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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Had Seizure. Stopped Medication For Multiple Tuberculoma. Facing Double Picture, Losing Balance. Probable Medication?

what are the side effects of eptoin after a seizure? My son had a seizure, he was operated elevan years back for multiple toberculoma.He had no complaint of any nature during these elevan years.Yes he stopped taking tegretal and frisium since last six months,offcourse the dose was tapered slowly.At the moment he is facing double picture and losing balance while walking. All present ctscan,hrctscan,mri and other reports like esr , creatinine are very normal.Doctor does not suggest any antibiotics .Can you opine for the therapy.What may be the probable medication.Thanks and regards.
Wed, 13 Feb 2013
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Neurologist,  's  Response
Hi,

Thank you for posting your query.

His current symptoms could be due to brain disease (tuberculoma of brain). However, if you say that the MRI of brain is normal, then this possibility can be excluded.

Eptoin (phenytoin) toxicity or overdosage can also produce these symptoms. It can be checked in a blood test called as Serum Phenytoin assay.

Best wishes,
Dr Sudhir Kumar MD DM (Neurology)
Senior Consultant Neurologist
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Had Seizure. Stopped Medication For Multiple Tuberculoma. Facing Double Picture, Losing Balance. Probable Medication?

Hi, Thank you for posting your query. His current symptoms could be due to brain disease (tuberculoma of brain). However, if you say that the MRI of brain is normal, then this possibility can be excluded. Eptoin (phenytoin) toxicity or overdosage can also produce these symptoms. It can be checked in a blood test called as Serum Phenytoin assay. Best wishes, Dr Sudhir Kumar MD DM (Neurology) Senior Consultant Neurologist