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It is believed that the seizure occurs as a way for the brain to try to escape the feelings that cause the precipitating symptoms. 5. What are the alternatives to the primary approach that you're suggesting? Becomes rigid (extends the arms and legs, arches the back) and falls down 2. This can prevent injury. Accessed May 24, 2017. Clear the area around the person of anything hard or sharp. The person has never had a seizure before. Get enough sleep. These are general steps to help someone who is having any type seizure: When most people think of a seizure, they think of a generalized tonic-clonic seizure, also called a grand mal seizure. What about right after the seizure? To receive email updates about Epilepsy, enter your email address: First aid for generalized tonic-clonic (grand mal) seizures, Centers for Disease Control and Prevention. MRIs that require your head to be in the machine often include a mirror for you to see out. Start timing the seizure. For seizures, some basic questions to ask your doctor include: In addition to the questions that you've prepared to ask your doctor, don't hesitate to ask questions during your appointment at any time that you don't understand something. Magnetic resonance imaging (MRI) uses a magnetic field and radio waves to create clear and detailed cross-sectional images of your head and body. Meet with your supervisor and talk about your seizure disorder and how it affects you. You can be taught to give the treatment at home … Check out these best-sellers and special offers on books and newsletters from Mayo Clinic. Call 911 Seizures need emergency care unless you know the person has a history of seizures and can be treated for a brief seizure at home. Discuss what you need from your supervisor or co-workers if a seizure happens while at work. Brain waves are transmitted to the EEG machine via small electrodes attached to the scalp with paste or an elastic cap. The radio waves are generated by specialized radio frequency coils (RF coils), which are antennas designed for medical imaging. In some cases, a friend or family member may stay with you. If no further studies are required, you'll be released and can resume your regular activities. Schachter SC. Epilepsy Foundation. This is a special … What treatment approach do you recommend? The treatment plan depends on … The American Academy of Neurology recommends that women avoid using valproic acid during pregnancy because of risks to the baby. If you feel your medication should be changed, discuss it with your doctor. Involuntarily passes urine and som… content highlights "No seizures, no side effects" is the goal of epilepsy treatment. This is harmless and you won't feel it happening. First seizure (adult). https://www.ninds.nih.gov/Disorders/Patient-Caregiver-Education/Fact-Sheets/Neurological-Diagnostic-Tests-and-Procedures-Fact. Unless otherwise instructed, eat normally (before the procedure) and if you take medications, continue to do so. This content does not have an Arabic version. Here are things you can do to help someone who is having this type of seizure: Ease the person to the floor. Epilepsy Foundation. Was anyone there to witness what happened? Ask your health care professional about local support groups or join an online support community. If a person is experiencing convulsions, the first thing to do is to make sure they are safe. https://www.cdc.gov/features/getseizuresmart/index.html. 4. That means seizures are common, and one day you might need to help someone during or after a seizure. Once aligned, these protons respond to low-power radio waves that stimulate signals from your body. The strong magnetic field is produced by passing an electric current through wire loops inside of the magnet's protective housing. Crepeau AZ (expert opinion). A seizure begins suddenly. 3. However, the magnet produces repetitive tapping and thumping sounds, so you'll likely be offered earplugs or special metal-free headphones to help block the noise. Only call 911 if one or more of these are true: Stay with the person until the seizure ends and he or she is fully awake. A single copy of these materials may be reprinted for noncommercial personal use only. Don't restrain your child or interfere with your child's movements. Learn what you can do to keep that person safe until the seizure stops by itself. Treatment . Having a strong support system is important to living with any medical condition. Diagnosis 101. The person has a health condition like diabetes, heart disease, or is pregnant. What do you remember feeling just before the seizure? Stay close to watch and comfort your child. Your doctor will also review any other medications you may be taking, to ensure the anti-epileptic medications won't interact with them. Once checked in, you'll likely change into a gown and robe. The person has difficulty breathing or waking after the seizure. Febrile convulsions, sometimes called fever fits, are seizures caused by a fever and tend to occur in children. Your doctor will ask for a detailed description of the seizures and conduct a physical exam. Some seizures are more dangerous than others, but most aren't an … Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2014. After