Dogs demonstrate the existence of an epileptic seizure odour in humans
nature.com
nature.com
I also just want to note to people that seizures aren't always the kind that they're portrayed, with the person falling to the ground and shaking.
Couple years ago I had these events start which turned out to be partial temporal lobe seizures. I would get a big flash of deja vu, my right arm would tingle starting at the shoulder and creep down to my fingers for about a second, and then I'd get hit with a tiny thump in my head where for the next few minutes I couldn't comprehend. I could still think, and I was able to tell people I was talking to to hold on, and give me a little time before we could start talking again. I had one while reading for example and the words got completely meshed together, where the characters were combined in different orders and didn't look understandable at all. I was wondering why the hell I couldn't read, and eventually the words started coming back together.
The reason I'm saying this is that it took more a while to realize these are considered seizures. I didn't know what was going on and didn't think it was anything much until they started coming one a day and that thump getting a little bigger each time.
This kind of seizure was listed in the paper as one of the test subjects. Someone I know was the one to tell me that those events might be a seizure, and I don't know how much longer it'd have been for me to come to that realization on my own. So maybe me saying this can help someone else. That, or get a dog that can smell seizures like in the paper!
When they did occur, I'd find myself "detached" from whatever environment I'd been in, and then struggling to re-engage with those around me. Most-strange was that I found in some cases I'd not only forgotten memories but also feelings I'd had for others. Try re-learning that you love your girlfriend after a seizure.
I went through numerous EEGs, sleep-deprevation EEGs, MRIs and a slew of other tests and was able to regulate the seizures using medication. But it did impact my life. It prevented me from pursuing a career that required a clean bill of health despite having my condition under control with medication.
Later in life, when I was planning to have children, I worked with my doctor to reduce then eliminate my medication. Though there was no indication that it would cause a problem, it wasn't something I wanted to risk. I've been off of the medication for about 10 years and seizure-free for over 20 years - long enough where I've stopped keeping track.
I have no explanation for why I no longer have these seizures but I feel fortunate that it's something seemingly very much in my past.
The medication is a huge problem, considering how many side effects there are and trying to find the right one is so difficult. I've very jealous that you were able to get off the meds.
These types of medical problems seem so random and crazy things can happen. I always wonder what it'd be like if we had these problems 50 years in the future when the knowledge of seizures and medicine has made much more progress.
My wife started getting partial seizures much like during her second pregnancy and they culminated in a generalized tonic-clonic seizure. Her OB mis-diagnosed them as vasovagal syncopy, which is a very common phenomenon during pregnancy.
Based on getting a diagnosis it sounds like you've seen someone about this. Please, anyone out there who has similar symptoms, get it checked by a neurologist!
What a neurologist will do, at best, is give you an fMRI to pinpoint what part of you brain has "abormal activity". (I also have deja vous seizures, and in my case it was my right temporal lobe.) Which, as cool as that may be, is completely useless as far as fixing the problem. If your seizures aren't causing distress in your life, the neurologist will essentially just tell you to never drive or operate heavy machinery, and send you home.
If you do feel that your seizures are causing distress in your life, or might be putting you at risk of harm, then yes, you should definitely talk to a neurologist, because there are medications that may be able to help.
(I know what deja vous is like of course, I just have no idea how it fits in with any kind of seizure)
I've had, on occasion, days where I would experience 50+ déjà vus that felt like moments from some past, very vividd dream I had many years ago -- even if those moments came from a recent movie I had never seen before.
It's a very peculiar feeling to be conscious and fully aware of what is happening, but still completely lose such a fundamental part of my brain functions.
From there out I had complex partial seizures and would simply zone out for a minute, give or take. If I was around my girlfriend or coworkers I told them to let me know otherwise I'd have no idea that I'd had a seizure aside from occasionally peeing myself a bit. Incontinence regularly correlates with seizures.
I mentioned this elsewhere but there was one specific time that I was walking back down the street with coworkers, dropped my sandwich and kept walking. One of my buddies caught up to me, handed me my sandwich and that 30 sec. or so was just gone even though I kept walking down the sidewalk.
