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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Treat Simple Partial Seizures?

I want to know if there is a latest news about the Stem Cell Therapy for treating Muscular Dystrophy.Also my cousin is 29 years old diagnosed with simple partial seizures few months ago but the condition started since he was 21 years old but he did not take any medications because doctors said its psychological seizures ... he did MRI brain that showed brain atrophy ... EEG is normal when he diagnosed with simple seizures . the frequency now became less .there is no family history of similar condition , no head injury or stroke or other factors that lead to his illness . what is the best medication to take with less side effects if he needs to take medication .
Fri, 28 Feb 2020
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Neurologist 's  Response
Hi,

First of all, your cousin could have Mesial temporal lobe seizure. He should have taken Carbamazepine to treat his condition. The mesial temporal lobe seizure has psychological symptoms, but this does not mean it causes by psychological factors. Therefore, if he still have epileptic attacks, he should take carbamazepine 400 mg; half a tablet at 8 o'clock in the morning before meals for three days, then add half a tablet at 4 o'clock pm in the afternoon before meals for three days, then add half a tablet at 12 o'clock at night before meals for three days, then the dose should be increased by half a tablet every three days until the dose becomes one tablet three times per day.

Second, he should measure the level of the Carbamazepine in the blood every 6 months and do liver function tests every 6 months. If he cannot tolerate the side effects of the drug he can a neurosurgeon for help. The stem cells therapy is promising therapy for muscular dystrophy, but it needs further trial in order to apply it on human being.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Mustafa, Neurologist
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How To Treat Simple Partial Seizures?

Hi, First of all, your cousin could have Mesial temporal lobe seizure. He should have taken Carbamazepine to treat his condition. The mesial temporal lobe seizure has psychological symptoms, but this does not mean it causes by psychological factors. Therefore, if he still have epileptic attacks, he should take carbamazepine 400 mg; half a tablet at 8 o clock in the morning before meals for three days, then add half a tablet at 4 o clock pm in the afternoon before meals for three days, then add half a tablet at 12 o clock at night before meals for three days, then the dose should be increased by half a tablet every three days until the dose becomes one tablet three times per day. Second, he should measure the level of the Carbamazepine in the blood every 6 months and do liver function tests every 6 months. If he cannot tolerate the side effects of the drug he can a neurosurgeon for help. The stem cells therapy is promising therapy for muscular dystrophy, but it needs further trial in order to apply it on human being. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Mustafa, Neurologist