Doctor insights on:
Herbal Treatment For Juvenile Myoclonic Epilepsy
Best described by janz in young women. Often with early morning muscle jerks and spasms but can also have associated convulsions. Fairly common and often develops during adolescence. Can be outgrown, but often continues as a primary generalized epilepsy. Eeg pattern very characteristic. Responds to specific medications especially depakote, zonegran, keppra, ? Vimpat, ...Read more
Gone with time: Most cases of juvenile myoclonic epilepsy (jme) do have to remain on some medication for many years. There are some cases where they are able to discontinue medication within a couple years of treatment. This is not a cure, but is a condition of resolution of the condition with time. There is no specific treatment that is designed to cure. Medications help control as well as good health habits. ...Read more
JME of Janz: Best described by janz in young women. Often with early morning muscle jerks and spasms but can also have associated convulsions. Fairly common and often develops during adolescence. Can be outgrown, but often continues as a primary generalized epilepsy. Eeg pattern very characteristic. Responds to specific medications especially depakote, zonegran, keppra, ? Vimpat, (lacosamide) genetic marking found. ...Read more
I was diagnosed with Juvenile Myoclonic Epilepsy in 2009 (at age 15). Have remained seizure free since then. Can I discontinue Levera XR 750 now?
Seizures: Stopping seizure meds can be an option. However not without close medical supervision. Talk with your doctor. Find out if the time is right. Going off these meds needs to be done gradually so as to not trigger a seizure again. It must be a great feeling to be seizure free. Staying without seizures is the goal. Do it with the council of your doctor! ...Read more
A form of epilepsy..: Usually seen in adolescents - described as involuntary spasms (or jerking) of an upper extremity (such as flinging a comb or a toothbrush) which may, about 1/4 of the time, also demonstrate generalized seizures later in life. Most do not, however. Usually worse in kids that are overly fatigued (e.g. Staying up late/poor sleep) and can sometimes be attributed to "typical teen behavior". ...Read more
I was diagnosed with juvenile myoclonic epilepsy. Are seizures more likely to happen at night or in the afternoon?
Are most likely to occur around the time of awakening. Other seizure types associated with JME can occur in sleep more than when awake (focal seizures, GTC, secondarily generalized GTC) Absence seizures tend to be brought out by hyperventilation if they occur at all.
No two cases, to me, are identical making diagnosis a bit tricky. Best of luck. (Treat with Depakote, Keppra (levetiracetam) or Lamictal) ...Read more
My daughter 27 years of age taking myclonic epilepsy drugs for last 17 years but no improvement kindly tell me some herbal treatment?
Sorry, no such Rx: There are no "herbal" or otc agents which work for what seems possibly to be juvenile myoclonic epilepsy. Not clear why she is not responding, but the best drugs are Depakote and keppra (levetiracetam). However, could also consider vagal nerve stimulator implantation. Suggest you get consultation from an epileptologist at a nearby medical school. ...Read more
Genetic disease: It is a genetic disease that results from abnormalities in parts of the cells called mitochondria which carry out oxygen-dependent reactions. In this type, the patient has myoclonus: sudden jerks in arms and legs due to abnormal discharges in brain, usually without loss of consciousness and weakness in muscles. The abnormal mitochondria look like ragged fibers when examined under microscope. ...Read more
Seizure v epilepsy: The easy answer is that epilepsy is a condition of two or more unprovoked seizures. A myoclonic seizure is a single event, myoclonic epilepsy is the tendency to continue to have myoclonic seizures. Normally the two of these are associated though, since most people who have myoclonic seizures have myoclonic epilepsy or a similar form of epilepsy. ...Read more
Is there a loss of sensorium in myoclonic epilepsy? And can it be inherited as autosomal dominant?
