What Causes Difficulty In Reading And Writing Post Seizure Attack During Pregnancy?

Posted on Fri, 23 Oct 2015

Question: Hi Doctor, my sister delivered identical twins by cesarean on May 10 2015, after repetitive Fits(2times). I will upload records. Please go through that. Now the condition is she could not read and write anything she could not do any work by herself using her hand could not use hand like before she could not see anything like before she can see up to 4 feet not more than that could not focus couldn't even put milk bottle on babies mouth now she is telling she loosing contious and faint sometimes for some minutes. Please Help, how to cure these problems? How long it takes? She is taking medicine for almost 5 month but no big improvement. Please advise

Answered by Dr. Ajay Panwar (1 hour later)

Brief Answer:
Neurological examination

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

I would surely like to be of help but I need to know a few details beforehand-
1)Did these symptoms started suddenly or gradually and when was the onset of these symptoms?How many days after cesarean?
2)Which hand she is not able to use-right or left?Can she use his lower limbs well?
3)Can she speak well?Does she understand the commands well?
4)Does she have a facial deviation or facial asymmetry?
5)What is the frequency of loss of consciousness?How many times in a day or in a week?

Please follow up with details so that I can answer it well.

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

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj

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

Doctor thanks for your questions.

Suddenly she got fits during third trimester, on the way of reaching hospital she got another fits so doctor suggest us to take the baby immediately is the safest and he said she got fits due to high blood pressure. So he put some injections for fits and he did cesarean. After cesarean she dont get contious for almost 8 days she could not recognise her husband parents she dont know she delivered twin boys. She blink at everyone. She could not use her right hand. We asked doctor he said he is giving medicines for fits so it is normal but 9 th day we shifted her to nurologist after a weak of treatment in that nurologist she could recognise everyone but still she could not see clearly her views are so blurred difficult to see all but she could recognise her parents husband and twins. After a month of treatment there is no big change so we changed our doctor now she is following that doctor for almost 4 month now she could see everything but still blurred view but little improvement right hand she could use that now for brush her teach but she could not use that to wear dress and saree she need help for that so right hand is little better but still not recovered fully, she could understand everything she could do understand/all commands, she have so much facial expressions like crying laughing she is feeling faint loosing contious one or two says in a week.
We really want to help her to get all her talent back, now she could not read even write her own name. I dont know how to help her, can you please suggest us , can she lead normal life like us? How long takes to get all her previous talent back?

Answered by Dr. Ajay Panwar (1 hour later)

Brief Answer:
Eclamptic encephalopathy/Hypertensive encephalopathy.

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

I have gone through the comprehensive details provided by you.It appears that she has suffered either -Eclamptic encephalopathy or Hypertensive encephalopathy.

Did she get a MRI of Brain done?If yes,please upload the MRI report.

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

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

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

I have attached some recent report please go through that

Answered by Dr. Ajay Panwar (1 hour later)

Brief Answer:
She should improve in weeks to months time.

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

I have gone through the uploaded reports.Though,MRI report says everything is normal,but I am not convinced with it.One image which is placed on the report shows posteriorly dominant signal intensity changes.
I would appreciate if you can somehow get MRI CD and upload it on google drive as a rar file(and share the link here,so that I can view the MRI with my default dicom viewer).
Further,based on the clinical and radiologic background,I am of the impression that she should improve significantly in a few weeks to months time,from her current clinical condition.

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

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

Follow up: Dr. Ajay Panwar (3 days later)

Hello doctor right now I could not get that MRI CD can you please help me using that MRI report I will try to get that CD within next two days.
Her doctor told her in the last visit, hereafter there will be no big change she can get because of the treatment. Is that true? Can she get all her skills like before? Especially the eye problem writing reading problem can be fixed?

Answered by Dr. Ajay Panwar (59 minutes later)

Brief Answer:
Observation.

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

I have already gone through the MRI report.I shall wait for the CD as that will give a better picture of the pathology.
However,I feel only the time to come(possibly few weeks) will tell about the prognosis of the disease.I hope to see her improve in future(weeks to months time).Please get back after getting MRI CD.

Regards
Dr.Ajay Panwar,
MD,DM(Neurology

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

Follow up: Dr. Ajay Panwar (14 hours later)

I have attached some files can you please check those, thanks

Answered by Dr. Ajay Panwar (7 hours later)

Brief Answer:
Visual field reports need to be discussed with an eye specialist.

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

I have seen the documents you have uploaded.I am afraid to say that these documents are of visual field charting and need to be discussed with an Eye specialist.
I,being a neurologist,am not able to make an impression out of it.

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

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