this post was submitted on 31 Mar 2025
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Does that mean that 3% of seizures require intervention?
I would imagine the probabilities aren't independent, but if they were, the probability of someone staying in the 97% for 10 seizures in a row is 73.7%. 20 seizures in a row drops the probability to 54%. Under that math, even if the probability of something going wrong is low in any given seizure, someone who has many seizures in a lifetime will likely experience something serious at some point.
I should have put over 97%. But yeah for a generalized tonic-clonic seizure lasting longer than 5 minutes is called "status epilepticus" and that is a risk of lasting injury and thus warrant intervention. Just not the kind that bystanders are able to provide.
Yup, probabilities are not independent and if those clusters of seizures happen minutes to hours from each other, the risk of injury increases further. Also, with more and longer seizures the epilepsy tends to become increasingly harder to manage. But epilepsy comes in many shapes and forms so it depends on the specific kind. The adults who die of epilepsy usually don't die "unexpectedly" meaning they have certain comorbidities that increase the risk of dying (e.g. heart disease), etc.