Common symptoms
- Convulsions or uncontrolled jerking movements
- Staring spells or brief lapses in awareness
- Sudden confusion, unusual sensations or déjà vu
- Unexplained loss of consciousness or falls
- Episodes you don't remember that others witnessed
How Dr. Gao evaluates it
Evaluation starts with a detailed history, ideally including a description from someone who saw the episode, and a full neurological exam. An electroencephalogram (EEG) is performed in our office to look for abnormal electrical activity, and brain imaging such as MRI is ordered when appropriate.
Treatment
Most people with epilepsy achieve good control with medication. Dr. Gao selects anti-seizure medication based on seizure type, age, other health conditions and pregnancy plans, then adjusts over time. Patients who don't respond to medication are referred to a comprehensive epilepsy center for advanced options.
Frequently asked questions
Do I need a neurologist after a first seizure?
Yes. A first seizure should be evaluated by a neurologist to identify the cause, assess the risk of another seizure, and decide whether treatment is needed.
Is EEG testing painful?
No. Small sensors are placed on the scalp to record brain activity. The test is painless and is done in our La Mesa office.