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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have Cerebral Palsy. Frequent Fits. Difficulty In Moving The Legs. Taking Tolifast. Any Other Medication?

Hello Sir, My brother is suffering from cerebral palsy since his childhood. He is continuously getting fits and right side hand and leg are affected. He is 30 yrs now. We have been using both English medicine as well as ayurdic medicine. However, fits did not come into control. Past 6 months, fits are coming almost twice a day. Recently we went to a Doctor and he suggested us to use Carbatol 400mg and Lacoset 150mg. Good that he did not get any fits in these 20 days. But, 2 days back, suddenly he feels some problem with his right leg and couldnt use his leg as before. With great difficulty he moved his leg. But as hours passed, it became better but still problem exists. We were afraid it might be beause of the new medicine. Doctor confirmed that it is definetely not because of the medicine and gave a new medicine TOLIFAST 150 and continue for one month. He said it happened due to severe cold . We are worried about the situation. Kindly please suggest. Thanks, Lakshmi
Wed, 13 Nov 2013
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Neurologist 's  Response
Hi,
Thank you for posting your query.

Fits can be brought under good control with medications in most patients (about 70-80%), in the rest, surgery may be required.

Carbatol and lacoset are good medications to control fits and seizures, and should be continued. The side effect of leg weakness is not due to these drugs.

He would require anti-seizure medications for whole life, as the brain damage resulting in fits are likely to remain throughout life.

In addition, please do active physiotherapy to improve the leg function.

I hope it helps. Please get back if you require any additional information.

Wishing you good health,

Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)
Senior Consultant Neurologist
Apollo Hospitals, Hyderabad, India
Click on this link to ask me a DIRECT QUERY: http://bit.ly/Dr-Sudhir-kumar
My BLOG: http://bestneurodoctor.blogspot.in

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Have Cerebral Palsy. Frequent Fits. Difficulty In Moving The Legs. Taking Tolifast. Any Other Medication?

Hi, Thank you for posting your query. Fits can be brought under good control with medications in most patients (about 70-80%), in the rest, surgery may be required. Carbatol and lacoset are good medications to control fits and seizures, and should be continued. The side effect of leg weakness is not due to these drugs. He would require anti-seizure medications for whole life, as the brain damage resulting in fits are likely to remain throughout life. In addition, please do active physiotherapy to improve the leg function. I hope it helps. Please get back if you require any additional information. Wishing you good health, Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) Senior Consultant Neurologist Apollo Hospitals, Hyderabad, India Click on this link to ask me a DIRECT QUERY: http://bit.ly/Dr-Sudhir-kumar My BLOG: http://bestneurodoctor.blogspot.in