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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Can Absent Seizures Relapse As Unbearable Headaches Later?

Hello Doctor, My wife had unbearable headache, 72 hours back and was taken to the causality ward in the hospital. They gave her a shot of Ketonov and after about an hour she had a 10% reduction in the pain. She was administered another injection called zofor as she vomited thrice that night. She was later prescribed Gabantin 100 mg for the last 3 days. She was also asked to take Topirol 50 mg morning and night dose. Macorate had been prescribed for sleep but i did not allow her to take it. 72 hours down, headache keeps emerging and the pills are popped. If it was a severe bout of migraine she mustve responed well for the drug but this is hinting something else. Most of the above being epileptic drugs is my wife epileptic? Does she need to go in for regular epileptic treatment? She was on that for 1 and 1/2 yrs , 5 yrs back when she used to have absent seizures ( frequent faintings - 3-5 times per day. MRI revealed lacuna infarct in the brain ( legion in the brain). Kindly help......
Thu, 24 Dec 2020
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General & Family Physician,  's  Response
Hello,

It is normal procedure to ask for an MRI is the patient describes his headache like abnormal (not an usual migraine). MRI allows us to eliminate other diagnoses that needs a treatment in emergency like dissections, tumors, brain hypertension etc.

That is not your wife case. The lacunar brain infarcts are small infarcts mostly related with a small artery disease that doesn't couse headache.

Concerning the antiépileptic drugs they can be prescribed in small doses to treat the headache. That does not mean that your wife is epileptic.

About the médication to take to calm down her headache it depends on the kinf of head ache she has.

Is the blood analyses normal?

If yes it seems to be a primary headache. The treatment depends on the caracteristics of head ache, if unilateral, if pulsatile, if she had migrane before, if she doesn't support noise and light if it gets worse with the physics activity it might be a migraine.

Paracetamol and profenids are the first line treatments. Triptans second line treatment (if first line does not function) with natrium naproxene. In any case she may take amytriptiline 5 drops in the absence of contreindications.

Hope I have answered your queries. Let me know if I can assist you further.

Take care

Regards,
Dr. Jora Xhaxho
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Can Absent Seizures Relapse As Unbearable Headaches Later?

Hello, It is normal procedure to ask for an MRI is the patient describes his headache like abnormal (not an usual migraine). MRI allows us to eliminate other diagnoses that needs a treatment in emergency like dissections, tumors, brain hypertension etc. That is not your wife case. The lacunar brain infarcts are small infarcts mostly related with a small artery disease that doesn t couse headache. Concerning the antiépileptic drugs they can be prescribed in small doses to treat the headache. That does not mean that your wife is epileptic. About the médication to take to calm down her headache it depends on the kinf of head ache she has. Is the blood analyses normal? If yes it seems to be a primary headache. The treatment depends on the caracteristics of head ache, if unilateral, if pulsatile, if she had migrane before, if she doesn t support noise and light if it gets worse with the physics activity it might be a migraine. Paracetamol and profenids are the first line treatments. Triptans second line treatment (if first line does not function) with natrium naproxene. In any case she may take amytriptiline 5 drops in the absence of contreindications. Hope I have answered your queries. Let me know if I can assist you further. Take care Regards, Dr. Jora Xhaxho