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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Headaches, Seizures, Drowsiness. Abnormal EEG, MRI, CAT Scan Normal. Treatment?

Hi. My son who is ten years old has been having headaches with what he calls de ja vu. He has been on seizure/headaches meds since since he was 8. When he gets these episodes they are 15 to 20 days apart. He has had 2 seizures in the last 2 years. To me the de ja vu looks like seizures they make him very sleepy for the rest of the day. Just wondering what u think and get your opinion. He has had EEGS they show eizure activity. Has had MRI and Catscans they came back normal
Wed, 16 Jan 2013
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Neurologist,  's  Response
Hello,
I would agree with your thought that these episodes are seizures. After starting medications full blown attacks may not come and such aborted attacks may occur. However these episodes also need to be controlled for a good epilepsy management. Either current medications have to be hiked up or additional drugs have to be added to control these attacks also. Since EEG is abnormal so possibility of seizures is high. MRI and other scans may come normal in many epilepsy patients.
Good luck.
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Headaches, Seizures, Drowsiness. Abnormal EEG, MRI, CAT Scan Normal. Treatment?

Hello, I would agree with your thought that these episodes are seizures. After starting medications full blown attacks may not come and such aborted attacks may occur. However these episodes also need to be controlled for a good epilepsy management. Either current medications have to be hiked up or additional drugs have to be added to control these attacks also. Since EEG is abnormal so possibility of seizures is high. MRI and other scans may come normal in many epilepsy patients. Good luck.