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Unknown Origin Seizures, Taking Keppra, Klonopin, Dilantin. Body Partially Paralyzed. Suggestions On Diagnosis ?
Question: For the last 2 weeks I have been having unknown origin seizures. They are on the verge of being grand mal seiures but also are what the doctors are considering tonic-clonic seizures. I do not remember anything about the seizure itself but can often times tell what is going on around me but just cannot respond to anything. My body is basically paralyzed to where I cannot move. I am so frustrated right now that I don't believe that anyone cares what is happening to me. I have been taken to the emergency room 4 times now in the last 2 weeks with these episodes.
I was placed on Keppra, Klonopin and Dilantin along with taking Lyrica for my severe fibromyalgia. I have been seeing a doctor, whom I thought was a neurologist only to find out that he had only studied neurology, and they only thing he ever wants to give me is Percocet for the degenerative disc disease that I have.
I am to the point now where nothing matters anymore. I understand that depression and stress can be factors in all of these symptoms but when I have been fighting them for over 2 years, it gets to the point where nothing matters!!
Can you please make any suggestions to me on which other way to look as far as a diagnosis? They have ran cat scans and MRI which all show negative results. PLEASE, I am desperate at this point!
I was placed on Keppra, Klonopin and Dilantin along with taking Lyrica for my severe fibromyalgia. I have been seeing a doctor, whom I thought was a neurologist only to find out that he had only studied neurology, and they only thing he ever wants to give me is Percocet for the degenerative disc disease that I have.
I am to the point now where nothing matters anymore. I understand that depression and stress can be factors in all of these symptoms but when I have been fighting them for over 2 years, it gets to the point where nothing matters!!
Can you please make any suggestions to me on which other way to look as far as a diagnosis? They have ran cat scans and MRI which all show negative results. PLEASE, I am desperate at this point!
Hello
Thanks for the query
From the description it looks likes probably you are suffering from complex partial seizures on the verge of getting secondarily generalized. However it is unusual for someone to continue to get seizures after taking Keppra, Klonopin and Dilantin.
Medically refractory epilepsy can be due to poor drug compliance, wrong epilepsy classification, poor control of triggers factors like sleep deprivations and stress. Rarely it could be due to conditions which mimic epilepsy and is being wrongly treated as epilepsy.
So I personally feel you need to see a Neurologist experienced in treating refractory epilepsy or a Epileptologist for a good clinical history and evaluation. Video-EEG may be ordered to characterize the events and to reclassify the epilepsy syndrome. Once the nature of the events are clarified various treatment options can be explored.
I thank you again for submitting the query. Hope, I have answered your query. If you have any follow up queries, I will be available to answer them. Please accept my answer in case you have no follow up queries.
Sincerely,
Dr Shiva Kumar R.
Consultant Neurologist & Epileptologist
Thanks for the query
From the description it looks likes probably you are suffering from complex partial seizures on the verge of getting secondarily generalized. However it is unusual for someone to continue to get seizures after taking Keppra, Klonopin and Dilantin.
Medically refractory epilepsy can be due to poor drug compliance, wrong epilepsy classification, poor control of triggers factors like sleep deprivations and stress. Rarely it could be due to conditions which mimic epilepsy and is being wrongly treated as epilepsy.
So I personally feel you need to see a Neurologist experienced in treating refractory epilepsy or a Epileptologist for a good clinical history and evaluation. Video-EEG may be ordered to characterize the events and to reclassify the epilepsy syndrome. Once the nature of the events are clarified various treatment options can be explored.
I thank you again for submitting the query. Hope, I have answered your query. If you have any follow up queries, I will be available to answer them. Please accept my answer in case you have no follow up queries.
Sincerely,
Dr Shiva Kumar R.
Consultant Neurologist & Epileptologist
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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