Other possible triggers
Patterns
Some non-moving patterns with high contrast may trigger seizures in some people with photosensitive epilepsy. Examples of high contrast patterns are black and white stripes, some patterned materials and wallpapers, and sunlight through slatted blinds.
Strobe lighting
Although the flash rate of strobe lights is restricted to four flashes a second by the Health and Safety Executive, some people with photosensitive epilepsy may still find strobe lights could trigger a seizure.
You may therefore wish to avoid night clubs or discos with strobe lights and other places where you could come across strobe lights (for example some theme park attractions).
If strobe lighting, or other flashing or flickering lights come on without warning, you should immediately cover one eye with the palm of your hand and turn away from the light.
Fluorescent lighting
Although some people find fluorescent lighting uncomfortable, the flicker rate (100 Hz) means it should not be a problem for most people. The flicker of a faulty fluorescent light, however, could trigger a seizure in people with photosensitive epilepsy.
Low energy light bulbs
We are not aware of any evidence that low energy light bulbs can directly trigger epileptic seizures. A leading expert in the field of photosensitive epilepsy has told us that, generally, low energy bulbs should not be a greater risk to people with photosensitive epilepsy than other light bulbs. We are currently monitoring this issue.
Sunlight
Sunlight in itself is unlikely to trigger seizure. However, sunlight reflected off wet surfaces, seen through leaves of trees, or when walking quickly past railings where the sun is shining through, could trigger seizures in people with photosensitive epilepsy.
If you have problems with photosensitive epilepsy and sunlight, wearing polarised sunglasses out of doors on sunny days can help to minimise the risk of seizures occurring, although it will not remove it entirely. The lenses work by removing reflected horizontal light. Your optician or retailer should be able to tell you which of the sunglasses they stock have polarised lenses.
Ceiling fans
Light seen through a fast-rotating ceiling fan could trigger seizures in some people with photosensitive epilepsy. Therefore, one with a slow rotating motion is advisable.
Flashing bicycle lights
There have been cases where red flashing lights (red light emitting diodes) on the back of bicycles have triggered seizures in people with photosensitive epilepsy, when they have been close to the lights as they were setting them up. If you have photosensitive epilepsy you may wish to avoid being close to these types of lights.
Flashing Christmas tree lights
These lights should comply with health and safety regulations before going on sale. The lights should not, therefore, flicker at a rate which could trigger seizures in the vast majority of people with photosensitive epilepsy.
Sun beds
These should not trigger seizures, unless it is possible to see a flicker, similar to one you might see with faulty fluorescent tubes.
Wind farms
There is no evidence that wind turbines can trigger seizures. The flicker frequency of wind turbines should be limited to 3 Hz. Newer wind turbines are usually built to operate at a frequency of 1 Hz or less.
If you have concerns about a planned or existing wind farm, you may wish to contact the British Wind Energy Association (BWEA), who can provide contact details of specific wind farm operators.
British Wind Energy Association
Renewable Energy House
1 Aztec Row
Berners Road
London
N1 0PW
Telephone: 020 7689 1960
We can provide references and information on the source material we use to write our epilepsy advice and information pages. Please contact our Epilepsy Helpline by email at helpline@epilepsy.org.uk.
Epilepsy advice and information
- What is epilepsy?
- Children
- Depression
- Disability Discrimination Act (UK)
- Driving
- Education
- Employment
- Entitlements for people with epilepsy in England
- Epilepsy and caring for children: a comprehensive guide
- Epilepsy in later life
- Epilepsy information for prisons
- Getting a diagnosis
- Identity jewellery
- Inheritance
- Learning disabilities
- Living with dificult to control epilepsy
- Me and my dad
- Memory
- Men and Epilepsy
- Mobile phones and epilepsy
- Osteoporosis, osteomalacia and epilepsy
- Photosensitive epilepsy
- Safety
- Seizures
- Sports and leisure
- Stress and epilepsy
- Sudden unexpected death in epilepsy (SUDEP)
- Swine flu and epilepsy
- Syndromes
- Travel abroad
- Treatment
- Women and epilepsy
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- Epilepsy Action and the Information Standard
- The Epilepsies: You, Epilepsy and the NICE Guideline
- Epilepsy Action Information Reviewers (EAIRs)
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Comments
There is no mention of candlelight ?
I was reading your article about flashing lights, and I have noticed that there are now quite a lot of revolving chimney cowls being installed throughout the country.
These cowls are made of stainless steel and revolve at various speeds depending on the strength of the wind. The lighter the wind, the more annoying the flashing. As the cowls are spherical, the sun reflects off them throughout the daylight hours.
I was wondering if this flashing could bring on an epileptic attack?
Hi John,
A revolving cowl would be unlikely to trigger a seizure when seen from the street or further away.
The two main issues in whether something could trigger a seizure in someone with photosensitive epilepsy is:
1) the rate at which something flickers. For most people with photosensitive epilepsy, their seizures are triggered when the flashing happens between 16 and 25 times per second. However, the at-risk rate, for some people, can be as low as three flashes per second. And,
2) how much of the field of vision is taken up by the flashing. So something flashing right in front of someone's eyes - the only thing that they can see - is far more likely to trigger a seizure than a small revolving cowl way up on a roof.
Hope that helps
I have a young female patient who is brestfeeding and has developed cracked sore nipples. It has been suggested that she try low intensity laser therapy to alleviate her discomfort. I have contacted the physio who is to perform the procedure and little info can be given on the laser other than that in her opinion it is safe. Any advice. She was told to avoid laser treatment for pigmentation marks on the face.
Hi Candice,
We are not aware of any reason why someone with epilepsy shouldn't have laser treatment as it's not a trigger of seizures. However, if your patient's seizures aren’t controlled, she may want to discuss this with the person doing the laser treatment. The staff can consider if there might be a risk of injury to her skin, if she had a seizure during treatment.
I hope this helps.
Rosanna
As an epileptic (TLE), I have in the past had siezures triggered by fluorescent lights. I'm pretty sure it was because of the flicker in the old-fashioned tube lights. I understand that the new CFL's have no flicker that can cause a seizure, and I'm willing to accept that.
However, fluorescent lights, apart from any flicker, cause me trouble. I cannot sit in a room lighted by fluorescent lights for very long before I develop symptoms like the aura of my seizures. I think it's the light itself that triggers this---the unnatural color and the ubiquitous intensity of the light.
Has anyone done studies on what kind of light might cause people difficulty---perhaps even if they are not epileptic?
I am 27 yrs old and have suffered from seizures for over 10 years. Having tried loads of drugs asa child they settled on Levatiacetam, until very recently i was taken off them to see if i had grown out of the attacks as there was never a trigger found and a recent EEG suggested it may not even be epilepsy.
10 weeks after stopping my medication i had a full granmal seizure wide awake at work, very unusual for me as almost all of my seizures have occured around the times i am waking up from sleep, very early morning.
The only trigger i can confidently say is always there is noise, a sudden noise such as a phone ring, a person suddenly talking to me or a very very low flying plane. I want to know if noise triggers/ inner ear problems ever been investigated as a trigger?
My auras which occur daily but very rarely develop into a seizure are always trigered by the same noise interruptuions aswell, surely this is not uncommon?
HI
What about night clubs? Are there any in London that do not use strobe lights? at least on certain nights?
Difficult for a 20 y old with photosensitive epilepsy to have a social life, when all her friends go to clubs!