Staring-Spell Seizures: They’re Not All the Same

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Most people understand that there are multiple types of epileptic seizures. The best known variety–and certainly the most spectacular–is often termed “grand mal,” which is French for “major illness.” In these attacks the patients lose consciousness, fall to the ground and experience convulsive jerking of their bodies that lasts for 1-2 minutes before subsiding. These attacks are more properly termed tonic-clonic seizures.

A less dramatic form of epilepsy also involves loss of consciousness, but without a fall to the ground or convulsive movements. These attacks are aptly called “staring spells” because the patients stop what they’re doing, lose eye-contact with other people, and appear to stare into space. If spoken to during attacks, the patients do not respond.

What is often under-appreciated is that more than one kind of epileptic attack can take the form of a staring spell. And the differences between them can be crucial in understanding the underlying causes as well as the best treatments.

Staring-spell seizures are often lumped together in public awareness under the heading of “petit...

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