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Suggest Treatment For Localized Headaches And Seizures

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Posted on Mon, 1 Dec 2014
Question: About a month and a half ago, I had a seizure in my class (only a 10 second one and at the time I was sleep deprived and I had drank coffee the morning of) and I have noticed for about 3 months that I couldn't focus as well as I used to. Also, I feel less smart than I used to be and I've been having really weird localized head pains and Pressures that are different from any normal head ache I've had before. This is not because they are really painful it's because they feel very different from the usual headaches I've gotten before. I have also went through severe depression for only a few days at a time then back to perfectly normal in no time and I have been experiencing weird tastes in my that can be metallic or that are indescribable. I am 15 and I just wanted to know if anything is wrong with me and if I should go to a doctor.
doctor
Answered by Dr. Seikhoo Bishnoi (13 minutes later)
Brief Answer:
Detailed evaluation is needed for depression

Detailed Answer:
Hello
Welcome to HCM

You are a young male with no significant history. You developed one episode of seizure about one and half months ago. You didn't have good sleep prior to seizure episode. After that you have started having symptoms of depression. Localised pains in head, pressure in head etc are other symptoms. You have abnormal tastes in mouth.

First of all I would like to know if you lost consciousness during the episode of seizure. If you had abnormal movements of whole body of the movements were localised to on place. If you got any injury due to fall because of seizure. Generalised seizures are usually associated with loss of consciousness. Sleep deprivation cause lowering of seizure threshold and this can precipitate seizure. Even single episode of seizure need proper evaluation. I would advise you to consult a good doctor and get your EEG done to find out any seizure focus in brain. MR-Scan is done to rule out any lesion in brain.

The seizure episode is causing development of symptoms like headache, heaviness in head. These symptoms might be occurring due to somatic symptoms of depression. Mild depression can present with these symptoms. I would advise you to consult a neuropsychiatrist for expert opinion.

Follow following precautions for seizures-

- Don't remain awake till late in night. Sleep at time and don't deprive yourself from sleep.

- Avoid any activating substance like nicotine or even excess coffee. Also avoid alcohol.

- Avoid looking at bright lights or glittering things in night. This can also lower seizure threshold. Avoid very loud sounds.

- Take your meals at time keep doing your normal studies regularly.

Thanks, hope this helps you, if you have more questions you can ask again.
Above answer was peer-reviewed by : Dr. Shanthi.E
doctor
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Follow up: Dr. Seikhoo Bishnoi (31 minutes later)
Yes, I lost consciousness. so I was sitting down and I started blacking out. After that I supposedly had my back on the desk behind me and I was convulsing. Then I went foward into my desk and I hit my head on the desk to the right of me and from there I was slouched over the railing of my desk. Then my teacher pulled me up and that was when I started to regain consciousness. After I felt weak, cold, and I had tingling all over my body for a couple of hours .
doctor
Answered by Dr. Seikhoo Bishnoi (24 minutes later)
Brief Answer:
Generalised seizure

Detailed Answer:
Hello again

You lost the consciousness and the onset was sudden with history of fall. You had convulsions of whole body. Most likely it was Generalised Tonic Clonic Seizure (GTCS). The cold and tingling after episode was most likely due to post ictal complications.

These are associated with loss of consciousness and involve generalised area. Even a single episode need evaluation. Though some doctors don't prescribe medicines (anti epileptic drugs) on single episode still I would advise to consult you doctor for treatment.

Anti-epileptic drugs are common used in treatment. Medicines like Sodium Valproate, Carbamazepine, Oxcarbamazepine etc are commonly used drugs. These are broad spectrum drugs and are devoid of serious side effect.

In established cases who are fit for therapy treatment is given for about 3 years to prevent further recurrence. As you had one episode only as per my opinion there is need for evaluation but there is very less need for medicines.

Thanks, You can ask again if you have more doubts.
Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju
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Answered by
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Dr. Seikhoo Bishnoi

Psychiatrist

Practicing since :2007

Answered : 5193 Questions

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Suggest Treatment For Localized Headaches And Seizures

Brief Answer: Detailed evaluation is needed for depression Detailed Answer: Hello Welcome to HCM You are a young male with no significant history. You developed one episode of seizure about one and half months ago. You didn't have good sleep prior to seizure episode. After that you have started having symptoms of depression. Localised pains in head, pressure in head etc are other symptoms. You have abnormal tastes in mouth. First of all I would like to know if you lost consciousness during the episode of seizure. If you had abnormal movements of whole body of the movements were localised to on place. If you got any injury due to fall because of seizure. Generalised seizures are usually associated with loss of consciousness. Sleep deprivation cause lowering of seizure threshold and this can precipitate seizure. Even single episode of seizure need proper evaluation. I would advise you to consult a good doctor and get your EEG done to find out any seizure focus in brain. MR-Scan is done to rule out any lesion in brain. The seizure episode is causing development of symptoms like headache, heaviness in head. These symptoms might be occurring due to somatic symptoms of depression. Mild depression can present with these symptoms. I would advise you to consult a neuropsychiatrist for expert opinion. Follow following precautions for seizures- - Don't remain awake till late in night. Sleep at time and don't deprive yourself from sleep. - Avoid any activating substance like nicotine or even excess coffee. Also avoid alcohol. - Avoid looking at bright lights or glittering things in night. This can also lower seizure threshold. Avoid very loud sounds. - Take your meals at time keep doing your normal studies regularly. Thanks, hope this helps you, if you have more questions you can ask again.