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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Spike In BP During A Seizure

I'm a 64 year old female. I was diagnosed 2 years ago with epilepsy & have been on Keppra 3000 mg. a day & Topamax 200 mg. a days. I was just re-tested & diagnosed with complicated migraines instead of epilepsy, which I'm very thankful. I was taken off the Keppra but left on the Topamax plus Klonopin 1mg. My concern is that my Bp spikes when I start to have a seizure to 200/112 , which I know is stroke level & it scares me to be alone. Iam very concerned. Prior to this I was very healthy, exercised all the time, ran 5 k's , very active. I'm ready to get my life back. Any advice on helping me get there? Thank you, Mavis Nowell
Wed, 12 Feb 2014
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Neurologist 's  Response
Hi,

Thank you for posting your query.

I have noted your details and I am glad to note that you do not epilepsy, and have been taken off Keppra.

If you do not have epilepsy, then, how can you have a seizure?

Please discuss with your neurologist about that.

Once your migraines get controlled, you can again lead a normal life, so, you should be hopeful.

I hope my reply has helped you.

I would be pleased to answer, if you have any follow up queries or if you require any further information.
     
Best wishes,
Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)
Senior Consultant Neurologist
Apollo Hospitals, Hyderabad,
For DIRECT QUERY to me: http://bit.ly/Dr-Sudhir-kumar
My blog: http://bestneurodoctor.blogspot.com/
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General & Family Physician Dr. Kishore Kunal's  Response
Hi Mavis ,
As mentioned you had seizure episodes and during that period ur BP used to shoot .

Let me be very clear, you had seizure disorder and there is a proper guidelines to stop its mediation by tapering it after 5 yrs seizure free period. It should never be stopped abruptly .
Migraine is different condition in that headache is main component. I wonder how you were diagnosed complicated migraine. At the time of seizure episode it is obvious that bp shoots but to have stroke there must be some pathology in the vessels .
So in my opinion take second opinion from neuro physician .

Thanks n regards
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Suggest Treatment For Spike In BP During A Seizure

Hi, Thank you for posting your query. I have noted your details and I am glad to note that you do not epilepsy, and have been taken off Keppra. If you do not have epilepsy, then, how can you have a seizure? Please discuss with your neurologist about that. Once your migraines get controlled, you can again lead a normal life, so, you should be hopeful. I hope my reply has helped you. I would be pleased to answer, if you have any follow up queries or if you require any further information. Best wishes, Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) Senior Consultant Neurologist Apollo Hospitals, Hyderabad, For DIRECT QUERY to me: http://bit.ly/Dr-Sudhir-kumar My blog: http://bestneurodoctor.blogspot.com/