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Suggest Treatment For Primary Generalized Epilepsy

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Posted on Mon, 22 Jun 2015
Question: hello sir my son is 13 years old.he is suffering from primary generalized epilapcy.please suggest treatment for him.
doctor
Answered by Dr. Diptanshu Das (40 minutes later)
Brief Answer:
Antiepileptics need to be given.

Detailed Answer:
Thanks for asking on HealthcareMagic.

Epilepsy is a condition that occurs due to abnormal electrical impulses from different parts of the brain. The exact cause and source of the epilepsy needs to be determined. An EEG should be the first step in determining the nature of epilepsy and the possible location of the epileptogenic focus. Often such a condition is associated with structural abnormalities of the brain and hence an MRI of the brain should be helpful.

Treatment is usually done with antiepileptics like Encorate Chrono but the exact choice depends on the type of epilepsy. Sometimes dose readjustment might be required and the medicine might need to be continued for a long duration.

You need to get the tests done and need to consult a neurologist with the reports.
Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Diptanshu Das (4 hours later)
Sir MRI test is normal.can surgery be possible for general epilepsy.
doctor
Answered by Dr. Diptanshu Das (1 hour later)
Brief Answer:
Surgery is not likely to be helpful

Detailed Answer:
Thanks for writing back.

If MRI is normal, and assuming that conditions like hydrocephalus are not present, surgery is not essential and neither would it be helpful in relieving generalized epilepsy.

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Diptanshu Das (12 hours later)
How much time it will take to be cured.Will he be able to live a normal life. Can he be able to study normally in future as he is very poor in his studies
doctor
Answered by Dr. Diptanshu Das (8 minutes later)
Brief Answer:
Proper control with proper antiepileptics is essential

Detailed Answer:
Thanks for writing back. But the answer depends upon multiple factors. Let me mention that cure is different from control. The disease needs to be controlled first. The control can be attained with proper medication with antiepileptics after proper dose readjustment from time to time. If the child remains convulsion free, the medicines might still need to be continued for several years. It is only after several seizure-free years that the medicine can be discontinued. But that does not mean it has been cured.

The role of EEG is valuable in determining if the child is getting absence seizures which could be interfering with his studies. In such a case, the child could be getting a seizure without even realizing that he got one, and in the midst might have skipped a few minutes of the class and hence could be unable to follow the class thereafter. Such a child could require personalized training. With proper supportive measures he could perhaps return to a normal life.

Regards
Note: For further queries related to your child health, Talk to a Pediatrician. Click here to Book a Consultation.

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

Pediatrician

Practicing since :2005

Answered : 3877 Questions

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Suggest Treatment For Primary Generalized Epilepsy

Brief Answer: Antiepileptics need to be given. Detailed Answer: Thanks for asking on HealthcareMagic. Epilepsy is a condition that occurs due to abnormal electrical impulses from different parts of the brain. The exact cause and source of the epilepsy needs to be determined. An EEG should be the first step in determining the nature of epilepsy and the possible location of the epileptogenic focus. Often such a condition is associated with structural abnormalities of the brain and hence an MRI of the brain should be helpful. Treatment is usually done with antiepileptics like Encorate Chrono but the exact choice depends on the type of epilepsy. Sometimes dose readjustment might be required and the medicine might need to be continued for a long duration. You need to get the tests done and need to consult a neurologist with the reports. Regards