Myoclonic Epilepsy: Is a group of I epilepsies. The progressive myoclonic epilepsies have different patterns of inheritance. Some are associated with changes in sensorium. Ask your OB if molecular genetic testing like Chromosomal Microarray is available. If the affected family member (s) & both parents can be tested, a geneticist or genetic counselor can give you the answer you seek. ...Read more
Sudden jerks: Myoclonus involves a sudden involuntary jumping of a limb or even the trunk. It can be benign, as legs may jerk on going to sleep, or it can be very troublesome after contact with inadequate oxygen (hypoxia). A typical myoclonic epilepsy is "juvenile myoclonic epilepsy" which is not uncommon, and has the jerking, but also episodes of loss of consciousness. Specific meds are needed. ...Read more
Can you tell me in the summer I was diagnosed with juvenlie myoclonic epilepsy could a seizure happen at night?
First...: Although possible, it is DISTINCTLY uncommon to begin having seizures due to JME at 42. The syndrome comes on a puberty, and is genetic (autosomal dominant with variable penetrance). Second...yes. Although people with JME more often have seizures shortly after awakening, some can have seizures at night. I'd make sure an epilepsy subspecialist concurs with diagnosis. ...Read more
Muscle spasms: Seizures usually have a stiff tonic phase followed by rhythmic jerking or clonic phase. Myoclonic spasms can be isolated and independent. Infants may have a series of painful spasms especially upon awakening. Adolescents may have morning spasms and even drop or throw their toothbrush. Lennox-gastaut patients may have massive spasms or drop attacks that are myoclonic. Difficult to treat. ...Read more
Not advised!: With good and effective medication there is no reason to go to unscientific, potentially harmfull treatment choices! ...Read more
Control, not cure: Most common variety is juvenile myoclonic epilepsy which does respond to several anti-epileptic meds, including depakote, keppra, maybe lamictal, maybe topamax, likely lyrica, probably vimpat, (lacosamide) and likely Potiga (but too new). Older drugs such as dilantin, tegretol, Trileptal make it worse! ...Read more
I was treated with epilepsy for 5 years and it was gone. Now after 3 years it has reoccurred. Isn't there any permanent treatment for it? Thanks
Treatment for seizures is aimed at control not cure. The only possibility of cure is when there is a very localized focus of seizure activity that can be removed by a neurosurgeon.
Patients who go from 2-4 seizure free years have up to a. 70% chance of discontinuing medication without recurrence. This leaves a 39% chance of recurrence. ...Read more
Yes: Whereas in the past there were only a few drugs, now there are many that can be customized based on risk factors and even the type of seizures. Older medicines like Depakote and Dilantin are still used, and still work well, but new medications like Keppra (levetiracetam) are becoming the mainstay in treatment for many types of seizures. ...Read more
Can't do it online: You need to see a qualified pediatric neurologist or a neurologist for evaluation and management, if this is not available where you are, then a good pediatrician would direct your child's care, best wishes ...Read more
Newer medications: Several new medications are appearing on the market. Must say I am not so sure this truly represents a breakthrough or substantial improvement, and the future risk factor projection is yet unclear. Approaches which could be considered include implantation of vagal nerve stimulator device, and even some newer surgical extirpations. ...Read more
I have epilepsy and my dr and I are discussing treatment I have them few times a week. We talk about klonopin (clonazepam) 1mg 1po tid as one of the meds what do you think?
Need to be taken daily and as prescribed for benefit.
As for klonopin, (clonazepam) I can’t speak for your neurologist, but it’s rarely used as a seizure medication nowadays with there being more effective, safer drugs on the market.
Please discuss your seizures and treatment options further with your neurologist. ...Read more
I have epilepsy from the past 3years. I am tired of medications. What is the best treatment for epilepsy?
Epilepsy: I am sorry to hear about your struggle. I understand this must be very difficult to you. The best treatment for your epilepsy will depend on the type of seizure or epilepsy. Difficult to control seizures require multiple medications. In most teaching hospitals, epilepsy centers are now providing surgical cure to some types of seizures. A vagus nerve stimulator could also be used in some cases. ...Read more
Epileptic seizures. Per Mayo Clinic "Epilepsy is a central nervous system disorder (neurological disorder) in which nerve cell activity in the brain becomes disrupted, causing seizures or periods of unusual behavior, sensations and sometimes loss of consciousness. " ...Read more