about how to partner with your neurologist and take an active role
    in your care
    .
  • Sleep-deprived EEG: Since lack of sleep is a very common cause for seizures, a sleep-deprived EEG can help your neurologist choose your medicine or see if your seizures might return. By staying up all night before the test, epileptic activity will be more likely to appear, if it exists.
  • MRI and CT scans: Magnetic resonance imaging (MRI) and computerized tomography (CT) scan can give your neurologist a better view of your brain activity and structure. MRI uses magnets to map the brain. CT scanning uses many x-rays to form a picture of the brain.
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