Dr. Aida Abaz Quka
Neurology
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Patient's Query
Hi doctor,
It has been two years that she is getting convulsions. When this started she used to get convulsion once in a month. Then it turned once in three months. There are no symptoms before getting convulsion. It always occurs when the patient is deeply sleeping at night. She gets unconscious for 5-10 minutes. Some time only during convulsion, blood pressure gets high around 200/120 mmHg but she does not have BP problem, diabetes or any other abnormality. After convulsion occurs, she get headache, dizziness, weakness and fever for the next three to four days and then get back to normal. Currently, we are not giving any medicine but when convulsions come we used to give tablet Eption 100 mg tablet Amlodipine for BP. Patient is a 50-year-old female, weighs around 71 kg. Her height is 5 feet 2 inches.
Hello,
Welcome to icliniq.com
I understand your concern and would explain that her symptoms are typical of generalised epilepsy. For this reason, I recommend starting treatment with Valproate or Levetiracetam to help prevent seizures from occurring.
The MRI findings are not related to this issue (attachment removed to protect patient identity). Anyway I would recommend taking Aspirin 100 mg daily for the prevention of future strokes.
The blood pressure fluctuations after the seizures are related to the body stress. I recommend performing an EEG.
You should discuss with her Doctor on the above tests and treatment options. I remain at your disposal for any further questions whenever you need. Kind regards!
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Neurology
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