I was right temporal focal and have the pathology report on the hunks my surgeon cut out on my wall. The photo of my post op MRI with noticeably less brain on one side than the other is a great conversation starter.
My brain started malfunctioning about 6 months before that. I would get this sensation where I couldn't understand or produce language for 5-30 seconds at a time. It seemed innocuous enough, and people actually told me it was normal, that they forgot words all the time. I don't have any physical or emotional manifestations during those auras (small, partial seizures)
I wish I had gone to a doctor because they would have probably run an EEG and put me on epilepsy medication earlier. Medication can actually slow or halt the development of epilepsy. Unfortunately, these small seizures reinforce themselves over time (epileptogenesis) and your brain essentially learns to have seizures.
Temporal lobe seizures are interesting too because for me, it was just the word issues. I had one while riding a bike when I still didn't know what was going on, and I kept going being actively confused, like I knew something odd was going on with the word / thinking part of my brain, but nothing at all physical.
After I started medication, I continued to have seizures for a year, including one grand mal. Unfortunately, I was in the unlucky 30% group that doesn't respond to medication. I tried 2 drugs total, even at high doses.
All of the sudden, I stopped having them for 2 years. I got my confidence back. I could do anything - drink, drive (not at the same time lol), not sleep, handle stress. Nothing really phased me, I figured I was "cured". I took a minimal amount of medicine with no issues. Epilepsy can spontaneously go into remission for a lot of people.
Then one day, I had an aura, and just like that, it started up again. Daily auras and one grand mal. A higher dose of medicine did nothing. A year later, they suddenly went away again with no changes to lifestyle or medication.
I'm so confused why this is happening. No one can tell me. Normal brain scans (no tumors or other abnormalities thank god), abnormal but somewhat inconclusive EEG in regards to where they may be coming from. One pointed to left temporal lobe, another was somewhat inconclusive. No, they're not psychogenic.
Anyway, there are some really smart people doing epilepsy research, particularly with regards to cryptogenic focal epilepsy. I'm looking forward to the advances they'll make. Now, you can do minimally-invasive brain surgery via laser ablation which is pretty neat. I haven't gotten the full work-up for surgery, but I'm probably not a candidate since they don't like to operate on any part of the brain that has to do with language. I want to wait until some more research comes out. The autoimmune avenue looks possibly promising. They're doing a lot of genetics research as well. TBD.
I had something similar happen to me to: First, a feeling of doom and a strong headache on the left side of my head. Then a tickling sensation in my right hand, then numbness. Then, within minutes, I lost my words.
I could still think normally - for example I reasoned that it made sense that my right body side was affected since the left side of the brain, where the language area was located, controlled it. So everything else felt and functioned normal. When I found words and wanted to speak them, they were often switched up.
The human brain is fascinating. Have a look at this:
A review of 80 years of memories inducted by electrical brain stimulation http://gpe.ups-tlse.fr/memstim.php
>The patient reported hearing the theme music from film Star Wars, while at the same time "seeing birds" and feeling like "going through a tunnel."
- The accepted explanation seems to be that our brains have a seizure threshold. The idea is to try to keep your brain below it, and to not cause it to become lowered.
- Many (most?) folks with epilepsy have "triggers" or activities or situations that increase the likelihood of seizures. You would think of them as lowering your seizure threshold.
Stress and sleep deprivation are common triggers. Stereotypically, flashing lights are a trigger for folks with photosensitive epilepsy though you should be aware photosensitive epilepsy is quite rare compared to the overall incidence of epilepsy.
Convulsive seizures are also very dangerous, and often result in bodily injury, hospitalization, status epilepticus (a long lasting seizure which may result in brain damage), or SUDEP (sudden unexpected death in epilepsy)
Researcher Jacqueline French regarding delays in epilepsy diagnosis: https://www.youtube.com/watch?v=muPWaW-1Bqk
Open discussions of health issues and understanding that one is not alone can be both encouraging and directly helpful in pursuing a better diagnostic outcome.
