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Doctor insights on: Pet Refractory Seizures Presurgical Evaluation

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No medical hist. developed respiratory prob.viral infect. with headache&vomiting, left facio-brachial seizures that became continuous, evolving into refractory status epilepticus, with bilateralization. Tests are fine. Now in coma and no diagnostic?

No medical hist. developed respiratory prob.viral infect. with headache&vomiting, left facio-brachial seizures that became continuous, evolving into refractory status epilepticus, with bilateralization. Tests are fine. Now in coma and no diagnostic?

Seizures: This sounds like meningitis and encephalitis from an infection. Sometimes there are clues in the complete blood count. Bacterial infections typically show a predominance of neutrophils (also called granulocytes), while viral infections often show a predominance of monocytes or other lymphocytes. Also, if intubated then probably there are sedative medications changing mental status as well. ...Read more

Dr. Nancy Rodgers-neame
29 doctors shared insights

Status Epilepticus (Definition)

Without regaining consciousness between each event. The most common cause is sudden stopping of anti-epileptic drug, but this can be an event secondary to infection, injury, encephalitis, chemical imbalance in the body, alcoholism. This is indeed a true ...Read more


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How are serial seizures and status epilepticus treated?

How are serial seizures and status epilepticus treated?

STATUS EPILEPTICUS: Status epilepticus is an emergency and can be fatal, generally any seizure lasted more than 20-30 minutes or multiple seizures occurred without returning to normal alertness between those seizures called status. Treatment includes, preserving the breathing may need intubation, seizure medication is needed to stop the status and transfering the patient to intensive care unit always needed. ...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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Can someone tell me what seizures are like in status epilepticus?

No recovery between: Status epilepticus means no recovery between seizures lasting more than 30 minutes--- it could be evident tonic clonic jerking or could be non convulsive status like patient in a non responsive state but not jerking there is other kinds of status like simple partial. ...Read more

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If this is the first time I am having seizures but it lasted more than 30 minutes, is it considered status epilepticus?

If this is the first time I am having seizures but it lasted more than 30 minutes, is it considered status epilepticus?

Depends: The details provided are sketchy and definitions vary, but traditionally status epilepticus is defined as one continuous, unremitting seizure lasting longer than 5 minutes, or recurrent seizures without regaining consciousness between seizures for greater than 5 minutes. 5 min has been chosen as this is the time frame when the seizures are unlikely to self-terminate and neuron damage can occur. ...Read more

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What is the prognosis for status epilepticus? Left sided stroke, craniotomy, seizure free first 1 1/2 yrs. 2 seizure meds episodes min 75days apart

What is the prognosis for status epilepticus? Left sided stroke, craniotomy, seizure free first 1 1/2 yrs. 2 seizure meds episodes min 75days apart

Status epi: Long-lasting status is a difficult case and can be serious. People who have recovered from status have a much better prognosis, with rare relapses, but they should continue anticonvulsant medications afterwards. They will likely always be on at least one medicine. ...Read more

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Why would coma induction be used as a treatment for refractory status epilepticus?

Why would coma induction be used as a treatment for refractory status epilepticus?

For brain protection: It is thought that repetitive seizures if not controlled can themselves injure the brain. If the seizures are hard to control it is necessary to give drugs which deeply sedate the patient in order to stop the seizures. ...Read more

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Name of top surgeon/facility for frontal cortical dysplasia evaluation, treatment and/or surgery? Thank you e olsen healthy, otherwise normal 16 yr old female, tonic clonic, versive seizures approx 1 x month for 4 years on lamictal. A few 2 and 3 month

Name of top surgeon/facility for frontal cortical dysplasia evaluation, treatment and/or surgery?  Thank you  e olsen healthy, otherwise normal 16 yr old female, tonic clonic, versive seizures approx 1 x month for 4 years on lamictal.  A few 2 and 3 month

Some suggestions: You could start with University Hospital in Aurora, but I think more surgical epilepsy experience is present at UCLA Hospital in California, Mayo Clinic in Rochester, Mn, Cleveland Clinic in Ohio, and of course, Johns Hopkins Hospital in Baltimore. No harm in acquiring several opinions via phone calls, first. This is a highly specialized area, and would take your time to find success. ...Read more

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Can a Pet scan diagnose Generalized seizures?

Can a Pet scan diagnose Generalized seizures?

Not really: Primary generalized seizures would not be expected to change anything on a PET scan. Partial-onset could show an area of altered metabolism. Either way, PET scans are not really a primary way to diagnose epilepsy. ...Read more

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When is epilepsy is considered "refractory"? Tried couple of meds that work 4 for a bit but then seizures & migraines again. Getting frustrated.

When is epilepsy is considered "refractory"? Tried couple of meds that work 4 for a bit but then seizures & migraines again. Getting frustrated.

FLEXIBLE DEFINITION: In fact, full control is the goal, but "refractory" could imply just a few seizures monthly. Whenever using epilepsy medication, need to dose to maximum level, if tolerated. Then add second medicine if first is inadequate. A third medication has only a 3-4% chance of controlling seizures, and if this develops, consider a Vagal Nerve Stimulator. We have well over 20 AEDs, and one may be best. ...Read more

Dr. William Singer
1,016 doctors shared insights

Seizure Disorder (Definition)

Seizure disorder also known as epilepsy, is a neurological condition in which the brain's abnormal electrical activity causes muscular convulsions and altered mental states. Epilepsy is diagnosed when an individual has ...Read more