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Suggest Treatment For Abnormality In Left Temporal Lobe

Posted on Mon, 28 Jul 2014

Question: I have been diagnosed with schizophrenia, bipolar, panic/anxiety disorder and obsessive -compulsive disorder. I have tried just about every medication there is, and all I get are side effects , like restless leg syndrome, insomnia, memory loss and more. I feel the situation is hopeless. I had two eeg done and both revealed abnormality in left temporal lobe, but neither neurologist could diagnose. what can I do? is there something wrong with my brain, cancer perhaps? could this explain worsening mental problems?

Answered by Dr. Vipul Prajapati (4 hours later)

Brief Answer:
Hi Dear Jauer , Consult Local Neurologist.

Detailed Answer:
Hi,

Thanks for your query.

You might have epilepsy or organic brain syndrome. So if possible do MRI of brain.
As signs and symptoms of schizophrenia, Bipolar, Panic and Obsessive compulsive disorder may be seen in temporal lobe abnormality.

Please give detail of EEG which might suggestive of Hyperactivity in temporal lobe.
You might not have primary psychiatric problem it is secondary to organic brain problem so if address only psychiatric condition you might not improved and faces side effects a lot which you experienced.
So consult local neurologist and discuss above things with your treating psychiatrist.

Awaiting your response.
Thank you

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Vipul Prajapati (8 days later)

Scr*** Neurological Associates:

Et Al..."Clinical correlation; A nonepilitiform EEG does not rule out epilepsy...The regional (left temporal) slowing seen is consistent with focal, nonspecific cerebral dysfunction"

ME: Does this mean I am not able to benefit from monoamines RI, spec., DRI NERI, SSRI?

None of the antipsychotics work, i.e.. Haldol, Risperdal

I have hereditary schizophrenia, both parents, two grandparents

I am 57 male. there is nothing I can do, it is hopeless. There is only one way out. You know what that is....

Answered by Dr. Vipul Prajapati (6 hours later)

Brief Answer:
consult psychiatrist

Detailed Answer:
Dear Jauer,

This EEG is almost normal except temporal slowing, so you should consult psychiatrist for further management.

I understand you have tried many medication; but still there are many newer medication like Clozapine, Blonenserine, Illoperidone, etc. Further some individuals benefit with electro convulsive therapy. It helps to treat the symptoms and also increases response to medications.

Therefore don't loose hope. Discuss with your treating doctor about medication and ECT .

Thank you.

Note: For further guidance on mental health, Click here.

Above answer was peer-reviewed by : Dr. Prasad