Risk factors
By Mayo Clinic staffCertain factors may increase your risk of epilepsy.
- Your age. The onset of epilepsy is most common during early childhood and after age 65, but the condition can occur at any age.
- Your sex. Men are slightly more at risk of developing epilepsy than are women.
- A family history. If you have a family history of epilepsy, you may be at an increased risk of developing a seizure disorder.
- Head injuries. These injuries are responsible for many cases of epilepsy. You can reduce your risk by always wearing a seat belt while riding in a car and by wearing a helmet while bicycling, skiing, riding a motorcycle or engaging in other activities with a high risk of head injury.
- Stroke and other vascular diseases. These can lead to brain damage that may trigger epilepsy. You can take a number of steps to reduce your risk of such diseases, including limiting your intake of alcohol and avoiding cigarettes, eating a healthy diet and exercising regularly.
- Brain infections. Infections like meningitis, which causes an inflammation in the brain or spinal cord, can increase your risk of epilepsy.
- Prolonged seizures in childhood. High fevers in childhood can sometimes be associated with prolonged seizures and subsequent epilepsy later in life, particularly for those with a family history of epilepsy.
References
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- Schachter SC. Evaluation of the first seizure in adults. http://uptodate.com/home/index.html. Accessed Feb. 10, 2011.
- First aid for seizures. Epilepsy Foundation. http://www.epilepsyfoundation.org/about/firstaid/index.cfm. Accessed Feb. 11, 2011.
- Frequently asked questions. Epilepsy Foundation. http://www.epilepsyfoundation.org/about/faq/. Accessed Feb. 11, 2011.
- Schachter SC. Overview of the management of epilepsy in adults. http://uptodate.com/home/index.html. Accessed Feb. 11, 2011.
- Ottman R, et al. Comorbidities of epilepsy: Results from the Epilepsy Comorbidities and Health (EPIC) survey. Epilepsia. 2011;52:308.
- Use of antiepileptic drugs in epilepsy and the risk of self-harm or suicidal behavior. Neurology. 2010;75:335.
- Prolonged or serial seizures (status epilepticus). Epilepsy Foundation. http://www.epilepsyfoundation.org/about/types/types/statusepilepticus.cfm. Accessed Feb. 12, 2011.
- Schacter SC. Sudden unexpected death in epilepsy. http://uptodate.com/home/index.html. Accessed Feb. 12, 2011.
- Pre-surgical evaluation. Epilepsy Foundation. http://www.epilepsyfoundation.org/about/treatment/surgery/evaluation.cfm. Accessed Feb. 12, 2011.
- Hirsch LJ, et al. Neuroimaging in the evaluation of seizures and epilepsy. http://uptodate.com/home/index.html. Accessed Feb. 12, 2011.
- Karcesky S. Initial treatment of epilepsy in adults. http://uptodate.com/home/index.html. Accessed Feb. 12, 2011.
- Kossoff EH. The ketogenic diet. http://uptodate.com/home/index.html. Accessed Feb. 12, 2011.
- Epilepsy. National Center for Biotechnology Information. http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0001714. Accessed Feb. 13, 2011.
- Tips for living. Epilepsy Foundation. http://www.epilepsyfoundation.org/about/quickstart/newlydiagnosed/qsliving/idvtips.cfm. Accessed Feb. 14, 2011.
- So E (expert opinion). Mayo Clinic, Rochester, Minn. Feb. 14, 2011.


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