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Tests for epilepsy

Blood tests, an Electroencephalogram (EEG) and scans are used to gather information for a diagnosis. Tests on their own cannot confirm or rule out epilepsy.

Reasons for tests

Your neurologist or specialist may ask you to have some tests to get extra information about your seizures. The tests are usually done by a technician (a person who is trained to do them).

The results from the tests are then passed back to the neurologist to see what they show. The results may indicate that you have epilepsy and may also show a cause for your epilepsy.

General tests

There are a number of tests that can help rule out other causes. These include:

Blood tests

A sample of blood will usually be taken from your arm with a syringe. The sample is used to check your general health and to rule out other possible causes for your seizures, such as low blood sugar levels or diabetes.

Electrocardiogram (ECG)

An ECG is used to record the electrical activity of the heart. This is done by sticking electrodes (a bit like plasters) to the arms, legs and chest. These electrodes pick up the electrical signals from the heart.

An ECG does not give out electrical signals, so having one doesn’t hurt. An ECG can help to rule out the seizure being caused by the way the heart is working.

A male and female looking at a brain scan

Brain scans

A brain scan may help to find the cause of your seizures. The two common types of brain scan are Magnetic Resonance Imaging (MRI) and Computerised Axial Tomography (CT or CAT).

A man taking an EEG

A closer look at EEG

When someone has had seizures, and it is thought that they might have epilepsy, there are various tests that their specialist might ask for. Two of these tests are the electroencephalogram (EEG) and MRI.

A woman taking an MRI test

A closer look at MRI

An MRI scan will not say for certain whether the person has epilepsy or not. But alongside other information, these might help the specialist to decide if epilepsy is a likely cause of the seizures.

Tests to diagnose epilepsy

No test can say for certain whether you do or do not have epilepsy. But when information from the tests is added to the description of what happens during your seizures, this builds up a clearer picture of what happened. This can help with the diagnosis and when choosing treatment.

See also how epilepsy is diagnosed.

Taken from our Diagnosis leaflet. Order this leaflet from our online shop as part of our 'first five free' offer, or download the pdf using the link below.