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Doctor insights on: Intractable Seizure

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Dr. Tatyana Gitlevich
6 doctors shared insights

Intractable Seizure (Overview)

Refractory seizures are those which have failed to respond to normal medications for seizures. Sometimes surgical interventions are tried along with atypical medications such as cannibis.


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Epilepsy or syncope?

Epilepsy or syncope?

Common dilema: Whether an event is a seizure or syncope is a common question. You have had part of an evaluation for epilepsy. What needs to be done is see a cardiologist and have a tilt table study for syncope. ...Read more

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Dr. Tatyana Gitlevich
6 doctors shared insights

Intractable Seizure (Overview)

Refractory seizures are those which have failed to respond to normal medications for seizures. Sometimes surgical interventions are tried along with atypical medications such as cannibis.


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What causes youngsters to have seizure disorders?

What causes youngsters to have seizure disorders?

Many causes:: Reasons for seizures include: infections; metabolic disorders; drugs: medications; poisons; disordered blood vessels; bleeding inside the brain; & many yet undiscovered problems most common type of seizure in children is the febrile seizure (when an infection associated with a high fever develops). For 3 out of 4 children, the causes remain unknown. ...Read more

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Living with Seizures (Checklist)

Sleep 6-8 hours each night
daily
Wear a medical alert bracelet
Once
Limit your alcohol intake as much as possible
Once
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Is monoclonal epilepsy, tonic clonic seizure, tonic seizure and clonic seizure are the same ( grand mal)?

Is monoclonal epilepsy, tonic clonic seizure, tonic seizure and clonic seizure are the same ( grand mal)?

No: Juvenile moloclonal epilepsy is a generalized epilepsy, which occurs in the age group from 12-16yo. Grand mal seizures are usually generalized type of seizures and has two phases. In the tonic phase, loss of conciousness occurs and muscle contraction causes the person to fall down. The clonic phase is the rhythmic contraction of muscles, alternating b/w flexion and relaxation. Thanks. ...Read more

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Could juvenile myoclonic epilepsy symptoms worsen after your first grand mal seizure?

Could juvenile myoclonic epilepsy symptoms worsen after your first grand mal seizure?

Could : Most folks with jme respond well to modest doses of depakote, but a small percentage have difficult-to-control seizures. It might seem like it gets worse after the first convulsion simply because the convulsions don't come under control. ...Read more

Dr. Que Chu Dr. Chu
3 doctors agreed:
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Hi,Is focal generalized epilepsy different to petit mal.

Dr. Que Chu Dr. Chu
3 doctors agreed:
Hi,Is focal generalized epilepsy different to petit mal.

It is different: Focal epilepsy (localization-related epilepsy) is due to focal brain pathology or part of genetic syndrome or unknown cause. Many types of focal epilepsy involving different parts of the brain.Onset in adolescent or adult. Petit mal (childhood absence epilepsy) happened mostly in school age children with frequent episodes of profound impairment of consciousness or subtle changes. Consult neurology ...Read more

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What does it mean when you have seizures even on seizure meds?

Some possibilities: There are a few different causes of this. One is that the medicines are not used regularly. Another is that the medicines do not work as well as they need to, either due to a low dose, or just that they are not effective. Perhaps an alternate medicine or treatment is needed? A third is that some of the seizures are not the kind that are treated with medicine (like nonepileptic seizures). ...Read more

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Whats a non-epileptic seizure?

Whats a non-epileptic seizure?

Stress: A nonepileptic seizure is a movement that looks like a seizure, but has no change on the brain wave study (eeg). A combination of various stressors like school, home, etc. Can do this. Many patients will say they don't feel stressed, but this can be something underneath. Some patients can have both epileptic and nonepileptic seizures. ...Read more

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Are myclonic jerks actually seizures?

Myoclonic jerks: There is a type of seizure called myoclonic, or myoclonic jerks. These are a feature of myoclonic epilepsy. These feel like a brief episode of shaking. They may occur in the morning time more often than other times. Sleep deprivation may make them more noticeable. ...Read more

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What treats generalized seizures in adults?

What treats generalized seizures in adults?

