Seizures

A seizure is the uncontrolled movement of muscles. It happens when nerve cells in the brain become overexcited and do not work properly. Seizures usually last less than 5 minutes. They are followed by a period of sleepiness and confusion, which can last for several hours. Seizures in cancer patients can be caused by high fevers, head injury, serious infections of the fluid around the spine and brain, an imbalance in body chemistry, and tumor growth in the spine or brain.

What to look for

• Eyes stare blankly or roll back
• Patient suddenly loses control of urine and bowels
• Jerking movements of the body, especially the arms and legs

What the patient can do

• Talk to the doctor about your seizures. Bring the person who saw your seizure to the doctor with you to answer the doctor’s questions about it.
• Take anti-seizure medicines as prescribed.

What caregivers can do

• Keep the patient safe. If a seizure starts while the patient is in bed or on a chair, cradle the patient in your arms to keep him from falling to the floor.
• Stay with the patient.
• Stay calm.
• Loosen any clothing around the patient’s neck.
• If the patient falls to the floor, place padding (such as rolled-up clothes or towels) under his head and roll him onto his left side.
• If the patient is lying on his back, gently turn the head to the side if possible. Do not move any part of the body forcefully.
• Try to notice what type of movements the patient makes, how long the seizure lasts, and which parts of the body move with the seizure.
• Do not try to open the mouth during a seizure, even if the patient is biting his tongue. Keep your fingers and hands away from the patient’s mouth.
• Do not move the patient unless he is in a dangerous location (for instance, near a hot radiator, glass door, or stairs).
• Once the seizure is over, cover the patient with a blanket and allow him to rest.
• Do not give medicines, food, or liquids until you call the doctor and the patient is fully awake.
• If the patient is prone to seizures, use side rails and bumper pads on his bed. Be sure someone is with the patient when he is walking or sitting in a chair.
• Give anti-seizure medicine as prescribed by the doctor.

Call the doctor if the patient:

• Has a seizure, once it is over and the patient is comfortable (If someone else is with you, stay with the patient and have the other person call the doctor.)