Thank you for posting your query.
I appreciate the detailed description provided by you regarding the patient's illness.
It is clear that patient has two types of seizures- epileptic and non epileptic seizures
. Non epileptic seizures are also called as psychogenic seizures
As you have mentioned, the epileptic seizures have been well controlled on sodium valproate. However, psychogenic seizures are not. For this he needs to consult a psychiatrist
and counselling may be required.
MRI brain report does not show any significant abnormality in this patient.
Dr Sudhir Kumar Md DM (Neurology)
Senior Consultant Neurologist