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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Confirm Epilepsy?

hi, i am ashok 38 years old and working in a MNC company last month i had seviour faint with unconcious in afternoon at the time i was in my home with safety.this the fist time i got seviour gare after two days back went to the hospital.doctor advice to take MRI and EEG both the reports are fine nothing to worry doctor told.but he has to advice to take Eption 2 tablets in the night is this correct, he told that this a type of epilepsy so you should continue for two years.EEG reports shows 30 to 40% of epilepsy.when i was faint on that day i got seveiour head ache when i was in the village. i got the ancin the local shop and has some of cocke at 11.30 am and the incident happend in 4.30.pm so this is any corealted.



kindly advice for unnecary taking the medicine.
Mon, 13 Apr 2015
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Neurologist,  's  Response
I read your question carefully and I understand your concern.

It seems by your query that you have had only one isolated seizure, which didn't repeat. In that case to be honest I am not sure I agree with starting treatment. Usually a diagnosis of epilepsy is made when there have happened at least two seizures. There are cases of epileptic seizures which do not repeat and don't need treatment.
Had there been issues noted on MRI or EEG might have been another discussion, but for only one seizure with normal MRI and EEG the recommendation is to wait and see instead of starting a treatment which is taken for a long time with possible unnecessary side effects.

So I think you should discuss with your doctor the possibility of abstaining from treatment for the moment. Perhaps the EEG could be repeated. It is true what the doctor said that half the cases with epilepsy can have a normal EEG outside the seizure, but on repeat EEGs the chances of detecting an abnormality increase (from a study if EEG repeated up to 4 times chances of detecting abnormalities go to 90%).

I hope to have been of help.
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How To Confirm Epilepsy?

I read your question carefully and I understand your concern. It seems by your query that you have had only one isolated seizure, which didn t repeat. In that case to be honest I am not sure I agree with starting treatment. Usually a diagnosis of epilepsy is made when there have happened at least two seizures. There are cases of epileptic seizures which do not repeat and don t need treatment. Had there been issues noted on MRI or EEG might have been another discussion, but for only one seizure with normal MRI and EEG the recommendation is to wait and see instead of starting a treatment which is taken for a long time with possible unnecessary side effects. So I think you should discuss with your doctor the possibility of abstaining from treatment for the moment. Perhaps the EEG could be repeated. It is true what the doctor said that half the cases with epilepsy can have a normal EEG outside the seizure, but on repeat EEGs the chances of detecting an abnormality increase (from a study if EEG repeated up to 4 times chances of detecting abnormalities go to 90%). I hope to have been of help.