# Can Fatigue and Pain Cause a Seizure?

**URL:** <https://boards.straightdope.com/t/can-fatigue-and-pain-cause-a-seizure/601996>\
**Category:** In My Humble Opinion\
**Created:** [November 5, 2011, 9:59pm UTC](https://boards.straightdope.com/t/can-fatigue-and-pain-cause-a-seizure/601996 "2011-11-05T21:59:43Z")\
**Posts on this page:** 6\
**Page:** 1

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**Author:** ![Trinopus](https://avatars.discourse-cdn.com/v4/letter/t/2bfe46/32.png) [@Trinopus](https://boards.straightdope.com/u/Trinopus)\
**Post date:** [November 5, 2011, 9:59pm UTC](https://boards.straightdope.com/t/can-fatigue-and-pain-cause-a-seizure/601996/1 "2011-11-05T21:59:43Z")

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Usual disclaimer: I’m not asking for medical advice. I’ve got an appointment with my doctor. Treat this thread as if I were asking about a character I read about in a book…

So… Out hiking in the boonies with my sister. We hit a steep downhill bit with gravel, and, whoops, I faw down, go boom. Landed on my butt…and elbow. Dislocated my shoulder (partially: it wasn’t hanging loose or anything.) Shoulder pops right back in.

Hurts. Pain. I blacked out for about a minute. Awakened normally, as if from ordinary sleep. (Even wondered for a moment, “Was it just a dream? Oh, crud…”)

My sister puts me through some tests. Multiply and divide. Identify some historical characters. She looks at the pupils of my eyes, is satisfied they’re normal. At that point, and subsequently, I feel tired and sore, but have no mental aberrations.\*

Her worry is caused by her observing me in seizure-like shaking, jerking, twitching, and spasming. (She has some training in this, as she is a caretaker for clients with such susceptibilities.)

I couldn’t stand; when I tried, I would start to pass out again. So I rested for an hour, and, at that point, was able to walk back to the trailhead.

So my factual question: could pain and fatigue lead someone to faint and exhibit seizure-like shaking? Or would the shaking inescapably point toward a concussion, however mild?

My opinion is that it was just pain. But I don’t know enough to say for sure.

Trinopus

\*other than, y’know, being a looney nerd type fanboy!

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**Author:** ![VOW](https://sea3.discourse-cdn.com/straightdope/user_avatar/boards.straightdope.com/vow/32/3043_2.png) [@VOW](https://boards.straightdope.com/u/VOW)\
**Post date:** [November 6, 2011, 1:46am UTC](https://boards.straightdope.com/t/can-fatigue-and-pain-cause-a-seizure/601996/2 "2011-11-06T01:46:55Z")

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Just for giggles, see your doctor.

Seizures can be a once-in-a-lifetime occurrence. If you have had seizures in the past, yes, pain and fatigue can certainly trigger one.

My concern is the fall beforehand. A seizure could be responsible for the initial fall AND the convulsing-type behavior afterwards.

All seizures are not experienced by rigidity and convulsions. A blanking-out type behavior IS a seizure.

Something’s going on upstairs. Get it checked out.

IANAD, however: my husband was diagnosed with Seizure Disorder in 2005, at the age of 56. Today, he is well-controlled with medication. But it was a rough road to get to today. And his first seizure was something that literally came out of nowhere.  
~VOW

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**Author:** ![KarlGauss](https://sea3.discourse-cdn.com/straightdope/user_avatar/boards.straightdope.com/karlgauss/32/3713_2.png) [@KarlGauss](https://boards.straightdope.com/u/KarlGauss)\
**Post date:** [November 6, 2011, 3:14am UTC](https://boards.straightdope.com/t/can-fatigue-and-pain-cause-a-seizure/601996/3 "2011-11-06T03:14:50Z")

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See a doctor, blah, blah, blah …

But, in the setting of acute, severe pain, people can pass out from what is traditionally (though inappropriately) called a [vasovagal attack](http://en.wikipedia.org/wiki/Vasovagal_response).

During a vasovagal episode, it is common for there to be a few [clonic](http://en.wikipedia.org/wiki/Clonic) movements which resemble those seen in a classic [tonic-clonic seizure](http://en.wikipedia.org/wiki/Tonic%E2%80%93clonic_seizure) (convulsion).

> [@Trinopus](#):
>
> I couldn’t stand; when I tried, I would start to pass out again.

Getting light-headed upon standing is also common after a vasovagal faint.

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**Author:** ![samclem](https://avatars.discourse-cdn.com/v4/letter/s/a9a28c/32.png) [@samclem](https://boards.straightdope.com/u/samclem)\
**Post date:** [November 6, 2011, 3:26am UTC](https://boards.straightdope.com/t/can-fatigue-and-pain-cause-a-seizure/601996/4 "2011-11-06T03:26:11Z")

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Real life situation. MOved from General Questions to IMHO.

**samclem** , Moderator

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**Author:** ![Trinopus](https://avatars.discourse-cdn.com/v4/letter/t/2bfe46/32.png) [@Trinopus](https://boards.straightdope.com/u/Trinopus)\
**Post date:** [November 6, 2011, 10:01pm UTC](https://boards.straightdope.com/t/can-fatigue-and-pain-cause-a-seizure/601996/5 "2011-11-06T22:01:19Z")

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Oops; apologies for posting in wrong forum.

**KarlGauss** and **VOW** : thanks! Definitely am on my way to see my doc.

I’d never heard of Vasovagal Attack! That’s one of the joys of this place: I learn something cool every day!

P.S. Karl Gauss is one of my very favorite historical persons! He inspired me to study orbital calculations, a field in which I now know maybe a per cent of a per cent of what he knew!

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**Author:** ![KarlGauss](https://sea3.discourse-cdn.com/straightdope/user_avatar/boards.straightdope.com/karlgauss/32/3713_2.png) [@KarlGauss](https://boards.straightdope.com/u/KarlGauss)\
**Post date:** [November 7, 2011, 1:19am UTC](https://boards.straightdope.com/t/can-fatigue-and-pain-cause-a-seizure/601996/6 "2011-11-07T01:19:55Z")

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> [@Trinopus](#):
>
> Karl Gauss is one of my very favorite historical persons! He inspired me to study orbital calculations, a field in which I now know maybe a per cent of a per cent of what he knew!

But can you do it in your head [like he did](http://scientific-child-prodigy.blogspot.com/2007/06/johann-carl-friedrich-gauss.html)?

> [@above link](#):
>
> "Gauss’ achievement with Ceres puzzled many, for it seemed a feat beyond possibility. He was asked how he had done such an intricate calculation. He replied: “I used logarithms.” When asked how he had looked up so many logarithms in so short a time, he dumbfounded them, by saying: “Who needs to look them up? I calculated them in my head.”
