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The Daily Insight

What are the 3 main phases of a seizure

Author

Victoria Simmons

Published Apr 21, 2026

Seizures take on many different forms and have a beginning (prodrome and aura), middle (ictal) and end (post-ictal) stage

What are the seizure phases?

In addition to these categorizations, there are four distinct phases of seizures: prodromal, early ictal (the “aura”), ictal, and post-ictal.

What is the tonic phase of a seizure?

In the tonic phase the body becomes entire rigid, and in the clonic phase there is uncontrolled jerking. Tonic-clonic seizures may or may not be preceded by an aura, and are often followed by headache, confusion, and sleep. They may last mere seconds, or continue for several minutes. Also known as a grand mal seizure.

What happens right before a seizure?

Some patients may have a feeling of having lived a certain experience in the past, known as “déjà vu.” Other warning signs preceding seizures include daydreaming, jerking movements of an arm, leg, or body, feeling fuzzy or confused, having periods of forgetfulness, feeling tingling or numbness in a part of the body, …

What are the 4 types of seizures?

It causes seizures, which are bursts of electricity in the brain. There are four main types of epilepsy: focal, generalized, combination focal and generalized, and unknown. A person’s seizure type determines what kind of epilepsy they have. Different types of seizures affect the brain in different ways.

What is the ictal phase of a seizure?

The middle of a seizure is often called the ictal phase. It’s the period of time from the first symptoms (including an aura) to the end of the seizure activity, This correlates with the electrical seizure activity in the brain.

What are the first signs of a seizure?

  • Staring.
  • Jerking movements of the arms and legs.
  • Stiffening of the body.
  • Loss of consciousness.
  • Breathing problems or stopping breathing.
  • Loss of bowel or bladder control.
  • Falling suddenly for no apparent reason, especially when associated with loss of consciousness.

Should you go to the hospital after a seizure?

If you see someone who is having an epileptic seizure, you should call an ambulance or 911 if: The seizure lasts more than five minutes. Another seizure starts right after the first. The person can’t be awakened after the movements have stopped.

Are there warning signs before a seizure?

Seizures are usually… Some warning signs of possible seizures may include: Odd feelings, often indescribable. Unusual smells, tastes, or feelings. Unusual experiences – “out-of-body” sensations; feeling detached; body looks or feels different; situations or people look unexpectedly familiar or strange.

Why do you bite your tongue during a seizure?

Nighttime seizures are a common cause of tongue biting. Those with epilepsy lose control of their bodies during a seizure. This may cause them to unconsciously bite down on their tongue. Usually, bites occur on the tip and sides of the tongue.

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What is a seizure coma?

Seizures: A single seizure rarely produces coma. But continuous seizures — called status epilepticus — can. Repeated seizures can prevent the brain from recovering in between seizures. This will cause prolonged unconsciousness and coma.

How long can a seizure last before brain damage?

A seizure that lasts longer than 5 minutes, or having more than 1 seizure within a 5 minutes period, without returning to a normal level of consciousness between episodes is called status epilepticus. This is a medical emergency that may lead to permanent brain damage or death.

What's the difference between epilepsy and seizures?

A seizure is a single occurrence, whereas epilepsy is a neurological condition characterized by two or more unprovoked seizures.

What are the 2 main types of seizures?

There are two major classes or groups of seizures: focal onset and generalized onset. Focal onset seizures start in one area and can spread across the brain and cause mild or severe symptoms, depending on how the electrical discharges spread.

What type of seizure is difficult to detect?

Generalized seizures begin on both sides of your brain at the same time. Because these seizures spread quickly, it can be difficult to tell where they originated.

What can cause seizures all of a sudden?

  • Abnormal levels of sodium or glucose in the blood.
  • Brain infection, including meningitis and encephalitis.
  • Brain injury that occurs to the baby during labor or childbirth.
  • Brain problems that occur before birth (congenital brain defects)
  • Brain tumor (rare)
  • Drug abuse.
  • Electric shock.
  • Epilepsy.

