### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Hi, I m from Canada and had a few arguments with my neurologist and now I just want a few other opinion. I had in November 2012 a working accident, were I fell 8 of a roof straight on my feet and with my left foot I hit a rock and kinked my ankle and that s how I broke a few pieces of an inner bone off about 15mm x 10mm x 5mm was the biggest but that they found out a year and five month later because thats when they did the surgery . The rock I landed on with my foot was small but I guess I was stiff or something when I landed. I tried to walked but it was to pain full and I right away noticed that I got dizzy and tried to sit down but later woke up laying on the ground. I don t know for how long it all was but I then somehow got to my company van and drove to the shop which was just 2 miles away. There they dropped me off at the hospital and they did a x-ray but could t see anything just a big swelling and then they send me home. About 3 month after I started to have seizures and it got worse and worse till they did the surgery and then things went better and I was seizure free, but all with medication. It went good till September 2015, suddenly in the evening I was sitting down and I had a seizure and hard one. Till know I m not really recovered, lots of headaches, dizzy, bad hearing, beeping in the ears, hands and face is getting num. But I never had that before the last seizure. My questions are: as a child when I was 8 I had encephalitis but recovered 100% (that it shows in my documents) and there were no signs of seizures because I had to go for EEG s and MRI s every few month after I was diagnosed with encephalitis and later every few years and there was nothing. It all happened after the accident that the seizure started. Is there any possibility that the seizure come from the accident? Because I lost consciousness after the fall, is that normal? It was snow and icy and I was wearing a toque. Thanks

### output:

Hello, If I understand you right there was no hit to the head, no direct head injury from the fall, you say to have fallen straight on your feet. In that case, I don't see any link between the seizures and the fall unless there is a brain injury there is no reason for a fall to cause seizures. Loss of consciousness was most likely a vasovagal syncope, a common cause of loss of consciousness due to increased legal activity often related to stress and pain which I suppose were present after that fall. Tough to throw any hypothesis about the origin of the seizures as you provide no info on current brain imaging and EEG results, you mention only those after the childhood encephalitis. It is unclear why you had surgery for seizure as well, surgery is rarely used for seizures, usually when there is a tumor or some other type of brain lesion as a source. So please provide more info on that regard if you are to resume this discussion. Hope I have answered your query. Let me know if I can assist you further.  