Doctor insights on:
Best Epilepsia Partialis Continua Treatment
Abort the seizures: Typically these are intermittent partial focal seizures during recovery from status epilepticus, but such activity can occur with brain infections and even diffuse brain problems from toxins, poisons, and medication withdrawal. Intravenous anti-epileptic drugs are provided within a hospital setting, and treatment should be aggressive, as there is potential mortality if left alone. ...Read more
May be difficult: Do you or someone close to you possess epilepsy? Several meds available, and consider, depakote, lamictal, keppra, vimpat, (lacosamide) potiga, maybe lyrica, topirimate. If 3 meds fail, might try vns unit, or surgery if a focus of seizure activity. See an epilepsy expert. ...Read more
Migraine management: Once a diagnosis of hemiplegic migraine has been made, effective management of migraine involves three specific strategies: 1) patient education, 2) nonpharmacological management, and 3) pharmacological (medical) management. See your GP for evaluation and professional migraine management. ...Read more
Several: Best med is the one that controls seizures without side effects. Depakene (valproic acid) you are taking may work. Others include lamotrigine, oxcarbazepine, levetiracetam, topiramate, zonisamide or lacosamide. There are others. Other than matching the drug to your seizure type, the tinder of see effects you might experience may vary (if yogurt side effects at all). ...Read moreSee 1 more doctor answer
Meds: Typically medications will be used first. There are a handful of medications that would potentially work well. Depending on where the seizures originate from, surgery could also be an option. But an extensive workup is typically done before you get to that point. ...Read more
Prophylaxis: Unfortunately, the mainstay of abortive treatment (the triptans) carries a theoretical risk of stroke in patients with hemiplegic migraine. While some studies suggest they might be safe, few patients or doctors are willing to take the risk. If nsaids are not effective abortives for your headache, prophylactic treatment to prevent the headaches in the first place should be strongly considered. ...Read more
Multiple options: The best idea is to stop migraines from developing. Preventive treatments include: medications, procedures-botox, nutritional supplements, increased exercise, and avoidance of migraine triggers. Treatments once a migraine develops include nsaid's (motrin), triptans (sumatriptan) amount others. There is not, to my knowledge, a specific treatment for basilar migraine. Get help-neurologist. ...Read more
Recently diagnosed with palatal myoclonus. What medical treatment is nest for myoclonus? Is Functional Cranial Release (FCR) a valid treatment?
Myoclonus: Often medical providers use medication to treat myoclonus. Sometimes palatal myoclonus does not need any treatment. Here is a link to more information about myoclonus: http://www.ninds.nih.gov/disorders/myoclonus/detail_myoclonus.htm I cannot find any medical literature supporting the use of FCR. I would not recommend it until it has been well-studied. ...Read moreSee 1 more doctor answer
Sometimes nothing!: Rolandic epilepsy is a form of epilepsy that often afflicts children, but it is considered a "benign" form of epilepsy. Most of the time it begins in children who are between 6 and 8, and it goes away by itself by around age 14. Because of the benign nature, often times no treatment is recommended. If the seizures are causing problem for the child, various seizure medicines can be helpful. ...Read more
Many: Over the counter remedies include zostrex cream-a cayenne pepper extract that will burn your eyes like tear gas. There are a number of medications including Lidoderm patches-a local anesthetic applied to the unbroken skin, a number of different meds of the anti-epileptic class like lyrica, (pregabalin) neurontin; snri antidepressents like Cymbalta and Pamelor work at the spinal cord level, . ...Read moreSee 1 more doctor answer
Yes it is: Though numbers are better when surgery is employed in focal epilepsies, generalized seizures are successfully treated using techniques such as implanted vagal stimulators and corpus callosum sections. It is even true that some cases of generalized epilepsy are recognized as focal after such surgeries are performed. In carefully chosen cases I believe outcomes are very good. ...Read more
Depends on type: There are more than one reason for seizures to preferentially occur upon awakening (or going to sleep) such as jme (juvenile myoclonic epilepsy) and tonic seizures. If it is jme then Depakote is the drug of choice. For tonic-clonic seizures Lamictal is also used. Have a talk with your neurologist about your seizure type so you will be better suited to answer that question in full. Good luck. ...Read moreSee 1 more doctor answer
Diagnostic testing: Best way to define treatment is to find what caused the stroke. It could be combination of risk factors (diabetes, high blood pressure, high choletserol), clots coming from the heart other arteries or uknown cause. Clots are best treated with blood thinners. Regardless of type of stroke, control of risk factors is very important (blood pressure control, normalization of cholesterol, healthy diet). ...Read moreSee 1 more doctor answer
What is the best treatment for rebound headaches if your allergic to triptans, dhe, tordol, stadol, and ultram. Botox didn't work. Status migraine 2 w?
Rebound or migraine?: A rebound headache is also called a"medication overuse headache,"&occurs, paradoxically, from daily use of "as needed" headache meds like acetaminophen, butalbital,triptans.There is less risk with NSAIDS (eg.naproxen).Individual advice requires appt,&in your specific case,with a Toradol allergy,you would need to clear this with your doctors first. A 2wk headache is very difficult-wishing you well. ...Read moreSee 2 more doctor answers
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