|
If
you have epilepsy you may be able to identify triggers - situations that
cause your seizures. Common triggers are stress or tiredness. If seizures
are triggered by flashing lights or patterns, this is called photosensitive
epilepsy.
How
common is photosensitive epilepsy?
Around
one in 131 people have epilepsy and of these people, up to 5% have photosensitive
epilepsy. This is when seizures are triggered by certain frequencies of
flashing lights or contrasting light and dark patterns such as stripes
or checks.
Photosensitivity
is more common in children and young people and is less commonly diagnosed
after the age of 20.
How
can I tell if I am photosensitive?
Many
people find this out because they have a seizure when exposed to flashing
lights or patterns.
A
tonic clonic (convulsive) seizure is the most common type of seizure to
be brought on by photosensitivity, although this may vary from person
to person. If a seizure happens due to photosensitivity, it will normally
happen straightaway.
Some
people with photosensitive epilepsy also have seizures that are not triggered
by flashing lights or geometric patterns, while other people may only
have seizures due to this trigger.
When
an Electroencephalogram (EEG) is carried out, a flashing light test, called
photic stimulation, will often identify if you are photosensitive. The
light test is stopped if it looks like you might have a seizure.
More information on seizures
More information on diagnosis
Back
to top
What
frequency of flashing light is most likely to trigger a seizure?
Between
five and 30 flashes per second (hertz) are the common frequencies to trigger
seizures, but this varies from person to person.
While
some people are sensitive at higher frequencies than 30 hertz, it is not
common to be sensitive below five hertz.
What
patterns are most likely to trigger a seizure if I am photosensitive?
Some
people are sensitive to geometric patterns, which have strong contrasts
of light and dark eg. stripes or checks. These might be on a TV or computer
screen, or something in the natural environment, such as sunlight through
trees, or through venetian blinds. Such contrasting patterns are more
likely to be a trigger if they are moving, changing direction or flashing,
rather than if they are still.
Common
triggers for people with photosensitive epilepsy include:
- television,
video games, or computer graphics - the images that are on the screen
- a
television or other screen that flickers slowly - the flicker rate of
the screen itself
- strobe
lights
- sunlight
coming through a line of trees
- sunlight
on water
- looking
out of the window on a train
- looking
at a moving escalator.
Back
to top
What
factors can affect photosensitivity?
- the
number of light flashes per second (hertz)
- the
intensity (brightness) of the light
- the
amount of your field of vision that is exposed to the light or pattern.
In other words, there is more chance of triggering a seizure if you
are watching a very large TV screen or sitting very close to the screen
- the
background light levels. For example, the flickering from a fluorescent
tube light could interact with the light from a screen and trigger a
seizure. The risk of this happening may be reduced by using non-fluorescent
lights.
Can
computer screens and computer games trigger photosensitive epilepsy?
Most
people with photosensitive epilepsy do not have a problem with using modern
computer screens, as they usually operate at a very high flicker frequency.
Computers with flatscreen monitors, such as laptops, have a liquid crystal
display (also called LCD or TFT) that does not flicker. This makes them
even less likely to trigger seizures.
Because
of the size of the screen and the way the equipment works it is rare for
seizures to be triggered by watching films in a cinema, or by hand-held
miniature screens.
Interactive
whiteboards, sometimes used in schools, have not been found to be a particular
trigger for photosensitive epilepsy.
What
may be as important as the type of screen is what its happening on the
screen. For example, a flickering image or changing geometric pattern
on the screen could trigger a seizure.
A
seizure can sometimes happen by chance while someone is playing computer
games or watching television, and may be a coincidence. Tiredness brought
on by watching the screen for a long time, or excitement when playing
computer games may also be a factor.
Back
to top
Can
disco lights trigger photosensitivity?
Coloured
lights do not usually cause a problem if they do not flash quickly. However,
strobe (flashing) lights can trigger seizures, especially if it is dark.
If you know you are photosensitive, it may be best to avoid strobe lights,
or cover one eye if you are suddenly exposed to them.
The
Health and Safety Executive (HSE) recommends that strobe lighting in nightclubs
or public performances is kept to a frequency of less than five hertz
(flashes per second).
How
is photosensitive epilepsy treated?
Photosensitive
epilepsy usually responds best to the anti-epileptic drug sodium valproate
(Epilim).
If
you know you have photosensitive epilepsy, the following tips might be
helpful:
- watch
TV or use a computer in a well-lit room
- change
TV channels using a remote control to avoid getting too close to the
scree
- avoid
poorly tuned or faulty TVs, or consider getting one with a high frequency
(100 hertz)
- minimise
the time you are exposed to trigger
- use
a computer with an LCD screen which is flicker-free, and take regular
breaks from the screen. This can be helpful for all computer users
- cover
one eye if you are suddenly exposed to a flashing or flickering light.
Photochromic glasses, where one lens is darkened, may also help (available
from opticians)
- polarised
sunglasses reduce reflection and glare e.g. sunlight on water (often
available from specialist sunglasses shops)
- avoid
becoming over-tired as this may increase the risk of seizures
- speak
to your GP or specialist about your seizures, as epilepsy varies from
person to person.
UK
Epilepsy Helpline: 01494 601400
Monday - Friday 10am - 4pm
©
The National Society for Epilepsy
January 2007
Back
to top
|