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Suggest medication for mesial temporal lobe epilepsy

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Posted on Tue, 31 Oct 2017
Question: Hi im XXXXXXX 34 years from XXXXXXX I have been suffering from seizure since my childhood at 2 years.
Initially it started with high fever temperature. They locally treated it . then as i grew up ,it was ok.
Only when I was in 9th grade in school, i fell unconsious while riding cycle. from that age , i was in continuos medication . I was given frisium initially ,then they changed to sodium valporate.
It was under control during medication,but no dosage reduction ,no cure advised by doctors.

Now for past 2 years im consulting apollo doctor XXXXXXX they are giving oxetol 150mg 1-0-1 and dicorate 750mg 0-0-1.But im having memory problems. I want permanent solution,from epilepsy association & research team. I need cure . i want success over my long term disease. I want to challenge it safely and end it calmly. Please doctors & researchers of globe help me fight my disease.

Best regards-naveen k,
emailID: YYYY@YYYY
doctor
Answered by Dr. Neeraj Kumar (45 minutes later)
Brief Answer:
Get evaluated as advised

Detailed Answer:
Hello dear,
I have gone through your question and attached reports.

The first seizure at the age of two years with fever most likely was a febrile seizure.
Such febrile seizure is benign but may be associated with mesial temporal lobe epilepsy.
The findings and abnormalities are better seen on MRI brain with epilepsy protocol.

The drugs which are beneficial are oxcarbazepine, carbamazepine, Baptiste, lacosamide, levetiracetam and other drugs.

If the seizures are well controlled for about 3 year's, then an attempt is undertaken to gradually decrease the drug.

Lifestyle modification is also helpful.
Take regular and timely medications.
Avoid late night awakening, alcohol intake (if any).

Hope you found the answer helpful.
Do get back to me for further queries.

Regards
Dr N Kumar
Neurologist
Above answer was peer-reviewed by : Dr. Arnab Banerjee
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Answered by
Dr.
Dr. Neeraj Kumar

Neurologist

Practicing since :2006

Answered : 2263 Questions

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Suggest medication for mesial temporal lobe epilepsy

Brief Answer: Get evaluated as advised Detailed Answer: Hello dear, I have gone through your question and attached reports. The first seizure at the age of two years with fever most likely was a febrile seizure. Such febrile seizure is benign but may be associated with mesial temporal lobe epilepsy. The findings and abnormalities are better seen on MRI brain with epilepsy protocol. The drugs which are beneficial are oxcarbazepine, carbamazepine, Baptiste, lacosamide, levetiracetam and other drugs. If the seizures are well controlled for about 3 year's, then an attempt is undertaken to gradually decrease the drug. Lifestyle modification is also helpful. Take regular and timely medications. Avoid late night awakening, alcohol intake (if any). Hope you found the answer helpful. Do get back to me for further queries. Regards Dr N Kumar Neurologist