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Arteriovenous malformation and scar epilepsy - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Epilepsy
Answered by

General & Family Physician
Practicing since : 2005
Answered : 1724 Questions
Doctor :   Hi
Doctor :   Post your query
User :   I was operated for AVM in 2001 Nov
Doctor :   Where was it done?
User :   it was in the front left portion of the brain and was removed by craniotomy
User :   since then i m on AEDs
Doctor :   ok
User :   i wanted to know if i can stop taking these
Doctor :   May i know your age?
User :   41 yrs
Doctor :   ok
Doctor :   Did you experience any seizure before or after the surgery?
User :   the AVM was diagonised after the first symptom - a seizure which i got in my office on one evening
Doctor :   ok
User :   after the surgery there were seizures but it was very mild - just a speech lock.
Doctor :   ok
Doctor :   Are you on follow up?
User :   during these I was able to uderstand whatever was happening around me
User :   yes i m
User :   the doc says this is scar epillepsy
Doctor :   Medication can often alleviate general symptoms such as headache, back pain, and seizures caused by AVMs and other vascular lesions. However, the definitive treatment for AVMs is either surgery or focused irradiation therapy.
Doctor :   Since you had 2 episodes of seizure now
Doctor :   you cannot stop the drugs as of now
User :   ok
User :   is there anything i can do to avoid the side effects
Doctor :   Some time you might need it life long
Doctor :   since you have a scar in brain
Doctor :   that can provoke seizure anytime
Doctor :   Radiosurgery is a special area of interest because this technology is still in its infancy.
Doctor :   An ongoing study is closely examining the precise effects that radiation exposure has on vascular tissue in order to improve the predictability and consistency of treatment results.
Doctor :   AVMs also can cause a wide range of more specific neurological symptoms that vary from person to person, depending primarily upon the location of the AVM.
Doctor :   Endovascular embolization and radiosurgery are less invasive than conventional surgery and offer safer treatment options for some AVMs located deep inside the brain
User :   ok.. incase i need to take these drugs for lifetime is there anything i can do to avoid the side effects - like drowsiness, lack of concentration
Doctor :   That you can discuss with your neurologist
Doctor :   Because it is dose related
Doctor :   and varies among patients
Doctor :   Which medicine are you taking now?
User :   i m on oxetol 150. I take 3 tabs in the morning and 3 in the evening
Doctor :   ok
User :   is the dose very high?
Doctor :   Oxetol contains oxcarbamazepine, which is actually meant for the treatment of epilepsy (fits) though it has some anti-depressant properties also.
Doctor :   The side : Fatigue,, CNS gastro-intestinal disturbances, hyponatraemia (low salt levels in blood), dizziness, agitation,, tremor, abnormal gait, rash, acne, serious skin reactions,thrombocytopenia (low platelet count that can lead to bleeding). diplopia (double vision),
Doctor :   yes your dose is slightly high
Doctor :   you can discuss with your neurologist about
Doctor :   reducing the dose
Doctor :   after seeing your side effects
User :   sure doctor. thank you so much for ur advice
Doctor :   Is there anything else i can help you with now?
User :   no. that wud be all. tks once again
Doctor :   Thanks for consulting
Doctor :   Bye for now...
Doctor :   Take care....
User :   bye
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