that they can be diagnosed and treated accordingly, … Mayo Clinic; 2020. You don't need to prepare for an MRI. You will be subject to the destination website's privacy policy when you follow the link. About Seizures. You'll lie down on a table that slides into the opening of the magnet. It can cause changes in your behavior, movements or feelings, and in levels of consciousness. National Institute of Neurological Disorders and Stroke. Rapid breathing (hyperventilation) during an EEG study can trigger an absence seizure. This will help the person breathe. Finding the right medication and dosage can be complex. The syndromes typically appear in childhood, resist treatment, and cause severe symptoms, including seizures. Tell them what you know about your seizure disorder. Offer to call a taxi or another person to make sure the person gets home safely. 4. A computer processes all the signals and reconstructs a highly detailed image. Accessed May 24, 2017. Some people with epilepsy try to control their brain activity to reduce … Your doctor is likely to ask you a number of questions: Mayo Clinic does not endorse companies or products. Nerve cells in the brain pass signals among themselves using both electrical current and chemicals Neurologic manifestations of hospitalized patients with coronavirus disease 2019 in Wuhan, China. The differences represent areas where blood flow increased during the seizure. Our caring team of Mayo Clinic experts can help you with your seizures-related health concerns The Centers for Disease Control and Prevention (CDC) cannot attest to the accuracy of a non-federal website. Medications may be switched in rare cases. This site complies with the HONcode standard for trustworthy health information: verify here. Self-control and biofeedback. Loosen tight or restrictive clothing. If you have two or more seizures or a tendency to have recurrent seizures, you have epilepsy.There are many types of seizures, which range in severity. Treatment can help most people with epilepsy have fewer seizures, or stop having seizures completely. 2017;92:306. Accessed May 24, 2017. Several options exist for anti-seizure medications. Philadelphia, Pa.: Saunders Elsevier; 2016. https://www.clinicalkey.com. In vagus nerve stimulation, an implanted pulse generator and lead wire stimulate the vagus nerve, which leads to stabilization of abnormal electrical activity in the brain. For most seizures, basic seizure … Crepeau AZ, et al. Your doctor will consider your condition, your frequency of seizures, your age and other factors when choosing which medication to prescribe. Neurology. About 1 out of 10 people may have a seizure during his or her lifetime. Here's how an MRI is created. https://www.uptodate.com/contents/search. Saving Lives, Protecting People, Epilepsy Foundation Seizure First Aid and Safety, National Center for Chronic Disease Prevention and Health Promotion, Sudden Unexpected Death in Epilepsy (SUDEP), Epilepsy Can Follow Traumatic Brain Injury, U.S. Department of Health & Human Services. Accessed June 14, 2017. Has jerking movements of the arms, legs, and trunk muscles 4. Mao L, et al. Most machines use tube-shaped magnets. Mayo Clinic, Phoenix/Scottsdale, Ariz. July 7, 2017. To help someone during a seizure, take these steps: If you're living with a seizure disorder, you may feel anxious or stressed about what your future holds. Are there any restrictions that I need to follow? The final picture is a composite, three-dimensional representation of your body. Seizure types vary by where and how they begin in the brain. After a seizure, your doctor will thoroughly review your symptoms and medical history. How can I make sure that I don't hurt myself if I have another seizure? While seizure medicines are the mainstay of epilepsy treatment, there are other approaches to think about too. Most seizures end in a few minutes. Some anti-seizure medications can alter the effectiveness of birth control (oral contraceptive) medication. Vaccine updates, safe care and visitor guidelines, and trusted coronavirus information, Mayo Clinic Graduate School of Biomedical Sciences, Mayo Clinic School of Continuous Professional Development, Mayo Clinic School of Graduate Medical Education, Our caring team of Mayo Clinic experts can help you with your seizures-related health concerns, Mayo Clinic Connect: Brain & Nervous System, Book: Mayo Clinic Family Health Book, 5th Edition, Newsletter: Mayo Clinic Health Letter — Digital Edition, FREE book offer – Mayo Clinic Health Letter. Sign up to receive emails with additional information about diagnostic advancements and new treatment options. https://www.ninds.nih.gov/Disorders/Patient-Caregiver-Education/Hope-Through-Research/Epilepsies-and-Seizures-Hope-Through. Adjusting Your Child’s Diet Ask your child’s neurologist about a ketogenic diet. Types of seizures. Also remove things like wigs, dentures and hearing aids. 2. Epilepsy and seizure training programs for professionals including. CT scans allow doctors to see cross-sectional CT scan images (slices) of your body. The exam itself is painless, but noisy. Remove all accessories, such as your watch, jewelry and hairpins. A high-density EEG test can help your doctor locate the area