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Absence seizure

Absence seizures involve brief, sudden lapses of consciousness. They're more common in children than adults. Someone having an absence seizure may look like he or she is staring into space for a few seconds. This type of seizure usually doesn't lead to physical injury.

Absence seizures usually can be controlled with anti-seizure medications. Some children who have them also develop other seizures. Many children outgrow absence seizures in their teens.

Symptoms Causes Risk factors Complications

An indication of simple absence seizure is a vacant stare, which may be mistaken for a lapse in attention that lasts 10 to 15 seconds, without any subsequent confusion, headache or drowsiness. Signs and symptoms of absence seizures include:

  • Sudden stop in motion without falling
  • Lip smacking
  • Eyelid flutters
  • Chewing motions
  • Finger rubbing
  • Small movements of both hands

Absence seizures generally last 10 to 15 seconds, followed immediately by full recovery. Afterward, there's no memory of the incident. Some people have dozens of episodes daily, which interfere with school or daily activities.

A child may have absence seizures for some time before an adult notices the seizures, because they're so brief. A decline in a child's learning ability may be the first sign of this disorder. Teachers may comment about a child's inability to pay attention.

When to see a doctor

Contact your doctor:

  • The first time you notice a seizure
  • If this is a new type of seizure
  • If the seizures continue to occur despite being placed on anti-seizure medication

Seek immediate medical attention:

  • If you observe prolonged automatic behaviors — activities such as eating or moving without awareness — or prolonged confusion, possible symptoms of a condition called absence status epilepticus
  • After any seizure lasting more than five minutes

Often, no underlying cause can be found for absence seizures. Many children appear to have a genetic predisposition to them. Rapid breathing (hyperventilation) can trigger an absence seizure.

In general, seizures are caused by abnormal electrical impulses from nerve cells (neurons) in the brain. The brain's nerve cells normally send electrical and chemical signals across the synapses that connect them.

In people who have seizures, the brain's usual electrical activity is altered. During an absence seizure, these electrical signals repeat themselves over and over in a three-second pattern.

People who have seizures may also have altered levels of the chemical messengers that help the nerve cells communicate with one another (neurotransmitters).

Absence seizures are more prevalent in children. Many children gradually outgrow them over months to years. Some children with absence seizures may also experience full seizures (tonic-clonic seizures).

Certain factors are common to children who have absence seizures, including:

  • Age. Absence seizures are more common in children between the ages of 4 and 10.
  • Sex. In general, most seizures are more common in boys, but absence seizures are more common in girls.
  • History of febrile seizures. Infants and children who have seizures brought on by fever are at greater risk of absence seizures.
  • Family members who have seizures. Nearly half of children with absence seizures have a close relative who has seizures.

While most children outgrow absence seizures, some:

  • Have seizures throughout life
  • Eventually have full convulsions, such as generalized tonic-clonic seizures

Other complications can include:

  • Learning difficulties
  • Behavior problems
  • Social isolation
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