Meds and diet: There are a handful of medications that work well for generalized seizures. These are generally started one at a time, but sometimes multiple meds are required to control seizures. There are also other therapies, including the ketogenic diet, which is a high fat, low carbohydrate and adequate protein diet. There are other dietary therapies such as the modified atkins diet. ...Read more

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Are tonic clonic seizures only a symptom of epilepsy?

Epilepsy: is by definition recurrent unprovoked seizures. Recurrent provoked seizures are seen on occasion (for example the alcoholic who uses up his SSI monthly stipend who presents to the ER with alcohol withdrawal seizures on the 29th of the month) GTC seizures can occur for many reasons (taking too much Ultram, caffeine, cocaine, hypomagnesemia, hyponatremia, hypocalcemia, withdrawal from Benzodiazepine ...Read more

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How are seizures treated?

How are seizures treated?

Abort and Prevent: If a seizure is happening in front of you and not stopping on its own, abortive medication such as Ativan (lorazepam) or other sedatives can be used to stop it. To prevent seizures from occurring in the first place, we use a wide variety of medications that serve to reduce neuronal firing; some of these act by blocking excitatory pathways, some by activating inhibitory pathways, and some remain a mystery. ...Read more

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I had a seizure last year and I am treating with fenitoin and it works what do you think about this medicine?

Phenytoin: is an older anti epileptic drug. It is used for GTC and partial seizures. The drug level has to be monitored periodically to minimize chances of toxicity. It has long term side effects to watch out for including gum hypertrophy and osteoporosis, if well tolerated could be very effective. Since is controlling your epilepsy without adverse effects change may not be indicated ...Read more

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Do myoclonic seizures lead to proper seizures?

Do myoclonic seizures lead to proper seizures?

Myoclonic seizures: Myoclonic seizures are a form of primary generalized seizures. They do not lead to other seizures but the root cause of your seizures might. ...Read more

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Are febrile seizures considered brain injury?

Are febrile seizures considered brain injury?

Not usually: These are not entirely uncommon before age 5 when the brain is not very mature and has less ability to suppress excess electrical activity inside the brain. The further it is after that age, it is much more important to bring this to medical or neurological attention. A few early febrile seizures before age 5 usually would not be associated with any significant brain injury or findings. ...Read more

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Is there an effective treatment for seizures linked to mecp2 duplication syndrome?

As stated, seizures : in boys with MEC P2 may not respond to treatment with anti-epileptic medications. Find information on http://ghr.nlm.nih.gov/condition/mecp2-duplication-syndrome. The contact for the MEC P 2 annual family conferences is Pam Albert, [email protected] If she is no longer coordinating them, she will give you contact information for the person who is. Don't keep going without information & support. ...Read more

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Is a focal motor seizure serious like a convulsion?

Is a focal motor seizure serious like a convulsion?

Yes: A true focal motor seizure is a sign of a local irritable brain lesion, which could be an area of trauma, bleeding, infarction, tumor, infection. Often these focal problems generalize and cause a full blown grand mal seizure. If you are experiencing such spells, start an anti-epileptic medication. ...Read more

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What are the new treatments for hepatitis C ? terrified of treatment I cannot do the shot because of seizures and depression is the new shot free?

What are the new treatments for hepatitis C ?  terrified of treatment I cannot do the shot because of seizures and depression is the new shot free?

DAA for HCV: The side effects you are concern about relate to interferon. New direct acting antiviral agents target specific enzymes in the hepatitis C virus that inhibit replication of virus. This year, there are several new agents that have been or will be FDA approved and will be given orally in combination with one another, with very high rates of cure with fairly short courses. Cost will be an issue. ...Read more

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Dr. Bennett Machanic
1,193 doctors shared insights

Seizures (Uncontrollable Jerking Of Limbs) (Definition)

A seizure is a symptom in which a person has a convulsion or epileptic attack, usually involving jerking movements of the head, limbs, and rest of the body. It represents abnormal brain function, and can be caused by fever (mainly in young children), by brain infections or tumors, by drug abuse or overdoses, by chemical imbalances, sleep deprivation, etc. ...Read more


Dr. William Singer
824 doctors shared insights

Convulsion (Definition)

Convulsion = violent, involuntary contraction(s) of the muscles which may occur due ...Read more