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How to do diagnosis of epilepsy?

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Posted on Tue, 29 Apr 2014
Question: http://www.medhelp.org/posts/Neurology/Strange-Head-Sensation-and-symptoms---Migraine-epilepsy-something-else/show/0000 my husband has same issues. I can mention in detail if you want but the forum explains exactly what he is experiencing. weve done all tests met all docs. neuro, psychiatrist etc done all tests all normal. please help. which doc should we comsult for this..
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Answered by Dr. Sudhir Kumar (1 hour later)
Brief Answer: My reply is below. Detailed Answer: Hi Ms XXXXXXX Thank you for posting the query regarding your husband. I have gone trough the link on medhelp.org in detail to undetrstand his symptoms. Based on that, a diagnosis of epilepsy should be considered. I agree that it is difficult to make a confirmed diagnosis of epilepsy, as it relies more on patient's symptoms and there are no tests that give 100% accuracy in confirming the diagnosis. For example, MRI brain and EEG report may be normal. In these situations, two options are there: 1. Advanced testing such as PET (positron emission tomography) of brain or long-term video EEG monitoring, 2. Empirical treatment with anti-epileptic drugs. 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) XXXXXXX Consultant Neurologist Apollo Hospitals, Hyderabad, For DIRECT QUERY to me: http://bit.ly/Dr-Sudhir-kumar My blog: http://bestneurodoctor.blogspot.com/
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Sudhir Kumar (44 hours later)
it is not epilepsy for sure.. but still dunno what it is..
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Answered by Dr. Sudhir Kumar (34 minutes later)
Brief Answer: Thank you for getting back. Detailed Answer: Has your husband been examined by a neurologist? Was there any abnormalities detected on examination? Best wishes, Dr Sudhir Kumar MD DM (Neurology)
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Sudhir Kumar (13 minutes later)
yes. neuro found all well with him and asked to check with psychiatrist and psychiatrist is not very confident but asked to take anxiety medicine that mu husband doesnt want to take
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Answered by Dr. Sudhir Kumar (3 minutes later)
Brief Answer: Anti-anxiety medicines may help. Detailed Answer: Thank you for getting back. Brain and mind are closely linked. Sometimes, symptoms of both can overlap too. Also, several medicines work for neuro as well as psychiatry conditions. I feel he could try anti-anxiety medications for a few weeks, it would not cause any side effects. Any benefit can be seen during that period. Best wishes, Dr Sudhir Kumar MD DM (Neurology)
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Dr. Sudhir Kumar

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How to do diagnosis of epilepsy?

Brief Answer: My reply is below. Detailed Answer: Hi Ms XXXXXXX Thank you for posting the query regarding your husband. I have gone trough the link on medhelp.org in detail to undetrstand his symptoms. Based on that, a diagnosis of epilepsy should be considered. I agree that it is difficult to make a confirmed diagnosis of epilepsy, as it relies more on patient's symptoms and there are no tests that give 100% accuracy in confirming the diagnosis. For example, MRI brain and EEG report may be normal. In these situations, two options are there: 1. Advanced testing such as PET (positron emission tomography) of brain or long-term video EEG monitoring, 2. Empirical treatment with anti-epileptic drugs. 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) XXXXXXX Consultant Neurologist Apollo Hospitals, Hyderabad, For DIRECT QUERY to me: http://bit.ly/Dr-Sudhir-kumar My blog: http://bestneurodoctor.blogspot.com/