21-year-old married female one son and one-year-old. Present it to the emergency department with loss of consciousness and she describes as she felt vibrating in the bathroom. She does not remember anything after that. There was mausea before and after loss of consciousness. First ever episode EEG done 3 days back was done and it same similar report as of today.Neurologist suggest starting medication based on this report. Kindly give your opinion. Patient is hesitant on starting the medication
As EEG reports abnormal spikes a Suggestive of grandmal epilepsy Must be put on antileptics Levitracetam 500mg
As EEG reports abnormal spikes a Suggestive of grandmal epilepsy Must be put on antileptics Levitracetam 500mg
Epilepsy EEG showed seizure disorder Start antiepileptic drugs as neurologist suggested
Seizure disorder.start antiepileptic and make her understand about the disease and necessity of medication
Well hesitation regarding medication is very obvious... Explain risk and benifit to patient and family members, but her decision would be respected..!!
Case of Epilepsy Velproic acid 200 mg bd
Start anti epileptics Tab eptoin 300 mg Tab valprol CR 500 mg bd Tab fol 5 od
SUGGESTIVE OF EPILEPTIC FITS SEIZURES.. ADVISABLE ANTIEPILEPTICS...
GTCS Rx valproic acid Levericetam
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12 YEARS OLD CHILD CAME WITH HISTORY OF SEIZURE , NOT WELL EXPLAINED BY ATTENDANTS BUT WHAT I CAUGHT, NATURE WAS GENERALISED TONIC NOT CLONIC WITH UPROLLING OF EYEBALLS , SIMILAR EPISODE IN PAST TWO TIMES, EVER TIME NOT EXCEEDING FIVE MINUTES NO HISTORY OF EPILEPSY IN FAMILY NO FEVER NO FOCAL NEUROLOGICAL DEFICIT ON EXAMINATION NO HISTORY OF CONSTIPATION DEVELOPMENT HISTORY NAD PERINATAL HISTORY NAD OPHTHALMOLOGIST OPINION NAD FUNDUS EEG NAD MRI BRAIN ATTACHED PVL ? HIE I HAD TALKED TO RADIOLOGIST I WAS KEEN TO SEARCH METABOLIC CAUSE OF SUCH FINDINGS OR WHITE MATTER DISEASE BECAUSE MOTHER WAS NOT GIVING HISTORY OF PERINATAL ASSAULT BUT RADIOLOGIST SAID BASAL GANGLIA INVOLVEMENT IS MUCH MORE IN KRABEE LIKE DISEASES HOW TO FURTHER APPROACH,SHOULD WE START ANTIEPILEPTIC TSH PTH REPORTS AWAITING ATTACHED MY PRESCRIPTION TOO@Dr. Manish Verma @Dr. Minol Amin @Dr. Sree Harsha @Dr. Brahmananda Merugu @Dr. Saumya Mittal @Dr. Mohd Izhar Jaweed @Dr. Ahemad Karim
Dr. Ashok Pareek2 Likes16 Answers - Login to View the image
5 yo girl child brought by mother with co sudden fall on ground with up rolling of eyes for abt 10 min with loss of conciousness for 30min . After regaining the conciousness not talking up to 30-40 min. Ho similar complaints 2 times previously but parents neglected to go hospital . No ho fever . Rbs 100 mg Management?
Dr. Kumar Kumar4 Likes23 Answers - Login to View the image
6yrs old male wgt 32 kg k/c/o epilepsy presented with c/o fever for last 10 days and mild reddish papules which later converted on reddish to purple rashes all over body tlc9000 platelets 4lac hb 10 gm widal neg crp positive marked itching present pt is on levetricetam and amitryptalline 75 mg hs amitryptalline is increased from 10 mg bd to 75 mg is 1week prior to to this onset are these rashes due to any drug reaction or due to any systemic disease now pt on tab dexa tab lczsyp dolo 250mg sos
Dr. Satinder Pal1 Like18 Answers - Login to View the image
A man of 35 years had fallen from the tree, 5 days ago.k/c/o epilepsy please see the report and suggest ur valuable opinions
Dr. Satish Kumar3 Likes20 Answers - Login to View the image
Your opinion, doctors? Patient is 11 years old, not able to communicate properly, utters incoherent words, mental age lags chronological age. has H/O seizure attack 9 years back
Jaya Akshaiy2 Likes20 Answers
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