Seizures Specialist

Bharat Tolia, MD -  - Neurologist

Comprehensive Neurology

Bharat Tolia, MD

Neurologist located in Pontiac, MI

Some seizures are barely noticeable, while others can be debilitating. Bharat Tolia, MD, is a neurologist who treats seizure disorders and other neurological conditions at the Comprehensive Neurology Headache and Sleep Center in Pontiac, Michigan. Call or schedule an appointment online for expert care diagnosing the cause of your seizures and managing your condition.

Seizures Q & A

What is a seizure?

A seizure occurs when the brain’s electrical system misfires.

Your brain is made up thousands of neurons. These cells transmit and process information with each other. Despite the chaos of this activity taking place, neurons usually function in an orderly way. At times, however, neurons can misfire.

When a neuron misfires in the brain, it can cause physical responses like twitches and spasms in other parts of the body. It can also cause changes in your behavior, perceptions, and consciousness.

Are there different types of seizures?

Yes. Many people equate seizures with epilepsy, but having a seizure doesn’t always mean you have epilepsy. There are three general categories of seizures with different causes.

Epileptic seizures

These seizures are the result of a brain dysfunction that causes abnormal electrical activity. This can be caused by a brain injury like a stroke, tumor, or trauma. The cause of these seizures is often unknown.

Provoked seizures

In these seizures, the brain’s abnormal electrical activity is due to certain drugs, alcohol, or other imbalances like low blood sugar. This type of seizure usually doesn’t recur once the cause is identified.

Nonepileptic seizures

These resemble a seizure, but usually result from psychological conditions, muscle disorders, or fainting spells. These seizures aren’t the result of abnormal brain activity.

What does a seizure look like?

Depending on the location and severity of the misfire, the resulting seizure can vary in type and intensity. This can cause a wide range of physical responses including:

  • Staring, repeated blinking, or strange eye movement
  • Repeated not purposeful movements like chewing or wringing of hands
  • Loss of bladder or bowel control
  • Loss of consciousness
  • Tense, rigid, or convulsing muscles
  • Difficulty speaking or talking nonsensically


Seizures can also cause changes in awareness, sensation, thoughts, and emotions. This might include confusion and loss of awareness, feelings of euphoria, and experiencing unusual smells or tastes.

How are seizures diagnosed and treated?

Dr. Tolia reviews your seizure symptoms in as much detail as possible. The more information he has, the greater his ability to diagnose the cause of your condition.

In addition to a physical examination, Dr. Tolia conducts blood tests to look for medical issues that could have triggered your seizure, and markers that might provide clues on your seizure type. He might also recommend a spinal tap (lumbar spine puncture), electroencephalography (EEG), and brain imaging scans.

Seizure treatment usually includes seizure medications. Dr. Tolia also monitors you for recurring seizures.

Call or schedule an appointment with Dr. Tolia online today.