Seizure

Sudden and uncontrolled changes in the brain's electrical activity are called a seizure. Some of the symptoms include confusion, staring spell, jerking movements of the arms and legs, loss of awareness, fear, and anxiety. Seizures can be caused due to high fever, lack of sleep, low sodium in the body, head injury, stroke, brain tumor, alcohol and substance abuse, and some medications (antidepressants).

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I have seizures, balance, and memory issues, for which I got a brain biopsy. Please interpret the report.

Query: Hello doctor, I have had balance and memory issues for about a year, and my seizures started two months back. I had a brain biopsy done, for which the results have come, and I would like to have some information about what it means. Currently, I am taking anti-seizure, gout, and cholesterol medicati...  Read Full »


Dr. Arshad Hussain Shah

Answer: Hello, Welcome to icliniq.com. I read your query and can understand your concern. Your report (attachment removed to protect the patient's identity) shows a large brain tumor (glioma), one of the most common brain tumors in this age group. The tumor is associated with some bleeding foci, which im...  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 »


Dr. Ajay Panwar

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 »

Is my head injury critical?

Query: Hi doctor, My head got injured after some part of a concrete ceiling collapse. CT Scan done and I have attached the reports. I was hospitalized three days. An ENT opinion was taken and also, an audiometry was done. It showed a minor injury in the right ear and less audibility. Now, I have some pa...  Read Full »


Dr. J. Mariano Anto Bruno Mascarenhas

Answer: Hi, Welcome to icliniq.com. You are suffering from brain contusions (microhemorrhages) as well as scalp injuries (attachment removed to protect patient identity). This is the cause of the pain and heaviness. You have to take antibiotics, anti-epileptics and painkillers. I suggest the followin...  Read Full »

What is the treatment for epilepsy who has had it for the past 22 years?

Query: Hello doctor, My mother is a patient of epilepsy for 22 years. Earlier she was diagnosed as GTCS (generalized tonic-clonic seizures) and CPS (complex partial seizures) and given Eptoin 100mg BD at first, then Zeptol CR 400mg BD with Cloba 10mg for fits, convulsions, and senselessness. But still, it...  Read Full »


Dr. Aida Abaz Quka

Answer: Hello, Welcome to icliniq.com. Your mother's situation seems to be very complicated. I would like to explain that it is true that Carbamazepine (Zeptol) can have no good effect or even worsen idiopathic generalized seizures. I would not recommend Topiramate for this type of epilepsy, because it is ...  Read Full »

Even after taking Carbamazepine, why does my cousin have seizures?

Query: Hi doctor, My cousin has a history of epilepsy and using Depakine Chrono 750 mg twice daily. He used Allopurinol and got allergy and fever along with seizure. He was given Hydrocortisone injection and Carbamazepine 100 mg twice daily for 10 days and increased to 200 mg twice daily after that. But, s...  Read Full »


Dr. Ashok Kumar Choudhary

Answer: Hi, Welcome to icliniq.com. I read your query and understand your concerns. If your cousin was seizure free before Allopurinol, then I do not think Carbamazepine is the right thing for her. She should be given anti-epileptic such as Clobazam, which has immediate action. I think Carbamazepine shoul...  Read Full »

My 5-year-old son had fits when he had a fever. Can it be due to epilepsy?

Query: Hello doctor, My 5-year-old son had a recurring fever, cold, and cough for over a month and was managed with fever medicines. One day he got fits and had only a slight fever; otherwise, he was active during the day. Took him to the emergency hospital immediately, gave him medicine, and then only ...  Read Full »


Dr. Jeffrey Aaron

Answer: Hi, Welcome to icliniq.com. I understand your concern. Please answer the following questions: 1. Is there any history of fits in the family? 2. Was the child a normal delivery, and was there a NICU stay at birth? 3. How are his social skills, like playing with others and following commands? 4...  Read Full »

How common is seizure in elderly people?

Query: Hi doctor, I am an 86 year old healthy male. I had sudden seizures. What is the reason behind it? I have attached my MRI brain with this. Please explain.  Read Full »


Dr. Vivek Chail

Answer: Hi, Welcome to icliniq.com. I have read through your query and reports (attachment removed to protect patient identity) in detail. Please find my observations below. There are mild age-related changes like prominent markings on the surface of the brain, prominent ventricles which are fluid spaces an...  Read Full »

Is one tablet of Septra daily, enough for my dad who has AIDS?

Query: Hello doctor, My father is 58 years old and weighs 49 kg and 5.8 feet tall. He is on ART medicine since the last 13 years. He has AIDS. He had seizures last year, so he is also taking Ecosprin 75 mg, Septran, and Eptoin daily. I have two questions. Many doctors are surprised that he is only having...  Read Full »


Dr. Ashaq Hussain Parrey

Answer: Hi, Welcome to icliniq.com. Septran (Sulfamethoxazole and Trimethoprim) is an antibiotic used in AIDS (acquired immunodeficiency syndrome) patient to prevent PCP (pneumocystis pneumonia) infection. It is prevention dose, that is, prophylaxis (treatment dose, which is two tablets three times a da...  Read Full »

How to prevent serotonin syndrome while taking antidepressants?

Query: Hi doctor, I am under treatment for OCD and anxiety symptoms. I have had very hard months with extreme anxiety, panic attacks and depersonalization. Now, I am on Duloxetine 60 mg (will stop in the next 7 weeks), Paroxetine 20 mg (will be reduced in the following weeks), Clomipramine hydrochloride...  Read Full »


Dr. Saraswat Kumarshri Shriniwas

Answer: Hi, Welcome to icliniq.com. There is always a possibility of serotonin syndrome when two or more serotonergic antidepressants are being used.However, Clomipramine and an SSRI (selective serotonin reuptake inhibitor) like Paroxetine are frequently used together in resistant OCD (obsessive-compulsive ...  Read Full »

Are my weakness and confusion due to low sugar or stroke?

Query: Hello doctor,I am suddenly feeling faint, weak, shaking, confused, and as if moving in slow motion. It has been going on for nearly 24 hours. Is this low blood sugar or stroke?  Read Full »


Dr. Sadaf Mustafa

Answer: Hello, Welcome to icliniq.com. This could be a sign of: Dehydration. Urinary tract infection. Excessive fatigue. Alcohol. Marijuana and other substances intoxication or withdrawal. Postictal state (seizure). Electrolyte disturbances. Others would also include infection of the central nervous syst...  Read Full »

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