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What Causes Tonic-clonic Seizure?

Posted on Fri, 6 Nov 2015

Question: I keep having recurrent seizures but I cannot get in touch with my primary care doctor I also cannot get in touch with my neurologist or my neurosurgeon... What is the best course of action to take at this point... they are tonic clonic last from one to three minutes I am NOT able to be oriented however I am completely alert I know where I am however I cannot talk or anything like that another words I can keep consciousness but a lot of times I'm confused and I do not know where I am for the first half hour

Answered by Dr. Neeraj Kumar (39 minutes later)

Brief Answer:
Start medication....

Detailed Answer:
Hello dear,

I have gone through your question and understand your concerns. However I don't there is any home measures to treat tonic clonic seizure. You need to start antiepileptics like Valproate or levetiracetam in 500mg twice daily dose. These are prescription based medications only.

You should also get evaluated by EEG and MRI brain testing.
If you have previous reports or consultation then upload it.

Hope you recover early.

Regards
Dr. Neeraj Kumar
Neurologist

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Neeraj Kumar (2 days later)

I am already on too many medications, would you recommend a nerve stimulator? My doctors are considering that highly since I am on three medications already and no response to the medication what do you think?

Answered by Dr. Neeraj Kumar (12 hours later)

Brief Answer:
Yes you can go ahead with VNS after discussing with doctors

Detailed Answer:
Hello dear,
You may have been advised vagus nerve stimulation device.
Yes it is helpful in preventing the seizure episode and can be connected and implanted by a neurosurgeon.
But consider this treatment if you have been evaluated properly for epilepsy with poor response to highest tolerable doses of multiple antiepileptics.
Hope you found the answer helpful.
Regards
Dr Neeraj Kumar
Neurologist

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Neeraj Kumar (6 hours later)

I've been on 5 or 6 med combination 5 times.... I left that part out.... do you still think no VNS????

Answered by Dr. Neeraj Kumar (16 hours later)

Brief Answer:
May go for VNS if not responding to medication

Detailed Answer:
Hello,
Please provide all details of medication with prescription and duration.
If you are under treatment of good neurologist who has given you adequate medication, combination and dosages then you may go ahead for VNS.
Regards
Dr Neeraj Kumar
Neurologist

Above answer was peer-reviewed by : Dr. Neel Kudchadkar

Follow up: Dr. Neeraj Kumar (49 minutes later)

zon gran,Dilantin,keppra, topamax, that's a lot and all 1 combination

Answered by Dr. Neeraj Kumar (3 hours later)

Brief Answer:
Go for vagal nerve stimulation if drugs ineffective

Detailed Answer:
Hello dear,
Your medication taken by you seems to be not effective.
If enough drugs and duration has been tried and Mri and eeg are not showing any lesions then you may go for vagal nerve stimulation.
Consult a good expert neurosurgeon or a hospital set up with such surgical experience.
Hope you recover early.
Regards
Dr Neeraj Kumar
Neurologist

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