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Suggest Treatment For Epilepsy And Hand Tremors
since 5years I got hand tremor in my left hand, using deferent medicine not work will, then epilepsy type of attack came. dr. examined brain MRI, EEG, heart , blood etc. all are normal. but still my hand shaking I am getting revotril 2mg, zen retard 300mg. from two years no any attack, but my left hand fingers deformed and cant cached any light things and continually shaking. recently my dr. reduce Revotril to 1mg .and add Pacitane daily 6mg. tonight I feel very bad , I think attack will come each on second. need any support , how to deal with my situation.
Thu, 8 Jun 2017
Hello and Welcome to ‘Ask A Doctor’ service.
I have reviewed your query and here is my advice.
When a person with epilepsy comes to my office, the first thing I do is checking the kind of medication and dose. If the dose is right for the kind of epilepsy, but the person still has complains, I can ask for the drug serum levels and then I would adjust the dose if necessary.
In your case, considering MRI and EEG are normal, I would reevaluate the diagnosis, asking for a video EEG, and considering another condition as a focal dystonia. I suggest to consult with a neurologist, and if you have some pictures of before the hand deformation, or a video with the movement, take them with you. For now keep taking your epilepsy medication.
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. Arturo Benítez-Serrato
I have reviewed your query and here is my advice.
When a person with epilepsy comes to my office, the first thing I do is checking the kind of medication and dose. If the dose is right for the kind of epilepsy, but the person still has complains, I can ask for the drug serum levels and then I would adjust the dose if necessary.
In your case, considering MRI and EEG are normal, I would reevaluate the diagnosis, asking for a video EEG, and considering another condition as a focal dystonia. I suggest to consult with a neurologist, and if you have some pictures of before the hand deformation, or a video with the movement, take them with you. For now keep taking your epilepsy medication.
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. Arturo Benítez-Serrato
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