That being said, I'm sure there are online forums for doctors out there like HN or StackExchange or Reddit with their own hilarious troll culture.
[1]: https://en.wikipedia.org/wiki/Sudden_unexpected_death_in_epi...
Apparently the training is a bit hit and miss, some dogs can do it and some can't. Training a dog to react to a seizure that is actually happening right now is quite a lot easier, and still very useful (e.g. train it to run to parents room, barking).
edit: also, one hears of scams where people claim to be able to provide seizure dogs but dont, so bear that in mind.
Aye especially where the dog puts their body between the seizing patient and the floor preventing serious head injuries. You can see the training here https://youtu.be/ZskqSLnMDRQ
Also, postictal sucks. Really, really, really sucks. It's one of those things words can't do it justice. Wikipedia says "it is characterized by drowsiness, confusion, nausea, hypertension, headache or migraine, and other disorienting symptoms... often accompanied by amnesia or other memory defects". Having a trusted friend (like your dog) next to you during is very, very helpful.
Seizure alert dogs have not been established to be effective yet. A claim of "100% reliable" is guaranteed to be woo.
Their owner starts acting funny right before a seizure comes on.
it may as well be that every dog senses it, and it is our ability to communicate with and understand the dog rarely reaches the level necessary for the information to be actually communicated.
I don't see how the fact that they didn't use a machine to smell negates their findings. Do you believe that every single time the dogs were correct was purely coincidental? Or do you believe that there's some other thing emanating from a tin containing the body odor of a person with epilepsy? I don't understand what your explanation for the results is
I can understand how to train a dog if I know “Ok this person is having a seizure in X minutes, time to cue the dog”
But when you don’t know? Would you need an existing trained dog to bootstrap with? Who trained the first one?
We have a dog that could do it. She could warn us about my partner’s seizures and fainting a few minutes before it happened. She could fetch help and apply pressure to the abdomen. (I say could because my partner had surgery a year ago and hasn’t had any seizures or fainting since then.)
I definitely noticed a change in my partner before seizures (but not fainting). The dog alerted on me once during a moment of high anxiety. I wouldn’t begin to argue WHAT the dog is actually reacting to, but the training methods people are using seem to work.
The paper goes into a bit of detail on training, but it's a fair and interesting point: How do they get the seizure scent? I guess you could maybe take a sample just after a seizure, or a second person could do it if they were present and prepared to take it.
I doubt that they train dogs like "Steve's having a seizure. Good! Get that dog here."
I imagine that you do a preliminary training with faked seizures to get responses right and then hope (meaning: Train under real conditions) that the dog will react on a real seizure as well.
(For example: https://news.ycombinator.com/item?id=19522755)
Edit: for the difficulty of machine chemistry, see also the Theranos debacle.
Smell/organic chemistry is weird, too. Some molecules have similar smells, despite being sometimes quite different. Many molecules have quite different smells, despite being not that different [0], edit: the esters table maybe shows that better, [1].
[0] https://jameskennedymonash.wordpress.com/2014/01/04/table-of...
[1] https://jameskennedymonash.wordpress.com/2013/12/16/infograp...
For the helium leak, is one symptom a high squeaky voice, or is that at already really dangerous concentrations?
This happened also to the coworkers of a friend of mi e - occasionally everyone's iPhone in their office would stop working. Android phones still worked fine. Later (after this article was published) they found out there was an MRI machine downstairs.
Also noses self repair. You can foul them with another scent for a while but eventually the receptors will recover.
I'd give decent odds we'll sooner grow a dog nose in isolation and interpret the neural signals directly than build a machine as good as a dog's nose. (And I'm not saying that's easy, either.)
It doesn't appear to have gotten off the ground, I can't even find the name of the company any more.
or completely shelved and waiting for you to connect the multidisciplinary dots.
That's what I had done 20 years ago. So one reason that I returned to software after doing graduate work in neuroscience was the frustration of keeping cells alive while you poke at them. These titre plates full of thousands of different cells pose a problem orders of magnitude more challenging. Perhaps now it would be easier - engineer cells with the properties you need using CRISPR/Cas9.
