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Diagnosis - Epilepsy

After you have a seizure, a specialist doctor will do tests to find the cause.

Having a seizure does not always mean you have epilepsy.

Tests to diagnose epilepsy

The doctor will ask about what happened before, during and after the seizure. If someone such as a family member or friend saw the seizure, ask them to come to your appointment.

Tests you might have include:

  • an electroencephalogram (EEG) to check electrical activity in your brain
  • an electrocardiogram (ECG) to check your heart
  • brain scans such as an MRI scan or CT scan
  • blood tests
  • genetic testing

Your doctor may diagnose epilepsy if you had more than 1 seizure or have a risk of more seizures.

Types of epileptic seizure

There are different types of epileptic seizure. They can affect people differently.

You may have 1 or more type of seizure. Your specialist will assess your symptoms and tests results to tell you which type you have.

The main types of epileptic seizure are:

  • tonic clonic seizures - where you become unconscious and may fall, your muscles get stiff and your body jerks and shakes
  • tonic seizures - your muscles suddenly get stiff and you may fall, then recover quickly
  • atonic seizures - your muscles suddenly go floppy and you may fall, then recover quickly
  • absence seizures - you briefly lose awareness of what's going on around you
  • focal seizures - you have unusual feelings, sensations or movements, or you may lose awareness and memory of your surroundings
  • myoclonic seizures - your muscles briefly jerk while you are awake

Treating epilepsy

Page last reviewed: 6 July 2026
Next review due: 6 July 2029