How do you stop a seizure coming on?

  1. Keep other people out of the way.
  2. Clear hard or sharp objects away from the person.
  3. Don’t try to hold them down or stop the movements.
  4. Place them on their side, to help keep their airway clear.
  5. Look at your watch at the start of the seizure, to time its length.
  6. Don’t put anything in their mouth.

What does a seizure feel like in your head?

For example, if you have a mild seizure, you may stay conscious. You might also feel strange and experience tingling, anxiety, or déjà vu. If you lose consciousness during a seizure, you won’t feel anything as it happens. But you might wake up feeling confused, tired, sore, or scared.

What are some seizure precautions?

Take frequent breaks and drink plenty of water. Wear protective clothing (elbow or knee pads, helmet, protective eyeglasses or goggles) whenever possible. Avoid busy streets when bike riding; ride on bike paths or side streets. Always wear a medical ID bracelet or necklace, or carry a medical ID card.

What happens after a seizure episode?

As a seizure ends, some people recover immediately, while others may take minutes to hours to feel like their usual self. The recovery period is different depending on the type of seizure and what part of the brain was affected. The recovery period after a seizure is called the “postictal phase.”

What do hospitals do for seizures?

An EEG (electroencephalography) or a brain scan may be ordered. Antiseizure medicine may be used to treat a seizure lasting longer than five minutes or for multiple seizures. For a person with epilepsy, a Dignity Health neurologist will prescribe medications to prevent or reduce the frequency of seizures.

What are the chances of having a second seizure?

The chance of another seizure can range from 16% to 61%, depending on the circumstances surrounding the seizure and results of a neurological exam or other tests.

Does holding iron stop seizures?

Holding iron can stop seizure: It is a misconception. Since seizure stops within a minute or two, people conclude it is because of holding iron. People with epilepsy are disabled and can’t work: People with epilepsy have the same range of abilities and intelligence as the rest of the population.

Is it possible to swallow your tongue while having a seizure?

This well-meaning action is actually a myth that could hurt the person you’re trying to help. It’s impossible for a person to swallow their tongue. While a person loses a lot of muscle control during a seizure, there is tissue in your mouth beneath your tongue that holds it in place.

Is it normal to turn blue during a seizure?

Yes, people usually turn blue or red or purple (cyanosis) during a tonic-clonic seizure. This reflects the anoxia that is present (lack of oxygen). This anoxia acts as a stimulus to restart the breathing and needs no human intervention.

What do seizures do to your brain?

A seizure is a sudden, uncontrolled electrical disturbance in the brain. It can cause changes in your behavior, movements or feelings, and in levels of consciousness. Having two or more seizures at least 24 hours apart that aren’t brought on by an identifiable cause is generally considered to be epilepsy.

How long can a person be unresponsive after a seizure?

However, why focal temporal lobe seizures should so often cause impaired consciousness is more puzzling. During temporal lobe seizures, patients are typically unresponsive to questions and commands for 1 to 2 minutes, and then remain confused for a variable period of time postictally.

Can seizures make you brain dead?

Isolated, brief seizures are likely to cause negative changes in brain function and possibly loss of specific brain cells. This is not true for all forms of epilepsy, however, and is likely to be highly dependent upon the type of seizure and the specific cause of the epilepsy.

Do seizures always show up on MRI?

Does epilepsy show up on MRI scans? No, not necessarily. An MRI scan can help your doctor understand some of the possible underlying structural causes of your seizures. However, for many people there is no structural cause behind their epilepsy and so the brain scan comes back ‘normal’.

Can seizures lead to stroke?

CONCLUSIONS: Our findings show that the onset of seizures in late life is associated with a striking increase in the risk of stroke. Further research is warranted to assess the benefit of specific interventions to prevent stroke in patients with seizures.

Which type of seizure is on one side of the brain?

Focal seizures are located in just one area of the brain. These seizures are also called partial seizures.