I have not heard anything similar about the olfactory nerves. I suspect they're going to prove to be much messier. Perhaps not necessarily "complicated" in some sense, but messier. But it shouldn't be impossible.
Dogs (some breeds more than others) have some of the strongest smelling capabilities on the planet. So much so, that some people theorize that one of the reasons dogs don't traditionally do all that well on the mirror self-recognition test is that it focuses on vision, and as animals that rely so heavily on such a strong smelling capability, it may throw them off (I guess the human equivalent would be if the test was audio only, or audio with a very fuzzy image. If you weren't already familiar with hearing your voice played back to you, how likely would you be to recognize it as yours?)
Plus the detection threshold can be as low as parts per billion, spread across 300 million receptors in a dog.
So just the mathematics of the search space seem like a pretty good reason why it is a hard problem in general.
When another dog was sick with cancer, he showed interested in that area. I have no doubt there is untapped medical potential in this area.
So there absolutely are machines that can "smell" things. E.g., mass spectrometers, or in a broader sense any technique that can detect specific molecules.
While one physician was monitoring the cat's predictive capacity, he noted a streak of ~20 successful predictions of death by the cat.
I watched a dog in training follow a 1km scent trail that was several hours old. This dog was not even fully trained for the activity and followed every footstep to the subject.
They really do navigate with their nose, as well. I was the subject for another exercise, and I watched a dog look almost straight at me, not see me, then pick up my scent and follow their nose straight to me.
What I was most surprised about when we started is how the game sort of wears them out almost like a good run at the park. (we have 2 aussies and 2 silken wind hounds)
I think it's pretty interesting and often wonders if that's the reason some people have some kind of "sixth sense" when it comes to diseases.
Probably look like your dogs at times. Often I would go sniffing around the home or the office and find things such as forgotten food scraps, electronics heating up, etc. The most useful so far has been pinpointing mold issues.
I've noticed how some people smell drastically different and often wonder about their health and diet.
Sometimes medicine strikes me as "we discovered this completely obvious thing we could have gotten to from first principles but decided to ignore since our detection methods were not good enough and we were not paying attention to the signs".
Speaking like a complete outsider, please educate me further.
We do know that this electrical activity is controlled via ion channels and other chemical mechanisms. So a neuroscientist could well have guessed that this might be the case.
But we have all sorts of hypotheses about what “really happens” in the brain. It’s such a fantastically complex system, though, that they’re not too useful for extrapolation in the absence of data.
My family member already knew she had ovarian cancer, but when we went to visit a friend's house with a dog she had never met, the dog acted in ways that the owners were amazed to see. The dog usually was a ball of energy, running all over the place, but when my family member with cancer sat down, the dog was extremely gentle and wouldn't leave her side. The owners said this was not at all typical behavior of their dog.
[1] https://www.health.com/ovarian-cancer/dog-detects-owners-can...
> Are you related to this?
I'm not. You may be able to contact Amélie Catala, the first listed researcher, by way of the link supplied in the abstract.
after reading the book "chaser" - I trained one of them to distinguish several toys by name similar to what he had done in the book. it was a lot of fun and now he's always bringing me toys to play with. Interestingly he brings them at very specific times of the day when I'm most likely to play with him: morning while making coffee, and evening while cleaning up the kitchen.
Would be far more interesting if they could get it to work before the seizures. It's not terribly surprising to me that they can detect post-seizure odor, it's a pretty violent physiological event where I'm sure all sorts of things get secreted. It would be remarkable if they could pick up on a pre-seizure odor like how is described in the introduction....
I am certain I'd heard of service animals that could tell a seizure was about to happen.
Vague & untestable. This is not a scientific hypothesis because it's not falsifiable.
It's missing a suggested explanation of the phenomenon. What happens between the seizure and the smell? Magic? Fairies? How could a seizure cause an odor?
The study fails to establish that the dogs are relying exclusively on odor. For all we know there could something else happening. For example, we know dogs can sense magnetic fields. What if the seizure patient releases some kind of ferromagnetic material which the dogs can detect magnetically?