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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Could Sudden Sharp Electric Shock Like Pain Under Breast While Being On Divalproex, And Having Seizure, Compression Fractures Serious?

Saturday morning upon waking my husband had sharp electric shock like pains under his left breast. It was quite constant for about 5 minutes. He is on Divalproex for epilepsy. He had a seizure in April and had two compression fractures T5 & T6, and has had back pain ever since which comes and goes. Could this be serious?
Fri, 18 Sep 2015
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Cardiologist 's  Response
Hello!

Thank you for asking on HCM!

I read your question carefully and would like to explain that his symptoms seem to be related to radicular pain, caused by a displacement of the thoracal spine disks, leading to irritation and inflammation of the nerves that originate in this region of the spinal cord.

I would recommend consulting with the neurologist for a careful physical examination, a nerve conduction study and thoracic spine MRI or CT scan to examine better for possible compression of the spinal cord.

Divalproex is usually helpful in nerve pain. This may be a reason why he has not had any problems since the fractures.

I recommend performing valproate plasma levels, to see if he is being treated in therapeutical doses.

Regarding the treatment, I recommend discussing with your doctor the possibility of increasing divalproex dose (based on the plasma levels results), or adding another antiepileptic drug (pregabaline or gabapentine) to your therapy.

Hope to have been helpful!

Greetings!

Dr. Iliri
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Could Sudden Sharp Electric Shock Like Pain Under Breast While Being On Divalproex, And Having Seizure, Compression Fractures Serious?

Hello! Thank you for asking on HCM! I read your question carefully and would like to explain that his symptoms seem to be related to radicular pain, caused by a displacement of the thoracal spine disks, leading to irritation and inflammation of the nerves that originate in this region of the spinal cord. I would recommend consulting with the neurologist for a careful physical examination, a nerve conduction study and thoracic spine MRI or CT scan to examine better for possible compression of the spinal cord. Divalproex is usually helpful in nerve pain. This may be a reason why he has not had any problems since the fractures. I recommend performing valproate plasma levels, to see if he is being treated in therapeutical doses. Regarding the treatment, I recommend discussing with your doctor the possibility of increasing divalproex dose (based on the plasma levels results), or adding another antiepileptic drug (pregabaline or gabapentine) to your therapy. Hope to have been helpful! Greetings! Dr. Iliri