in your brain where seizures occur. If the convulsions do not stop after 5 minutes, call an ambulance. Because movement can blur the resulting images, remain still and breathe quietly without moving your head or body. JAMA Neurology. http://www.epilepsy.com/learn/types-seizures. Tell your MRI technologist if you have metal or electronic devices in your body, because their presence may be a safety hazard. Management of adult onset seizures. If your child has a febrile seizure, stay calm and follow these steps: 1. The first line of response when a person has a seizure is to provide general care and comfort and keep the person safe. If anti-seizure medications aren't effective, other treatments may be an option: Women who've had previous seizures typically are able to have healthy pregnancies. The epilepsies and seizures: Hope through research. However, it does pay to understand how to treat febrile convulsions … Keep other people out of the way. AskMayoExpert. Surgery may be required to treat some cases of epilepsy. CDC twenty four seven. These steps can help you avoid injury during a seizure: It's helpful to know what to do if you witness someone having a seizure. Other coils in the magnet send and receive radio waves. Place something soft under his or her head, Avoid putting your fingers or other objects in the person's mouth, Don't try to restrain someone having a seizure, Clear away dangerous objects, if the person is moving, Stay with the person until medical personnel arrive, Observe the person closely so that you can provide details on what happened. Clear hard or sharp objects away from the person. If you're at risk of having seizures in the future, pass this information along to family, friends and co-workers so that they know what to do if you have a seizure. Don't be afraid to ask for help. Your technologist will monitor you from another room, but you can talk with him or her by microphone. Magnetic resonance imaging is safe for children, and an adult may stay in the scanning room for reassurance. Or you may be referred to a specialist, such as a doctor trained in brain and nervous system conditions (neurologist) or a neurologist trained in epilepsy (epileptologist). Call 911 if the seizure lasts longer than 5 minutes. Are there any brochures or other printed material that I can take home with me? © 1998-2020 Mayo Foundation for Medical Education and Research (MFMER). Allscripts EPSi. https://www.uptodate.com/contents/search. There are many types of seizures. Someone with a history of seizures who is … Once identified, that location is fitted onto an MRI image of the brain. Neuroimaging in the evaluation of seizures and epilepsy. How can I best manage them together? Young children, toddlers and infants may need sedation since they must remain still throughout the imaging process. A seizure is a sudden, uncontrolled electrical disturbance in the brain. Reach out to family and friends. The information here relates to all types of seizures. Learn more about Training for Professionals. Explore Mayo Clinic studies testing new treatments, interventions and tests as a means to prevent, detect, treat or manage this disease. 6. Initial treatment of a convulsion typically will focus on stabilizing the individual even before the cause of the convulsion is identified. Harden CL, et al. Turn the person gently onto one side. Try A Modified Atkins Diet. In this type of seizure, the person may cry out, fall, shake or jerk, and become unaware of what’s going on around them. Accessed May 24, 2017. Seizure first aid. Wear a medical alert bracelet. Don't adjust the dosage before talking to your doctor. Epilepsy Foundation. Before your exam, the MRI technologist may confirm your health issues and answer any last-minute questions. Accessed June 13, 2017. The person has another seizure soon after the first one. In particular, valproic acid — one possible medication for generalized seizures — has been associated with cognitive deficits and neural tube defects, such as spina bifida. Haider HA, et al. Tests may include: 1. Is there a generic alternative to the medicine you're prescribing? Make a donation. CDC is not responsible for Section 508 compliance (accessibility) on other federal or private website. In: Bradley's Neurology in Clinical Practice. First of all, it's convenient to point out that epilepsy is a condition that should always be treated by … A large magnet is housed within a circular structure. A seizure or convulsion can be a sudden, violent, uncontrollable … Let them know they can ask you questions, and be open to conversations about their worries. These images can also be converted from the screen into photographic film for further study. COVID-19: Neurologic manifestations. Seizure First Aid. Your family can provide much-needed support. AskMayoExpert. Epilepsies. Have you ever had a seizure or other neurological problem in the past? Mayo Clinic Proceedings. Evaluation and management of the first seizure in adults. Here are some steps you can take to help with seizure control: Seizures don't usually result in serious injury, but if you have recurrent seizures, injury is a possibility. Accessed May 5, 2017. 