I think that would just be a misdiagnosis. Seizures don’t typically accompany manic episodes and not being able to come up with words that are used in everyday situations is also an oddity.
The problem is often that there are compounding issues. There's nothing that stops you from having TIA at the same time. People often describe being overworked and stressed as burning the candle from both ends. Hypomania can more aptly be described as setting the entire thing on fire.
My post wasn't meant as some form of medical diagnosis, more of an observation from someone that lives with this. The feeling of numbness and having some sort of brain fog is how a lot of people with mood disorders like ADHD and bipolar disorder would describe things.
My understanding of the med lit is that bipolar and epilepsy aren’t particularly associated, and pure BD in particular is a rarity - when epileptic patients were assessed for BD symptoms, they were mostly only found in the confusional states pre- and post-seizure, which isn’t BD at all.
At least in my hospital, the most common way we get BD patients hospitalized is either during a severe depressive episode, or when their mania results in violence or law-breaking. We do sometimes have patients land on our floor whose first presentation was seizure, but that’s after they’re assessed by neuro and found that it was pseudoseizure (factitious seizure).
I think you're right in that we don't think they are directly associated. I was more trying to explain that people might experience something that looks like a seizure without having epilepsy. And that medication (previously, mostly) used to treat epilepsy seemingly have great effect on people that suffer from bipolar disorder, which would lead us to believe that there are some neurological similarities.
And you're right, the most common way to end up in the hospital is from having a manic episode with all that it usually entails. I shouldn't have written it was often the reason, just one of many reasons people might end up in the hospital from mood disorders.
https://www.health.harvard.edu/newsletter_article/Epilepsy_a...
> Psychiatric symptoms may also resemble epilepsy, and in that case they are sometimes called psychogenic seizures or nonepileptic seizures. Conversion disorder (formerly called hysterical conversion disorder) can produce symptoms that look uncannily like generalized seizures but actually occur in connection with a need for attention or relief from stress that the patient is not aware of.