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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Remedy For Frequent Seizures That Starts With Leg Pain

Hi, My daughter (age 25)is having frequent episodes of heavy sleep/minor seizure like episodes which can last up to two minutes at a time during the day. They are often accompanied beforehand as a cold leg pain which moves up her spinal cord to the head just before she enters these sleeping phases. They are more likely to happen during the afternoon/evening, but not in the morning. At other times she appears normal. Tests so far have ruled out a heart or blood pressure, or ear and nose problem, and many blood tests have not found anything. She has yet to see a Neurologist.Can you possibly advise what the problem may be as we are (and our own GPs) are running out of ideas.
Wed, 13 Apr 2016
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Diabetologist 's  Response
Hello
I am Dr Mittal.
I have read your query.
I think I can help you.

The symptoms of your daughter are quite suggestive of 2 possibilities. I would feel that she has either a Complex partial seizure with secondary generalization. Another possibility is restless leg syndrome.
Considering the information given in the query, I am more inclined to the former.
Now this is quite a specific information that the symptoms start in the leg and gradually progress up the body. It seems to indicate the involvement of what is known as the homunculus, or representation of the body in the brain.
I therefore feel that a MRI of the brain, and an EEG would help her significantly in getting to the diagnosis. A video EEG would be more helpful than a plain EEG.
In case it does turn out to be seizure disorder, good medicines are now available for seizures.
However, since the medicines do have side effects, I would not suggest tsarting them till a complete evaluation by a neurologist and the completion of the above tests.

I have tried my best to make it as simple as possible.
Please feel free to contact us for more information.
Best of luck,
Dr Mittal
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Suggest Remedy For Frequent Seizures That Starts With Leg Pain

Hello I am Dr Mittal. I have read your query. I think I can help you. The symptoms of your daughter are quite suggestive of 2 possibilities. I would feel that she has either a Complex partial seizure with secondary generalization. Another possibility is restless leg syndrome. Considering the information given in the query, I am more inclined to the former. Now this is quite a specific information that the symptoms start in the leg and gradually progress up the body. It seems to indicate the involvement of what is known as the homunculus, or representation of the body in the brain. I therefore feel that a MRI of the brain, and an EEG would help her significantly in getting to the diagnosis. A video EEG would be more helpful than a plain EEG. In case it does turn out to be seizure disorder, good medicines are now available for seizures. However, since the medicines do have side effects, I would not suggest tsarting them till a complete evaluation by a neurologist and the completion of the above tests. I have tried my best to make it as simple as possible. Please feel free to contact us for more information. Best of luck, Dr Mittal