Are eyes typically closed during an epileptic seizure?

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Last updated: April 19, 2025View editorial policy

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From the Research

During a seizure, the state of the eyes can vary greatly and is not a reliable diagnostic indicator, as eyes may be open or closed depending on the type of seizure and the individual experiencing it. In general, the position of the eyes during a seizure is not a consistent or reliable indicator of the seizure type or severity. Some key points to consider when witnessing a seizure include:

  • The type of seizure: tonic-clonic (grand mal) seizures often have open eyes, absence seizures typically have open eyes with a blank stare, and focal seizures can have varied eye movements.
  • Ensuring the person's safety: removing dangerous objects, not restraining them, and placing something soft under their head if possible.
  • Seeking medical attention for first-time seizures, seizures lasting more than five minutes, or if the person doesn't regain consciousness promptly after the seizure ends. According to a study on seizure first aid for people with epilepsy 1, caregivers and healthcare professionals may have varying levels of knowledge about appropriate first aid measures, highlighting the need for standardized training programs. Additionally, research on benzodiazepines for the treatment of seizure clusters 2 and status epilepticus 3, 4 provides valuable insights into the management of seizures, but does not specifically address the state of the eyes during a seizure. It is essential to prioritize the person's safety and well-being during a seizure, rather than focusing on the position of their eyes.

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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