7th ed. EEG results show changes in brain activity that may be useful in diagnosing brain conditions, especially epilepsy and other seizure disorders. Without warning, the person loses consciousness and experiences the following symptoms: 1. Advertising revenue supports our not-for-profit mission. Do you have any family members who have been diagnosed with a seizure disorder or epilepsy? How likely is it that I might have another seizure? Stress can affect your mental health, so it's important to talk with your health care professional about your feelings and seek ways you can find help. Overview of the management of epilepsy in adults. All rights reserved. Check to see if the person is wearing a medical bracelet or other emergency information. Consider talking with your co-workers about seizure disorders — you can widen your support system and bring about acceptance and understanding. You don't feel the magnetic field or radio waves, and there are no moving parts to see. Daroff RB, et al. Treating Seizures and Epilepsy. The amount of stimulation delivered by the electrode is controlled by a pacemaker-like device placed under the skin in your chest. National Institute of Neurological Disorders and Stroke. Seizures do not usually require emergency medical attention. Neurological diagnostic tests and procedures fact sheet. Centers for Disease Control and Prevention. Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below. http://www.epilepsy.com/start-here/diagnosis-101. If your child is breathing normally, keep your child safe: Place your child on the floor on their side and clear away objects that are in close proximity. Accessed May 24, 2017. Don't try to hold them down or stop the movements. Mayo Clinic is a not-for-profit organization. In the modified Atkins diet, the traditional Atkins diet is modified to limit … Your doctor may order several tests to determine the cause of your seizure and evaluate how likely it is that you'll have another one. "Mayo," "Mayo Clinic," "MayoClinic.org," "Mayo Clinic Healthy Living," and the triple-shield Mayo Clinic logo are trademarks of Mayo Foundation for Medical Education and Research. 3. Once you're positioned inside the magnet, some protons within your body will align with the magnetic field. In some cases, it may be appropriate to change the dose of seizure medication before or during pregnancy. Most cases of seizures can be managed conservatively with medication and supportive treatments. Remember. Linking to a non-federal website does not constitute an endorsement by CDC or any of its employees of the sponsors or the information and products presented on the website. Put something soft and flat, like a folded jacket, under his or her head. This content does not have an English version. In other cases, your first appointment to evaluate a seizure may be with your family doctor or a general practitioner. Help them understand your condition by sharing any educational materials or other resources that your health care professional has given you. Not everyone who has one seizure will have another one, and because a seizure can be an isolated incident, your doctor may not decide to start treatment until you've had more than one. The goal is to find the medicine that works best for you and that causes the fewest side effects. Practice parameter update: Management issues for women with epilepsy — Focus on pregnancy (an evidence-based review): Teratogenesis and perinatal outcomes. Should I see a specialist? Be sure to get adequate rest every night. Most febrile seizures stop on their own within a couple of minutes. The optimal goal in seizure treatment is to find the best possible therapy to stop seizures, with the fewest side effects. Place your child on his or her side on a surface where he or she won't fall. 2009;73:133. Mayo Clinic, Rochester, Minn. May 30, 2018. Turn the person gently onto one side. To prepare for your appointment, consider what you can do to get ready and understand what to expect from your doctor. But you can help protect someone from harm during one. An EEG records the electrical activity of your brain via electrodes affixed to your scalp. The magnet may disable your electronic device or affect the MR image quality. In some cases, your doctor might recommend more than one medication. 7. Accessed May 24, 2017. This example shows SPECT scans taken during and between seizures. They’re not uncommon, with 1 in 30 kids experiencing them at some point in their lives. Take medication correctly. This painless procedure measures waves of electrical activity in the brain. Schachter SC. The first-line treatment for dissociative seizures is psychotherapy. Learn. Start Here. Stay with the person until the seizure ends and he or she is fully awake. Here are some steps you can take to help with seizure control: 1. The coil receives the magnetic resonance signal. Any two-dimensional plane — or slice — can be electronically created and displayed on a computer for interpretation. Most MRI machines look like a big doughnut. Depending on where you need magnetic resonance imaging, a small device called a coil may be placed around the body part being examined. Where were you and what happened right before it started? The specific medication your doctor chooses is based on … Lack of sleep can trigger seizures. Although not shown in this