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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Having Been Diagnosed With Epilepsy

My son is 12 with a 6 year diagnosis of epilepsy with no known origin. He is on 100 milligrams of lamotrigine bid. I have had to go to the school on multi occasions and pick him up because he is out of control throwing chairs, trashcans, hitting walls, and on occasion teachers. Could these outburst be seizure related? He does not remember the outburst or what he was mad at. He has ADHD,PPD-nos, ptsd.
posted on Sun, 4 May 2014
Twitter Sun, 27 Mar 2016 Answered on
Twitter Tue, 29 Mar 2016 Last reviewed on
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Neurologist,  's  Response
The party line about neurologists/epileptologists has always been that directed aggressive or violent behavior with the intent to intent or hurt someone was NEVER seizure related and was assumed psychiatric. However, now there is ample evidence that such events do happen as a result of massive aberrant electrical discharges in the Frontotemporal regions of the brain and patients can do very specific bizarre, complex, and even violent acts with the intent to hurt or destroy property. Amnesia for the event is virtually universal in the patient and is usually a clue to its validity or not. Multidisciplinary approaches must be used in such cases otherwise the patient will never gain any trust in anybody at school and in fact, could develop fears and anxiety syndromes if they cannot be made to be feel welcome in the midst of teachers of classmates. If you'd like to ask me more questions and if you actually have any EEG reports on this patient then, please visit me at: www.bit.ly/drdariushsaghafi and you may then, ask specific questions of myself.
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Having Been Diagnosed With Epilepsy

The party line about neurologists/epileptologists has always been that directed aggressive or violent behavior with the intent to intent or hurt someone was NEVER seizure related and was assumed psychiatric. However, now there is ample evidence that such events do happen as a result of massive aberrant electrical discharges in the Frontotemporal regions of the brain and patients can do very specific bizarre, complex, and even violent acts with the intent to hurt or destroy property. Amnesia for the event is virtually universal in the patient and is usually a clue to its validity or not. Multidisciplinary approaches must be used in such cases otherwise the patient will never gain any trust in anybody at school and in fact, could develop fears and anxiety syndromes if they cannot be made to be feel welcome in the midst of teachers of classmates. If you d like to ask me more questions and if you actually have any EEG reports on this patient then, please visit me at: www.bit.ly/drdariushsaghafi and you may then, ask specific questions of myself.