Dr. Hitesh Kumar
Neurology
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Patient's Query
Hi doctor,
My sister is 18 years old. She was initially diagnosed with Rolandic benign epilepsy three years ago with only grand mal seizures. One week ago was hospitalized for a checkup and EEG. Did one seizure under EEG. EEG was normal, with no sign of epilepsy. They suddenly cut Lamictal off. Since then, she has had a cluster of grand mal seizures every night (10 to 20). At the hospital, I did another grand mal under EEG, and EEG still did not see anything special. Now doctors are saying that epilepsy might have gone, and now it is psychological? What do you think?
Thank you.
Hi,
Welcome to icliniq.com.
There are clinical scenarios when family members give history. It seems to be a seizure, and medications are started based on history. As you mentioned during the electroencephalogram (EEG) recording, she had a seizure, but EEG was normal. Long-term EEG also captures video of the patient during a seizure so we can see what movements happened in the body at that time.
If EEG is ok while the so-called seizure is going on and physical movement of the body does not look like a true seizure, then the possibility can be of pseudoseizure.
Thank you.
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Neurology
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