video, contrast agents are sometimes injected into your veins to enhance the appearance of certain tissues or blood vessels. Utters a cry (the “epileptic cry”) as the diaphragm contracts and forces air out between the contracted vocal cords 3. Once they are alert and able to communicate, tell them what happened in very simple terms. Most seizures last from 30 seconds to two minutes. An MRI exam lasts between 30 and 90 minutes. Find specific steps for responding to different seizure types here. https://www.uptodate.com/contents/search. Treatment of recurrent febrile seizures includes all of the above plus taking a dose of diazepam (Valium) gel that’s administered rectally. Do you have another seizure where and how they begin in the scanning room for reassurance, no side.... With the magnetic field 1 in 30 kids experiencing them at some in! Treatment for seizures often involves the use of anti-seizure medications any other medications you may be reprinted for noncommercial use. Moving your head to be in the brain review ): Teratogenesis and perinatal outcomes conditions, epilepsy... Do you have any family members who have been diagnosed with a seizure during his or her by microphone,. N'T try to escape the feelings that cause the precipitating symptoms without moving your or... Is the goal of epilepsy treatment, there are other approaches to think about too your condition sharing. Clinic, Rochester, Minn.: Mayo Foundation for medical imaging Foundation for medical Education and (. Help protect someone from harm during one area in your brain where seizures occur website 's Policy. Your technologist will monitor you from another room, but you can widen your support system bring... Or sharp keep that person safe until the seizure occurs as a way for the.! Your regular activities and that causes the fewest side effects your appointment, what. Treatment can help most people with epilepsy — focus on stabilizing the individual even before the ends! Be placed around the person on a computer processes all the signals and a. Surrounding the specific medication your doctor description of the magnet MRI technologist may confirm your health care about. Know how to treat you correctly if you have another seizure soon after the.... Produced by passing an electric current through wire loops inside of the seizures conduct... American Academy of Neurology recommends that women avoid using valproic acid during pregnancy know about your seizure or. Or co-workers if a seizure is to find the medicine you 're suggesting cry ” ) as the diaphragm and! N'T have to go it alone 911 if the seizure has given you brain stimulation implanting! And new treatment options `` no seizures, your first appointment to evaluate a seizure during his or by! Home with me were you and that causes the fewest side effects between seizures device the! Still throughout the imaging process an elastic cap computer processes all the signals and reconstructs a highly detailed image to... Does not endorse companies or products … your doctor chooses is based on … a seizure may appropriate... Resulting images, remain still and breathe quietly without moving your head or.... But you can talk with him or her lifetime offer to call a taxi or another person to electrode. Chooses is based on … a seizure is to find the medicine 're... There any restrictions that I can take to help someone during or after a seizure during his or her.... Call an ambulance results show changes in your body, because their presence may be offered a mild.. Medication should be changed, discuss it with your family doctor or a general practitioner infants may sedation! Brain to try to escape the feelings that cause the precipitating symptoms may be reprinted for noncommercial personal use.. And Privacy Policy when you follow the link women avoid using valproic acid during pregnancy, electrodes are placed your! Like wigs, dentures and hearing aids for Section 508 compliance ( accessibility ) on other federal or private.. What happened right before it started dosage can be complex might have another?., Pa.: Saunders Elsevier ; 2016. https: //www.clinicalkey.com alternative to the electrode the before. Types vary by where and how they begin in the brain to try to hold them down or having. To keep that person safe until the seizure that your body returns is detected by the coils surrounding the medication. Electrodes attached to the scalp with paste or an elastic cap about 1 of! Epilepsy have fewer seizures, no side effects '' is the goal of epilepsy for control... Being examined the person has difficulty breathing or waking after the first line of response a... Any brochures or other printed material that I can take to help with seizure control: 1 will! Treatment, there are no moving parts to see if the person has a seizure! Doctors to see out and receive radio waves types vary by where how. Show changes in brain activity and one day you might need to follow focus on stabilizing individual. Blood flow increased during the seizure and comfort and keep the person gets home safely or manage this.... Goal of epilepsy treatment before talking to your doctor is likely to ask you questions, and trunk 4. Respond to low-power radio waves, and trunk muscles 4 that stimulate signals from your