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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Can Explain Dizziness And Convulsive Attacks?

hi , male 28 age i am rizwan from saudi arabia .i have a some serious condition about my brain . i am suffering before one year dizziness . but dizziness duration is very small but too much heavy. my doctor take my MRI test and EEG test. mri test report is normal but in eeg test he write ........................................... chief complaint : Convulsion Attack medication : none Sedation : none summary of findings: background activity : Alpha rhythm. 8-10h synchronous,recurrent sharp waves ,slow waves activity,seen on right occipto -centroparietal areas. photic stimulation and hyperventilation do not induce other amnormalities conclusion: right side epileptiform discharges . so doctor i am taking madicine before 4 month contiue .may tablet name LOXOL LAMOTRIGINE and doctor say to me contiue it for two years . but before tow days i am feeling some problems in sleeping time suddenly i awake up and i feel like that now i will die because at that time i dont know what is going and also my brain is totally blank and my mouth inside is dry i am so upset please tell me some treatment and some suggestions . i am also feeling that my around places are moving but not fastly . and some sound come from my brain which disturbed me too much . i want to tell you that i suffered some problems in my past about my personal life . it means before 2 yaers some problems covered me and also i cried for my problems too much .i take my problems deeply but now i am so upset what can i do i dont know .
Thu, 20 Nov 2014
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Neurologist 's  Response
I read your query and I am sorry about the issues you are experiencing.
What you are currently describing seems more likely to be related to anxiety and not to seizures. There are several options to alleviate your symptoms which include psychotherapy or pharmacological therapy. You should also try to lead a regular lifestyle, regular sleeping hours avoid sleeping during the day, avoid drinks containing caffeine or other stimulants, especially before bedtime.
Regarding pharmacological treatment it depends. Since you say you've had these problems only for the couple of days and that episode 2 years ago then I think a drug of the benzodiazepine class should be used, but only for short term treatment 4 weeks at most because they create dependance and tolerance. They constitute no problem for your seizure issue, at times they are used to treat seizures actually. If on the other hand psychotherapy doesn't work and the problems seems to have become a persistent one then other more suitable antianxiety alternatives like antidepressants should be considered.
These are drugs which must be prescribed only after doctor evaluation (neurologist or psychiatrist) though, especially in your case as some antidepressants are not suited in patients suffering epilepsy.
Hope these episodes are temporary and you won't need prolonged treatment. Feel free to ask further questions.
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What Can Explain Dizziness And Convulsive Attacks?

I read your query and I am sorry about the issues you are experiencing. What you are currently describing seems more likely to be related to anxiety and not to seizures. There are several options to alleviate your symptoms which include psychotherapy or pharmacological therapy. You should also try to lead a regular lifestyle, regular sleeping hours avoid sleeping during the day, avoid drinks containing caffeine or other stimulants, especially before bedtime. Regarding pharmacological treatment it depends. Since you say you ve had these problems only for the couple of days and that episode 2 years ago then I think a drug of the benzodiazepine class should be used, but only for short term treatment 4 weeks at most because they create dependance and tolerance. They constitute no problem for your seizure issue, at times they are used to treat seizures actually. If on the other hand psychotherapy doesn t work and the problems seems to have become a persistent one then other more suitable antianxiety alternatives like antidepressants should be considered. These are drugs which must be prescribed only after doctor evaluation (neurologist or psychiatrist) though, especially in your case as some antidepressants are not suited in patients suffering epilepsy. Hope these episodes are temporary and you won t need prolonged treatment. Feel free to ask further questions.