Tonic-clonic Seizure

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I have seizures for the past three years. How can I cure it?

Query: Hello doctor, I have been having seizures for three years, and the doctor I have seen has done an EEG and said it only had mild fluctuations. My mother and her sister have epilepsy, and I want to know if I have it too. My seizures are the same, usually lasting 1 to 2 minutes, and I am stiff through...  Read Full »


Dr. Aida Abaz Quka

Answer: Hello, Welcome to icliniq.com. I understand your concern. I would explain that it is essential to investigate the low glucose levels as it could cause seizures. For this reason, I recommend consulting first with an endocrinologist and performing further tests to investigate possible insulinoma...  Read Full »

Are medicines needed after epilepsy is 80% cured?

Query: Hi doctor, I would like to start by thanking you for the advice you may provide. This is regarding my sister, who is 16 years old. When she was younger, we noticed she would have these moments where she would just blank out. There were no body movements or other concerns, she would just zone out for...  Read Full »


Dr. Ashok Kumar Choudhary

Answer: Hi, Welcome to icliniq.com. I read your query and understand your concerns. First of all I like to inform you that 100% seizure control is the norm and no neurologist will sit back calmly when there is just 80% improvement as said by you. This is because every instance of seizure damages some part o...  Read Full »

How serious is grand mal seizure in a 5-year-old?

Query: Hello doctor, My 4.5-year-old daughter had one severe grand mal seizure last month, after an EEG showing abnormal and put on Keppra. She was diagnosed with bects in frontal lobe not central. Now her MRI showed multiple tiny predominantly anterior cerebral subcortical white matter, areas of increase...  Read Full »


Dr. Hitesh Kumar

Answer: Hello, Welcome to icliniq.com. I would like to know some further information about your daughter. Was it the first episode of seizure to your daughter? Or she had prior seizures too? Did she have a fever before seizure with headache or vomiting? How are her developmental milestones? Is she growin...  Read Full »

Do the length of ventilator depends on lung infection rather than neurological problem?

Query: Hi doctor, Does the length of time in critical care always reflect the severity? Is the length of time on a ventilator depend more on the cause i.e. longer if lung infection rather than neurological, etc? Can you have severe illness complications and still be in ICU for a short while? When I was 2...  Read Full »


Dr. Sadaf Mustafa

Answer: Hi, Welcome to icliniq.com. I am so sorry that you went through so much and I am glad to know that you have made it. You are extremely lucky to have survived all this. It seems like after persistent seizure you developed acidosis that pushed you in cardiogenic shock. Very few people come out of it...  Read Full »

Will increased dose of Lamotrigine cause nocturnal seizures?

Query: Hi doctor, I have been diagnosed with temporal lobe epilepsy following a Tonic-Clonic seizure before nine years. From then before two years I was seizure-free having been put on Lamotrigine. Before two years I had another TC seizure and my dosage was raised (cannot remember the dose precisely), an...  Read Full »


Dr. Upendra Kumar Shah

Answer: Hi, Welcome to icliniq.com. As per the given information, I can understand that these symptoms are the effects of seizure, and unlikely to be due to Lamotrigine. The primary goal of the therapy is to control seizure episodes for which you have been prescribed Brivaracetam, you must start the new m...  Read Full »

Why do repeated seizures occur in a cerebral palsy patient?

Query: Hi doctor, My sister has cerebral palsy with grand mal seizures. She is 28 years and weighs about 25 kg. Today she had a seizure attack for about 7 times that would last for almost a minute per attack. Our neurologists are out of town so we just needed an opinion on the following interventions we ...  Read Full »


Dr. Aida Abaz Quka

Answer: Hello, Welcome to icliniq.com. I would recommend taking Tegretol 200 mg (Carbamazepine) three times daily and Clonazepam 2 mg two times daily. In case of repeated seizures, Diazepam should be administered 0.5 ml during each seizure. If seizures become frequent despite therapy, I would recommend b...  Read Full »

I am having nocturnal seizures every year and not on medication. What do you recommend?

Query: Hello doctor, For the last seven years, I have been having about one to three nocturnal seizures (tonic-clonic) a year. There was one year in the previous seven years, where I did not have any nocturnal seizures, but I had two to three a year for the last couple of years. I am not on medication, an...  Read Full »


Dr. Aida Abaz Quka

Answer: Hello, Welcome to icliniq.com. I understand your concern and would first recommend performing an EEG (electroencephalography) and a brain MRI to exclude any possible brain lesions that may lead to seizures. As seizures are persistent, I would recommend starting antiepileptic drugs. In this regard,...  Read Full »

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