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Q: Why is there a need to focus on breakthrough seizures? A: When an epilepsy patient experiences a sustained period of freedom from seizures (seizure control), then suddenly experiences a seizure, such an event is commonly referred to as a breakthrough seizure. When these breakthrough seizures occur, there can be severe clinical consequences for the patient.
One particular type of seizure is called a gelastic seizure and is quite different from what you may expect. Causes and Results of Gelastic Seizures. A gelastic seizure (like all seizures) happens when the brain's electrical activity intensifies. In a gelastic seizure, the brain's overactivity causes what looks like a laughing fit. The facial expression of someone experiencing a gelastic seizure can range from smiling or grinning to a frowning or angry appearance.