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Seizures in adults with no seizure history can be caused by a number of factors ranging from high blood pressure, drug abuse and toxic exposures to brain injury, brain infection (encephalitis) and heart disease.
First-degree relatives of people with inherited epilepsy have a two- to four-fold increased risk for epilepsy. Although there is some increased risk, it is important to remember that the overall risk of epilepsy in other family members is still low.
It can be inherited from one or both parents. Some studies have found that epilepsy is more likely to be passed down from the mother than the father. Even if someone does have one parent with an inheritable form of epilepsy, it doesnt necessarily mean that person will inherit the gene.
About 30 to 40 percent of epilepsy is caused by genetic predisposition. First-degree relatives of people with inherited epilepsy have a two- to four-fold increased risk for epilepsy.
First-degree relatives of people with inherited epilepsy have a two- to four-fold increased risk for epilepsy. Although there is some increased risk, it is important to remember that the overall risk of epilepsy in other family members is still low.
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Epilepsy is said to have a genetic cause if seizures are the result of a known or presumed genetic defect or problem associated with epilepsy. A genetic epilepsy might not be inherited. Some genetic pathogenic variants (or changes in genes) can occur spontaneously in a child without being present in either parent.
Movement disorders such as Tourettes syndrome or other uncontrolled tics are sometimes mistaken for partial seizures. People with Tourettes syndrome may grunt, clear their throats or even curse involuntarily.
A genetic epilepsy might not be inherited. Some genetic pathogenic variants (or changes in genes) can occur spontaneously in a child without being present in either parent.
Some peoples epilepsy has a direct genetic cause. They might inherit a gene or a collection of genes from their parents that means that they will have epilepsy. Studies indicate that there are 84 genes that directly cause epilepsy syndromes. For example, mutations to the SCN1A gene are known to cause Dravet Syndrome.
Although epilepsy that runs in families is uncommon, if a child has epilepsy, their brothers and sisters do have a higher risk of having epilepsy. If one twin has idiopathic epilepsy, the identical twin is very likely to have it as well.

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