Recently Answered Questions
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How to control atonic drop seizures?
Query: Hi doctor, I am a 39-year-old woman diagnosed with epilepsy. I have been having focal seizures for the past two years and early last year. Just recently, I have had atonic drop attacks. Looking at the description, it is what I believe to be happening to me. I lost consciousness for a brief moment, ... Read Full »
Answer: Hello, Welcome to icliniq.com. Both Tegretol (Carbamazepine) and Levetiracetam can help against atonic attacks too. Anyway, I would recommend checking carbamazepine plasma levels to adjust the dose of Tegretol if necessary. Otherwise, if it is fine, I would recommend increasing the dose of Levetir... Read Full »
Can SSPE (subacute sclerosing panencephalitis) be cured?
Query: Hi doctor, I am the father of a 5-year-old daughter. She is a very energetic, lively, talkative, and intelligent girl. Two months back, we noticed she frequently falls while running and having a minor issue with her studies. We consulted a pediatrician, and he suggested some vitamins. However, the ... Read Full »
Answer: Hi, Welcome to icliniq.com. By inspecting the reports (attachments removed to protect patient's identity), it seems this is a case of SSPE (subacute sclerosing panencephalitis) due to measles, a kind of virus that is slowly growing in the brain causing all these symptoms. Unfortunately, there is n... Read Full »
Are there epilepsies that do not cause physical seizures?
Query: Hello doctor, I have been suffering from a wide array of mental symptoms for around nine years. Some years ago, I went to see a neurologist. He took an EEG, and found "epileptiform activity", I think in temporal lobes. So he said I have epilepsy and prescribed Valproate. He said my depersonalisation... Read Full »
Answer: Hi, Welcome to icliniq.com. EEG (electroencephalogram)is not a diagnostic tool in itself. EEG can show abnormality in a normal person and also can be normal in epilepsy patients. Few EEG changes can be seen in normal and abnormal conditions. As you mentioned that your symptom is psychotic like,... Read Full »
My dad had a seizure-like attack after a DBS surgery. Can it be treated?
Query: Hello doctor, My father had undergone deep brain stimulation surgery for Parkinson's six months ago. I have been visiting his neurosurgeon to fine tune the stimulation. There have been significant changes post surgery. But, his speech is slurred when movements are alright and when speech is fine, h... Read Full »
Answer: Hello, Welcome to icliniq.com. Parkinsonism is very rarely associated with seizures. If it was diagnosed to be epilepsy, I think he should be started on treatment for the same. I would suggest tablet Valproate 500 mg twice a day. Get an MRI brain done. For more information consult a neurologist ... Read Full »
What are the treatment options for convulsions?
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 f... Read Full »
Answer: 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... Read Full »
Are my symptoms due to the nine different drugs I take?
Query: Hi doctor, I am just sitting, and suddenly I drop whatever is in my hand, and my head goes down. I do this several times a day. What is wrong with me? I take nine different drugs, but I have been on all for a long time; this just started three months ago. Read Full »
Answer: Hi, Welcome to icliniq.com. What is more, it seems to get worse gradually, so we are talking about a neurological condition that makes your hand and head drop several times a day. The most likely conditions which can cause this kind of symptoms are some not so common forms of epilepsy or narcoleps... Read Full »
Query: Hi doctor, I had my first tonic clonic (grand mal) seizure seven days ago at work. It lasted 1 minute 30 seconds. I bit my tongue badly, but did not have any incontinence. Beforehand, I was shaking, had a loud beating heart and had a feeling of vertigo and anxiety. Afterwards, I was confused for app... Read Full »
Dr. J Mariano Anto Bruno Mascarenhas
Answer: Hi, Welcome to icliniq.com. I have gone through your query with diligence and would like you to know that I am here to help you. From what you have narrated, I am of the opinion that your seizures were provoked or brought on by a combination of non-diabetic hypoglycemia, lack of sleep, dehydrat... Read Full »
What is the meaning of a seizure?
Query: Hi doctor, Before 5 years, I fell down backwards on the ground. My head collided strongly. Now, I am having some ill feeling in head and that is not a headache. Once, while sleeping on the floor, I became unconscious for a while. My EEG result says that I have a seizure. What is it? Shall I do furth... Read Full »
Answer: Hi, Welcome to icliniq.com. A seizure is the manifestation of abnormal electrical activity in the brain. Seizure can be caused by many reasons such as tumor, injury and vascular disorders. In the absence of any structural lesion on MRI, it might be epilepsy due to an unknown cause. Medicat... Read Full »
Is my daughter's treatment on track?
Query: Hi doctor, My daughter, who is 4 years old, has got cold, cough and viral fever 3 weeks before. After a week of suffering, she was prescribed with Mucolite and Azithral antibiotic five day course of 5 mL one daily. When she was recovering, she started complaining of painful urination and abdomen pai... Read Full »
Answer: Hello, Welcome to icliniq.com. I do not think you should be worried about anything. According to the urine report, there is no infection. Pus cells above 6 is considered as infection and yours is just 4-6 which is quite normal. Recurrent episodes of cold and fever in this season are common due... Read Full »
I am having difficulty in sleeping after taking Levetiracetam. Why?
Query: Hello doctor, Since after the holidays last year, I have had a hard time sleeping due to some external factors (light, noise, etc) as well as marital problems. Eventually, it got to the point where my hands started shaking again, I stated feeling numbness in my feet, my eyes move very fast sometim... Read Full »
Answer: Hello, Welcome to icliniq.com. I would like to know some details of your symptoms: 1. Since when you started to have epilepsy? 2. When you started to take anti-epileptic medicines? 3. Seizure details: What what happens during a seizure to you? Do you get aware of seizure just before it starts? ... Read Full »
