Epileptic Seizure with Aura: Signs, Causes and Care

Epileptic seizure with aura is a warning phase where brief changes in sensation, mood, or awareness signal an oncoming seizure, helping patients and caregivers recognize triggers, improve safety, and seek timely medical and holistic treatment support.

Understanding the behaviour in this case

From the message in the screenshot, the father describes a 20‑year‑old son who:

Has “fits” for the past three years (likely epileptic seizures or seizure‑like events)
Shows facial changes that look like crying just before a fit
Has “a lot of sad and worrying things in his mind” and a noticeable mood change

This pattern suggests two linked but distinct aspects:

Neurological events (fits / seizures)
- Many epileptic or seizure disorders have prodromal or pre‑ictal symptoms—subtle changes in feeling or behaviour hours to days before a seizure.
- These can include irritability, low mood, anxiety, or a sense of impending doom, as well as autonomic changes like facial expressions resembling crying or grimacing.
Psychological and emotional burden
- Chronic epilepsy is strongly associated with depression, anxiety, and excessive worrying, especially in young adults, due to fear of the next attack, social stigma, and lifestyle limitations.
- Families often misread these mood symptoms as “just emotional” when they may be part of the disorder itself (neurochemical changes, medication side‑effects, or a reaction to long‑term illness).

So the “sad and worrying things in his mind” and the mood change described by the parent could be:

A pre‑seizure behavioural change that is neurologically driven
A co‑morbid mood disorder (e.g., depression or anxiety) often seen alongside epilepsy
Or a mix of both, which is quite common in young patients living with frequent fits over several years.

From a homeopathic case‑analysis perspective, this means his mood and pre‑fit facial expression are not incidental; they are integral parts of the totality—temporal relation to fits, quality of emotion, and any triggers become important clues for both diagnosis (allopathic) and remedy selection (homeopathic).

Epileptic seizure with aura – Homeopathic approach

Step 1: Clarify the core symptom-picture

For repertorial work, the message describes a 20‑year‑old with:

Repeated “fits” over 3 years (likely epileptic attacks)
A crying facial expression just before the fit
Persistent sadness and worrying thoughts
Parent explicitly asking for “remedy medicine for his mood change”

Clinically, crying or sad facial expression at or just before seizure onset matches a focal emotional/dacrystic seizure pattern—stereotyped crying, sad face, sometimes without subjective sadness. Mood change and increased anxiety/depression in the days before seizures are also documented in epilepsy patients. This supports taking the emotional changes as part of the seizure pathology, not merely incidental.

Step 2: Repertorial rubrics (Kent focus)

You would likely prioritize rubrics under Mind and Convulsions/Epilepsy:

Mind (Kent, cross‑checked with mental rubric guides)

Mind – Sadness / Melancholy / Dejection, esp. when chronic and linked with disease
Mind – Anxiety, anticipating attacks / fear of disease / worry about health
Mind – Weeping / crying, before an attack / before convulsions (if present in your edition; otherwise approximate via “Mind – Weeping, involuntary; during pains; from emotions”)
Mind – Fear, impending disease / of fits (mapped from anxiety rubrics)

General/Physical (epilepsy‑related rubrics referencing single remedy lists and seizure rubrics)

Convulsions – Epileptic, before attack – aura – emotional (crying, sadness, fear)
Convulsions – Epileptic, preceded by mental symptoms
Face – Expression, sad / weeping, before convulsions

Step 3: Remedy families and rationale (Kent, Boericke, Vithoulkas aligned)

From these rubrics and classical materia medica, several remedy “themes” emerge:

Stramonium / Belladonna group
- Frequently cited in epilepsy case reports and reviews where emotional states (fear, terror, crying) precede or accompany fits.
- Kent and Boericke both emphasize intense emotional storms, fear, and convulsive phenomena with marked facial expression changes, often in young persons.
Ignatia, Natrum muriaticum, Pulsatilla (grief–sadness axis)
- Strong “sadness, silent grief, much worrying” themes in all three classical authors.
- If the boy’s persistent sadness and brooding worry dominate the picture between fits (and seizures are less violent or less expressive), these might surface in repertorization.
Causticum, Lachesis, Cicuta, Cuprum (chronic epileptic states)
- Kent and Boericke both give epilepsy rubrics and physical generals (post‑ictal exhaustion, progressive neurological change) for these remedies.
- Evidence‑based homeopathic case reports in epilepsy highlight Lachesis and Stramonium as successfully used constitutional choices when the mental picture matches.

In Vithoulkas‑style analysis, the key is to see whether the central disturbance is dominated by fear/terror (Stramonium, Belladonna), suppressed grief and reserve (Natrum mur), hysterical weeping and emotional lability (Ignatia, Pulsatilla), or a more destructive, suspicious, loquacious picture (Lachesis)

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