Had Type I Diabetes And Hypothyroid. Suffering From Seizure. What To Do?
Thanks for posting a query,
I understand that your daughter has had seizure like activity and EEG initially showed spike discharges. But the rest of the episodes you witnessed, as you had said earlier, were a bit different and video EEG confirmed it to be non-epileptic seizures.
Video EEG is always more sensitive than the regular EEG and if it is non-epileptic then the dilantin will not do her much good. In fact dilantin is notorious to cause gastritis and thats what is causing nausea. Probably, she is not tolerating dilantin that is being given for her first episode of true seizure.
For her non-epileptic seizure, which is also called as pseudo-seizure, you should firstly be calm as it is not a true epileptic activity and hence non-organic. It generally has psychological causes. It could be underlying depression or an adjustment disorder or conditions like that. These can be understood properly only with a detailed mental state examination by a psychiatrist.
This presentation is very common among 19yr olds, as there are lot many changes occuring in their body and their lives and they need some additional support to cope up with them.
The treatment that should help her is brief psychodynamic psychotherapy, hypnotherapy and if there is any underlying depression or anxiety, then antidepressants and cognitive behavioural therapy.
If your treating doctor is convinced that the it is a on-epileptic seizure then call for a psychiatric liason consultation.
Hope I am able to answer your concerns.
If you have any further query, I would be glad to help you.
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Wish you good health,
Dr. Srikanth Reddy M.D.