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Suggest treatment for chronic migraine and complex partial seizures

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Posted on Tue, 20 Dec 2016
Question: I have chronic migraines and complex particial seizures. I am having some difficulty determining whether an episode is a seizure or migraine.. The symptoms seem to be about the same. I live alone so there is no one to describe what is happening after I blackout. I believe some of episodes may be migraine rather than seizure and I want to be able to document more accurately what is happening for my doctor before increasing seizure medications. Thank you.
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Answered by Dr. Neeraj Kumar (15 minutes later)
Brief Answer:
Upload reports of Mri and eeg

Detailed Answer:
Hello,
I have gone through your question and understand your concerns.
Migraine attacks are more common in young and adulthood rather than in elderly age group.
Seizure is more likely as migraine is uncommonly associated with impairment of consciousness.

In these circumstances, other possibility - vascular atherosclerosis related hypoperfusion should also be considered.

If you are alone unless the event can be recorded by a camera it will be difficult to document or describe it to your doctor.

If you have MRI, EEG and prescriptions, please upload. It will help me guide you further.

Antiepileptics administered can be changed to Valproate as it helps in both seizure and migraine.
Other medications for complex partial seizures are carbamazepine, oxcarbamazepine lacosamide.

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. Prasad
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Answered by
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Dr. Neeraj Kumar

Neurologist

Practicing since :2006

Answered : 2263 Questions

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Suggest treatment for chronic migraine and complex partial seizures

Brief Answer: Upload reports of Mri and eeg Detailed Answer: Hello, I have gone through your question and understand your concerns. Migraine attacks are more common in young and adulthood rather than in elderly age group. Seizure is more likely as migraine is uncommonly associated with impairment of consciousness. In these circumstances, other possibility - vascular atherosclerosis related hypoperfusion should also be considered. If you are alone unless the event can be recorded by a camera it will be difficult to document or describe it to your doctor. If you have MRI, EEG and prescriptions, please upload. It will help me guide you further. Antiepileptics administered can be changed to Valproate as it helps in both seizure and migraine. Other medications for complex partial seizures are carbamazepine, oxcarbamazepine lacosamide. Hope you found the answer helpful. Do get back to me for further queries. Regards Dr N Kumar Neurologist