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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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EEG Shows Bilateral Fronto Centro Temporal Epileptic Discharges With Predominance Over Right Side. Indications?

Dear Doctor, My 12 year son suffering from fit bybirth his eeg result Shows (Conclusion : An abnormal EEG showing focal slowing spike wave epileptiform activity from RT temporoparietal regions.) and in second eeg (CONCLUSION: The record is abnormal. It shows bilateral fronto centro temporal epileptic discharges with predominance over right side.) Now his dose is : Oxeto 300=1-0-1 & Levepil=1-0-1 Is our treatment is on right track but he get fits every month.
Wed, 27 Feb 2013
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Neurologist,  's  Response
Hi,

Thank you for posting your query.

Your son has epilepsy as per the history and EEG data.

Epilepsy requires long term treatment, may be lifelog in your son's case.

What was the MRI brain finding?

The drugs are correct in this case. Since he still has fits, following options are avaialble:

1. Increasing the dose of current medications, as per the body weight.
2. Adding a new drug,
3. Work up for epilepsy surgery may be required, if medicines are not able to control his fits.

Best wishes,
Dr Sudhir Kumar MD DM (Neurology)
Senior Consultant Neurologist
Apollo Hospitals, Hyderabad
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EEG Shows Bilateral Fronto Centro Temporal Epileptic Discharges With Predominance Over Right Side. Indications?

Hi, Thank you for posting your query. Your son has epilepsy as per the history and EEG data. Epilepsy requires long term treatment, may be lifelog in your son s case. What was the MRI brain finding? The drugs are correct in this case. Since he still has fits, following options are avaialble: 1. Increasing the dose of current medications, as per the body weight. 2. Adding a new drug, 3. Work up for epilepsy surgery may be required, if medicines are not able to control his fits. Best wishes, Dr Sudhir Kumar MD DM (Neurology) Senior Consultant Neurologist Apollo Hospitals, Hyderabad