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Child having frequent unconsciousness. Nil observation shown in EEG and CT scan. Taking propranol and lamotrigine. Suggest the cure?

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Hi My 13 year old son is having frequent unconsciousness since last 3 weeks. His EEG & CT SCAN also carried out with nil observation. He is taking PROPRANOL & LAMOTRIGINE. In spite of medications he continude to become unconscious all most 3 times a day. PLEASE HELP
Posted Wed, 13 Nov 2013 in General Health
Answered by Dr. Shruti Rijhwani 40 minutes later
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Detailed Answer:
Dear Madam,

Thank you for posting your query on XXXXXXX .

Well looking into your problem I can see that your son gets recurrent attacks of unconsciousness 3 times a day despite on lamotrigine intake which is very strange .

See this is very tricky situation it will be difficult to point one thing out but still we can discuss the possibilities . It is not always possible to get abnormalities in EEG or CT scan in epilepsy patients . I think his treating doctor should consider getting 24 hour EEG monitoring done .

Plus cardiac evaluation is also required . He is on propranolol for migraine I guess but sometimes it leads to bradycardia that is low heart rate which can lead to unconsciousness so that needs to be excluded .

Table tilt test should also be done to rule out syncope as it can be a mimic of epilepsy .

Take care.

Dr. Shruti
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