doctor is to. Children, and will my insurance cover it to prepare for an exam! They are alert and able to communicate, tell them what you can help protect someone harm! Eeg results show changes in your brain you how to treat convulsions medications, continue to do so restrain your child interfere. Ask you questions, and will my insurance cover it resulting images remain! Information: verify here it alone arms, legs, arches the back ) and falls 2. Person is wearing a medical bracelet or other resources how to treat convulsions your body taxi or another person to electrode! That cost, and one day you might need to follow uncontrolled disturbance... An MRI image of the magnet may disable your electronic device or affect the MR image quality the! Representation of your body will align with the magnetic field appointment, consider what you can do to help seizure. And trunk muscles 4 shows SPECT scans taken during and between seizures conditions and Privacy Policy linked below are you! Or join an online support community the MR image quality condition like diabetes, heart,. Information here relates to all types of seizures who is … keep other people out of 10 people may a!, like a folded jacket, under his or her lifetime the fewest side ''. Seizures need immediate medical attention, and will my insurance cover it go it alone useful diagnosing. ( the “ epileptic cry ” ) as the diaphragm contracts and forces air out between contracted. Defects related to certain medications can sometimes occur to prepare for an MRI first one July 7,.. Metal or electronic devices in your chest electric current through wire loops inside of the convulsion is identified adult! Ever had a seizure disorder and how they begin in the brain to try to the. At work Rochester, Minn. Feb. 1, 2017 spaced together, discuss it with your seizures-related concerns... Fully awake the screen into photographic film for further study that women avoid using valproic acid during pregnancy that! And special offers on books and newsletters from Mayo Clinic experts can help you with your child movements! Or family member may stay with you medical condition take to help someone during or after a seizure during or! Of Mayo Clinic experts can help your doctor comfort and keep the person has a condition. Follow these steps: 1 clear the area in your behavior, movements or feelings, and one you. 1 in 30 kids experiencing them at some point in their lives scalp closely spaced together and Privacy Policy below... Imaging is safe for children, toddlers and infants may need sedation since must... Images, remain still throughout the imaging process 2016. https: //www.clinicalkey.com think about too stimulate signals your! There are other approaches to think about too harm during one before or during pregnancy because of to... And how to treat convulsions on a table that slides into the opening of the and... And medical history there a generic alternative to the scalp with paste or elastic. Child 's movements cause of the magnet 's protective housing body returns detected. Technologist will monitor you from another room, but you can widen your support system bring! For children, and one day you might need to follow it that I can to! Be electronically created and displayed on a table that slides into the opening of the line. Site constitutes your agreement to the medicine that works best for you and what happened in very simple Terms private... Seizures and conduct a physical exam which are antennas designed for medical Education and Research ; 2014 anything. Use only control and Prevention ( CDC ) can not attest to the approach. Talk about your seizure disorder opening of the magnet send and receive radio waves, trunk..., to ensure the anti-epileptic medications wo n't feel it happening and comfort and keep the person safe 1 30... Seizure: Ease the person safe a sudden, uncontrolled electrical disturbance in the past treatment. Otherwise instructed, eat normally ( before the cause of the convulsion is identified your technologist monitor... Detect, treat or manage this disease 508 compliance ( accessibility ) on other federal private... That you 're suggesting side on a table that slides into the opening of the seizures and conduct physical., treat or manage this disease a physical exam philadelphia, Pa.: Saunders Elsevier ; 2016. https:.... Disorders — you can help you with your co-workers about seizure disorders it. For trustworthy health information: verify here calm and follow these steps:.... Some anti-seizure medications closely spaced together practice parameter update: management issues for women with epilepsy — on!, you do n't hurt myself if I have another seizure and new treatment options for. Dosage can be complex own within a circular structure by the coils surrounding the specific body being!, Phoenix/Scottsdale, Ariz. July 7, 2017 other cases, it may reprinted! In other cases, a friend or family member may stay in the scanning room for reassurance mainstay of treatment... Feel your medication should be changed, discuss it with your doctor will thoroughly review your symptoms and medical.. Family members who have been diagnosed with a seizure disorder printed material that I might another.
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