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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Can Epilepsy Never Be Controlled Even After Being On Treatment ?

I AM PATIENT OF EPILEPSY LAST 25 YEARS BUT IT IS NOT CONTOR STILL I TREATEMENT UNDER DR. SRINIVAS BANGALORE I HAVE TAKE DOSE DAILY TWICE OXETOL 300MG AND PREZIUM 10MG, TOPAZ 50MG ONE TIME DAILY BUT NOT CONTROL STILL MYATTACT IS SIMPLY MEANS 2MINUT APROX I HAVE NOT SENSE PLEASE GUIDE ME
Fri, 2 Jan 2015
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Neurologist,  's  Response
I read your query and I understand your concern.

Epilepsy is a disease which can manifested in different ways and have different response to treatment in different patients. A little more than 50% of patients are well controlled with one antiepileptic and an additional 17% is controlled by adding a second one. That leaves around 30% of patients which are resistant to therapy like you.
In these patients first if in doubt evaluation in epilepsy clinics with video EEG is necessary because in some of them there are psychogenic or sleep conditions mimicking or accompanying epilepsy.
Next therapeutic steps, if there is a focal lesion on MRI which is considered responsible for the crisis then surgery could be considered. There are also other measures like vagal nerve stimulation or cortical stimulation. These non medication options though must be studied in specialized epilepsy clinics which are not available in all countries and regions, I am not aware of the situation where you live.

I hope to have been of help.
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Can Epilepsy Never Be Controlled Even After Being On Treatment ?

I read your query and I understand your concern. Epilepsy is a disease which can manifested in different ways and have different response to treatment in different patients. A little more than 50% of patients are well controlled with one antiepileptic and an additional 17% is controlled by adding a second one. That leaves around 30% of patients which are resistant to therapy like you. In these patients first if in doubt evaluation in epilepsy clinics with video EEG is necessary because in some of them there are psychogenic or sleep conditions mimicking or accompanying epilepsy. Next therapeutic steps, if there is a focal lesion on MRI which is considered responsible for the crisis then surgery could be considered. There are also other measures like vagal nerve stimulation or cortical stimulation. These non medication options though must be studied in specialized epilepsy clinics which are not available in all countries and regions, I am not aware of the situation where you live. I hope to have been of help.