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What Causes Myoclonic Seizures?

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Posted on Sat, 12 Jul 2014
Question: I am a 27 y.o. female, and think I am having myoclonic seizures all day long At times and partial seizures from time to time. I seem to have a long aura of about 30mins. I just starting taking gabapentin tid, and have Rx for Xanax 0.25mg (started 6/13), if I feel episode coming on---I take one. usually it works to stop it, but there has been a few times I had to take another an hour later. however I think the Xanax is making it worse. ..I have had to take it more often.every night like clockwork- ---when I start winding down and trying to relaxthe arm jerks begin and get bad. they are bad in morning, and I am having seizures I believe in my sleep. I awake terrified and very dyspnic.
my muscles in my left arm are so sore and fatigued. Had MRI , brain normal, Just shows maxillary. hypoplasia , don't think this is contributing? ? I have appt Mon with neurologist, is there anything particular I should mention about medications. have youheard of particular people not being responsive or Xanax making seizures worse? is there anything other then clonazepam. that would be helpful? I really want to avoid staying off the benzos, I am entering my final semester of respiratory care school, and I don't know how I am going to be able to draw ABG'S, or what if this starts happening during a code? I need to drug test and cannot be on these controlled substances forever!!!! I am just panicked and desperate for answers. I have episodes in my sleep and it is affect ting my quality of life and day to day activities. any advice you can give would be. a great help. Thank you!
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Answered by Dr. Raju A.T (13 hours later)
Brief Answer:
Please find your answers below

Detailed Answer:
Hi,

Thanks for your query.

I have gone through your query in detail. Please find the answers for your questions below.

1) maxillary. hypoplasia , don't think this is contributing?
-- No, I do not think it can contribute to your condition by any means.

MRI may not be reliable in your case. Do get a EEG (Electroencephalogram) done. This can identify which part of the brain sends the abnormal impulses.

2) is there anything particular I should mention about medications. have youheard of particular people not being responsive or Xanax making seizures worse?
-- Yes, do mention about the xanax and its dosage you were on. Its very important, as you doubt it could have worsened the condition besides getting unresponsive.

3) is there anything other then clonazepam. that would be helpful?
-- Yes, Sodium Valproate or lamotrigine could be a better substitute.

4) what if this starts happening during a code?
-- yes, if not managed well there are chances of worsening.

Hope, I answered your query.

Please do ask if you have any other concerns.

Wish you good health.

regards,
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Raju A.T

General & Family Physician

Practicing since :2008

Answered : 4923 Questions

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What Causes Myoclonic Seizures?

Brief Answer: Please find your answers below Detailed Answer: Hi, Thanks for your query. I have gone through your query in detail. Please find the answers for your questions below. 1) maxillary. hypoplasia , don't think this is contributing? -- No, I do not think it can contribute to your condition by any means. MRI may not be reliable in your case. Do get a EEG (Electroencephalogram) done. This can identify which part of the brain sends the abnormal impulses. 2) is there anything particular I should mention about medications. have youheard of particular people not being responsive or Xanax making seizures worse? -- Yes, do mention about the xanax and its dosage you were on. Its very important, as you doubt it could have worsened the condition besides getting unresponsive. 3) is there anything other then clonazepam. that would be helpful? -- Yes, Sodium Valproate or lamotrigine could be a better substitute. 4) what if this starts happening during a code? -- yes, if not managed well there are chances of worsening. Hope, I answered your query. Please do ask if you have any other concerns. Wish you good health. regards,