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Suggest Treatment For Epilepsy Episode After Head Injury

Posted on Wed, 26 Aug 2015

Question: My daughter,age 16, had Ist epileptic fit due to old head injury (MRI)- as conveyed by neurologist
Injury is on right back side
what is the treatment in such cases;is it completely curable

Answered by Dr. Ajay Panwar (31 minutes later)

Brief Answer:
What is the type of seizure?

Detailed Answer:
Hi XXXX,
Thanks for being on healthcaremagic.com.
I am Dr.Ajay Panwar,a neurologist,here to answer your query.

Treatment will depend on type of seizure-whether partial or generalized seizure?
Please tell-
1)Do her all 4 limbs move during the episode?Does she froth?Do her limbs get stiff?Whether her eyes roll upwards,neck twist and she loses consciousness or is it just the movement of one part of the body,during the seizure?
Please describe in detail the seizure episode.

Further,please upload MRI and EEG report to have a better opinion.
Meanwhile,please continue oleptal as advised.In what strength(150mg or 300 mg) are you taking it?

Please follow up with the details I asked.
Waiting for your follow up.

Regards
Dr.Ajay Panwar,
MD,DM(Neurology)

Above answer was peer-reviewed by : Dr. Shanthi.E

Follow up: Dr. Ajay Panwar (2 days later)

My daughter had a fit for the 1st time on 31.07.2015 at school.. therefore all the details are not available. As conveyed by the teacher she did froth. MRI report says focal linear encephalomalaic gliotic lesion in right parietal lobe ...MD neurologist said is an old injury. Except that she had once fallen from bed when 2.5 yrs old.. she had had no injury,,as far as I know

oleptal 450 ine tab at night.

Fits can be I understand be controlled with medicine but what happen to the injury

What is generally the line of treatment in such cases.. what precautions to take

Answered by Dr. Ajay Panwar (13 hours later)

Brief Answer:
Brain changes due to old injury can't be reversed.

Detailed Answer:
Hi XXXX,
Thanks for being in follow-up.

Brain MRI show old encephalomalacia with gliotic changes which have probably resulted from old injury.I am afraid to say that,nothing can be done to reverse these changes.These changes reflect dead tissue due to injury.It has to be left as such.

Regarding management,
In such cases,we usually focus to treat seizures or control seizures with medicines.If somehow,seizures are not controllable with medicines,then surgery is one option.
If the seizures are well controlled and the child does not have any other problem or neurological deficit-then,we say that the child is fine.
Overall,if the child is fine in normal life,old gliotic changes are just a MRI finding and should not be the cause of worry.
On the other side,if the child is symptomatic,symptoms have to be treated and not the gliotic changes.So,in any case,treatment is of the child's symptoms and not the MRI.

Hope that I have answered your query.If you have any further questions,I shall be glad to answer else please close the thread,rate it and write a review as your rating will be of help to me.

Regards
Dr.Ajay Panwar,
MD,DM(Neurology)

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Ajay Panwar (22 minutes later)

I hope if medicines work fine my daughter would not have many iisue li leading a normal adult life.

Thank you for your comments.

Answered by Dr. Ajay Panwar (8 hours later)

Brief Answer:
I hope so,as well.

Detailed Answer:
Hi XXXX,
Thanks for being in follow-up.

I hope the same for your daughter.Better the seizure control,better will be the quality of life.

Hope that I have answered your query.If you have any further questions,I shall be glad to answer else please close the thread,rate it and write a review as your rating will be of help to me.

Regards
Dr.Ajay Panwar,
MD,DM(Neurology)

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar