Veterans and Epilepsy

 

Every veteran carries a story of service and sacrifice. For some, the journey home includes challenges that last well beyond deployment. Traumatic brain injury (TBI), one of the most common wounds of war, can sometimes lead to epilepsy. Seizures may begin months or even years after the injury and are not always easy to recognize.

Why This Work Matters

TBI and epilepsy are sometimes called the “invisible wounds” of war. Unlike visible injuries, seizures can show up in subtle, confusing ways. They may look like:

• Brief staring spells
• Sudden confusion
• Memory lapses
• Mood or personality changes

These signs are easy to miss, but early recognition can make a big difference for veterans and their families.

Dr. Marc Dichter, past president of the American Epilepsy Society (AES), has spent much of his career focused on preventing and treating epilepsy after TBI. “It was a natural fit for me to think about how to make sure none of the returning veterans fall through the cracks of the medical system and fail to get the care they deserve,” Dr. Dichter explains.

Steps Toward Better Care

Over the past several years, researchers, the Department of Defense, and the VA have made progress in understanding post-traumatic epilepsy and improving care. Some of these efforts include:

• Research and clinical trials- exploring ways to prevent epilepsy after TBI
• Educational resources- to help veterans and families recognize seizures and seek timely treatment
• Expanded VA Epilepsy Centers of Excellence- veterans can access specialized care closer to home
• Training for providers- so that primary care doctors, neurologists, and other clinicians can better identify and treat epilepsy in veterans with TBI

While there is still work to do, these steps mean more veterans are being recognized, diagnosed, and supported earlier.

What You Can Do

If you or a loved one is a veteran with a history of TBI:

• Watch for changes- Even small gaps in memory or moments of confusion matter.
• Keep track- Write down symptoms or episodes, this helps doctors see patterns.
• Ask for screening- If you’re worried, request an evaluation or EEG from your provider.

A Shared Commitment

Caring for veterans with TBI and epilepsy requires awareness, resources, and compassion. Families often play a vital role in noticing early changes, and healthcare providers are working to ensure veterans have access to the right care at the right time.

“Our concern for returning wounded should transcend any political feelings about war,” Dr. Dichter reminds us. “This is about making sure veterans receive the care they so clearly deserve.”