Hesperian Health Guides

Seizures during sleep

In this chapter:

Seizures during sleep can be hard to notice because the person feels them differently than they would if they were awake and may not notice them at all. If a person having sleep seizures lives with others, their seizures might go unnoticed because they happen while everyone else is also sleeping. Clues to having sleep seizures include waking up with a headache, feeling very tired after sleeping, falling out of bed while asleep, and mood changes.

Talk to a health worker if you worry that something unusual is happening while you sleep. Since all these signs can have causes other than seizures, a health worker will need information from you and anyone who has seen you sleep to figure out what is causing your sleep problems.

Seizures during sleep
Description:
  • Usually begin during adolescence, may continue into adulthood
  • Typically happen within 1 to 2 hours of falling asleep or upon waking up
  • Can involve convulsions or other body movements
  • Can be generalized or focal

Some possible causes:

  • Epilepsy
  • Brain injury or infection
  • Stroke
  • Disrupted sleep patterns

Antiseizure medicines that may help (see Chapter 4):

  • Carbamazepine
  • Levetiracetam

After the seizure: May wake up confused, disoriented, tired, or with unexplained injuries


For more information about sleep seizures, see Chapter 6.


This page was updated:19 May 2026