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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Dizzy Spells After Prolonged Focal Seizure

My 8 yr old daughter had a pro-longed focal seizure (33 min) in August. She was placed on Trileptal. She has since been getting dizzy spells 5- 7 times a day. They just re-ran another 48 hour EEG while on medicine and she is still having XL spikes in 4 areas of the brain. They made no changes to the medicine. They say its a gray area. They treat seizures not spikes. I thought that the anti-seizure medicine was suppose to reduce or eliminate the spikes. What does the medicine do? What should my next steps be?
Fri, 23 Jan 2015
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General & Family Physician,  's  Response
Hello,
Thankyou for your quiry
Brief..MRI brain needs to be done.
Detailed answer...Since first of all the cause of seizure should be ruled out,for proper treatment ,for example,any mass in the brain,ischemic (low blood supply in focal area) change in focal area or family history of epilepsy and pre seizure cerebral infection.For that I would like to ask about MRI brain report.And if it is not done,you may get done after discussing with your doctor.
EEG is the test to evaluate electrical spikes ,which can be helpfull to evaluate the type of seizure so the cause.If cause is known and treated ,automatically spikes will come within normal limits.
Do ask further ,if you have any other quiry regarding this,it would be pleasure to help.
Regards,Dr.Maheshwari
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Suggest Treatment For Dizzy Spells After Prolonged Focal Seizure

Hello, Thankyou for your quiry Brief..MRI brain needs to be done. Detailed answer...Since first of all the cause of seizure should be ruled out,for proper treatment ,for example,any mass in the brain,ischemic (low blood supply in focal area) change in focal area or family history of epilepsy and pre seizure cerebral infection.For that I would like to ask about MRI brain report.And if it is not done,you may get done after discussing with your doctor. EEG is the test to evaluate electrical spikes ,which can be helpfull to evaluate the type of seizure so the cause.If cause is known and treated ,automatically spikes will come within normal limits. Do ask further ,if you have any other quiry regarding this,it would be pleasure to help. Regards,Dr.Maheshwari