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How Common Is Multifocal Epilepsy In Adults? According To My

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Posted on Mon, 3 Aug 2020
Question: How common is multifocal epilepsy in adults? According to my EEG's my epilepsy is "moving around". That is, sometimes the abnormal activity is in one part of the brain while other times it's in a different part of the brain. My neurologist seem dumbfounded and doesn't know what's going on.
doctor
Answered by Dr. Dr. Erion Spaho (21 minutes later)
Brief Answer:
A rare condition in adults linked with other factors.

Detailed Answer:
Hello and welcome to "Ask a Doctor " service.

I have read your question.

Multifocal epilepsy is a rare form of epilepsy in adults, it is encountered more in children.

When diagnosed correctly it is necessary to find the underlying cause.

In adults this form of epilepsy is associated with traumatic, ischemic and toxic factors, etc.

So, in my opinion, you should discuss with your Neurologist about the underlying cause of the epilepsy.

Hope you found the answer helpful.

Let me know if I can assist you further.
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Dr. Erion Spaho (43 minutes later)
Okay, thank you for your answer!

Well, as I wrote in my medical history, my epilepsy was restricted to the right prefrontal cortex until a few years ago. However, in my last two EEG's there's been no activity there. There has however been activity elsewhere. What can be the reason behind this?
doctor
Answered by Dr. Dr. Erion Spaho (15 hours later)
Brief Answer:
I would explain as follows.

Detailed Answer:
Welcome back.

The reason why the focal seizures converted to multifocal ones in your case is difficult to be found.

However, ischemic or toxic events may damage more easily other parts of your brain such as the mediobasal temporal lobe.

Since the seizures were located at your prefrontal cortex since childhood, it a well-known fact that these childhood seizures settle down with time.

I think a brain MRI is necessary in your case since epileptic activity has changed.

Hope I helped you.

Feel free to ask if you have further questions.


Above answer was peer-reviewed by : Dr. Kampana
doctor
doctor
Answered by Dr. Dr. Erion Spaho (2 hours later)
Brief Answer:
Answered below.

Detailed Answer:
Hello again.

A brain MRI with the vascular protocol is a good tool to evaluate if there are any ischemic or toxic changes in the brain.

Discuss with your Neurologist for these issues.

Hope I helped you.

Greetings.
Above answer was peer-reviewed by : Dr. Kampana
doctor
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Follow up: Dr. Dr. Erion Spaho (7 minutes later)
I have long had suspicion regarding ischemia; Exercise makes my head feel much more lucid and a lot of my side effects subside as a result. Also, I know this may not be established science, but some side effects I was having a year ago disappeared once I started taking vitamin k2 (mk-4).

However, my neurologist has completely rejected all of this. I think one of the reasons is that my MRI's have been normal.

How is ischemia tested for in the brain?
Answered by
Dr.
Dr. Dr. Erion Spaho

Neurologist, Surgical

Practicing since :2004

Answered : 4501 Questions

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How Common Is Multifocal Epilepsy In Adults? According To My

Brief Answer: A rare condition in adults linked with other factors. Detailed Answer: Hello and welcome to "Ask a Doctor " service. I have read your question. Multifocal epilepsy is a rare form of epilepsy in adults, it is encountered more in children. When diagnosed correctly it is necessary to find the underlying cause. In adults this form of epilepsy is associated with traumatic, ischemic and toxic factors, etc. So, in my opinion, you should discuss with your Neurologist about the underlying cause of the epilepsy. Hope you found the answer helpful. Let me know if I can assist you further.