Recurrent seizures caused due to sudden and uncontrolled changes in the brain's electrical activity is called epilepsy. People with epilepsy have symptoms like confusion, uncontrolled jerking of the hands and legs, loss of consciousness, tiredness, etc. The factors that increase the risk of epilepsy are head injury, stroke, brain tumor, infectious diseases, birth brain defects, and autism.
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I am having feeling of deja vu and memory loss after seizure. Why is it so?
Query: Hi doctor, I am having the following symptoms for the past three years. It includes very overwhelming feeling of doom, hand is frozen and unable to move, rising feeling in stomach making me feel sick, swallowing repeatedly, memory loss of what I was thinking about and also general memory loss after ... Read Full »
Dr. Kumarshri Shriniwas Saraswat
Psychiatrist, Psychologist Counsellor, Psychotherapist, Sexologist, Sleep Medicine Physician
Answer: Hi, Welcome to icliniq.com. Your description of the episode is typical of partial seizure. It is likely to be complex partial seizures because of the deja vu (already experienced feeling) and memory loss. Since you are having recurrent seizures, you are suffering from epilepsy. It needs to be inv... Read Full »
What can be done to treat psychotic symptoms?
Query: Hello doctor, My fiance began exhibiting psychotic symptoms nine days ago. He is 38 years old. He has no prior psych history or hospitalization. He is diagnosed with mild depression NOS. He takes Lexapro, Wellbutrin, and Suboxone. We know that this episode is not substance induced. He is currently ... Read Full »
Child Health Specialist, Paediatrician, Psychiatrist
Answer: Hello, Welcome to icliniq.com. Psychotic symptoms can be precipitated by different causes like intense stress, affective disorder, psychotic disorder, use of illicit substances, sometimes due to organic problems in the brain (like epilepsy, lesion, inflammation, etc.). In a way it is good to kn... Read Full »
Can sinus infection cause seizures?
Query: Hello doctor, I am writing to get a second opinion for my relative. He is a 19 year old male. He had a seizure last year and the second seizure was on last week. His EEG was normal and also had an MRI. The doctors said that he has chronic sinusitis with thickened mucosa and they started giving him... Read Full »
Paediatrician, Neurologist
Answer: Hi, Welcome to icliniq.com. We usually recommend antiepileptic if someone has two seizures within 24 hours. In approximately 70% cases, we may not be able to identify any specific cause for seizures, for example - infection, stroke, focal cortical dysplasia (FCD) and tumor, as in your case. S... Read Full »
Query: Hello doctor, I had an MRI of the brain and received the following finding: Questionable punctate area of altered signal gray-white matter interface left parietal lobe. What does that mean? Read Full »
Radiodiagnosis Physician, Radiologist
Answer: Hi, Welcome to icliniq.com. Punctate areas could indicate many things like hemorrhage, chronic infarct, etc. Can you please mention a few things? What was the indication for MRI? In the report, they must have mentioned the area to be T2W hyperintense or hypointense, better if you can share a copy... Read Full »
Query: Hello doctor, My 28-year-old son, has JME epilepsy, mostly under control and also 1 part Leiden Factor V. He had an accident last year. Broke a few neck bones (Hangman's bone) and broke a few backbones, high up nearer the neck. Son is doing pretty well, and he is walking. He has a total blockage on... Read Full »
Family Physician, General Practitioner, Hematologist, Pathologist
Answer: Hello, Welcome to the icliniq.com. The blood clot will not resolve by Aspirin drug. Aspirin is for prophylaxis to prevent further clots formation. For thrombosis, that is a blood clot, and he needs to be prescribed Rivaroxaban or Apixaban like anticoagulant medication. Factor V Leiden mutation put... Read Full »
Is it normal to be treated for epilepsy without an epilepsy diagnosis?
Query: Hi doctor, Is it normal to be treated for epilepsy without an epilepsy diagnosis and all brain tests came back clear? I had three generalised seizures, each of which lasted around a minute in the beginning of this year and none since. CT, MRI and EEG all came back clear. I have recently been di... Read Full »
Neurologist
Answer: Hello, Welcome to icliniq.com. I read carefully your question and would explain that a normal EEG does not exclude seizures. Anyways, there are many other causes that may trigger seizures even in healthy persons like insomnia, alcohol or drugs, thyroid gland dysfunction, electrolytes imbalances,... Read Full »
For the diagnosis of epilepsy, is a PET scan mandatory?
Query: Hi doctor, My four year old son, weighing 16 kg is taking medicine for benign childhood epilepsy. Medicines he is taking are namely Topamac 100 mg a day in two divided doses and Lobazam 15 mg a day (5-0-10). His MRI for epilepsy protocol is normal without abnormalities. I would like to know whethe... Read Full »
Paediatrician, Neurologist
Answer: Hello, Welcome to icliniq.com. For benign childhood epilepsy (BCE) your child is on 6.25 mg/kg/day of tablet Topiramate (anticonvulsant) which is a medium dose and is fine. Side effect to look from Topamac is dehydration. For dehydration, he needs to drink at least 700-1000 mL water daily. He can... Read Full »
What are the side effects of long-term Clobazam use?
Query: Hello doctor, My son is 3.5 years old; studying in kindergarten. He has been diagnosed with benign childhood epilepsy. There is an epileptic form discharge of 8 Hz spikes from his right occipital lobe. His MRI and CT scan reports came normal. He feels involuntary movements in his left leg when he i... Read Full »
Internal Medicine Physician, Neurologist
Answer: Hi, Welcome to icliniq.com. It is good to know that your child's seizures are under control with medication. Tablet Clobazam is mainly used to control acute seizures and used for a short duration. The main drawback with long term use of Clobazam is physical dependence. It is observed that, if th... Read Full »
Is the behavioral changes in my child due to antiepileptic drugs?
Query: Hi doctor, My son is 3 years 9 months now. He has been diagnosed with benign childhood epilepsy. He is taking Clobazam 15 mg at night and Topiramate 100 mg per day for last four months. His seizures are under control and he attends LKG. The issue is that he is not able to concentrate in his studies... Read Full »
Child Health Specialist, Paediatrician
Answer: Hi Welcome to icliniq.com. I have read your question in detail. The initial dose of Topiramate is 1 mg/kg/day which is gradually increased to 5-10 mg/kg/day. Your child is getting 100 mg Topiramate which is around 6 mg/kg/day. So, the dosage of Topiramate is correct. There are some side effects ... Read Full »
Does my daughter have epilepsy?
Query: Hello doctor, Please help! I am so upset. My daughter had a seizure. She had one 7 months ago too. We thought it was syncope, but now we think it is a seizure. She had CAT scan, blood work, and EKG and all the reports are fine. We saw a neurologist, and he said everything seemed all right. He gave ... Read Full »
Internal Medicine Physician, Neurologist
Answer: Hi, Welcome to icliniq.com. I have gone through your daughter's comprehensive medical history written by you. Tongue bite and urination indicate that these episodes are seizures. The probable diagnosis would be epilepsy. Tongue bite is not seen in syncope, though urinary incontinence may be rare... Read Full »
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