Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

124 Doctors Online
Doctor Image
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

Taking treatment for epilepsy. MRI showed mild atrophy with loss of normal digitations. Any advice?

Answered by
Dr. Sudhir Kumar


Practicing since :1994

Answered : 5684 Questions

Posted on Thu, 20 Dec 2012 in Epilepsy
Question: My daughter 20, is under treatment of some type of epilepsy for the last 4 years. Torvate 200+300mg. MRI says:Mild atrophy of the head of right hippocampus with loss of normal digitations. However no evidence of altered signal seen in FSE T2WI and FLAIR.
Mild prominence of the right choroid fissure and uncal recess of temporal horn.
MR imaging reveals no significant structural abnormality in the hippocampus or temporal lobe on left side. No abnormal signal.
Rest of the brain parenchyma and other observed structures appear normal. Yesterday she happened to awake in mid-sleep. She had one hand jerk. This is the symptom in first. Before start treatment she fainted two times after hand jerks.
She is doing her MCom in college. Is this any severe, or uncuable, any problem if married. Please advise. Thank you.
Answered by Dr. Sudhir Kumar 12 minutes later

Thank you for posting your query.

Epilepsy is a common problem, and it has no adverse effects on normal routine life.

MRI findings represent a cause for her epilepsy, and this minor abnormality would not affect her brain functions, which means she can do normal studies and job.

She can get married, and have normal married life (including pregnancy). However, she needs to continue anti-epileptic medications, as per the doctor's advice.

Torvate (sodium valproate) is alright now, however, it should be replaced with another drug, when someone is planning pregnancy (which will be done after she gets married).

I hope it clarifies. Please get back if you have any more queries.

Best wishes,
Dr Sudhir Kumar MD DM (Neurology) XXXXXXX Consultant Neurologist
Apollo Hospitals, Hyderabad
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
Follow up: Dr. Sudhir Kumar 2 days later
Thanks. Problem in right brain and right hand jerks. is this possible
Answered by Dr. Sudhir Kumar 2 hours later

Thank you for getting back.

MRI XXXXXXX does not show all the abnormalities of the brain in epilepsy. EEG and PET scan are other methods.

Right hand jerks are related to abnormal discharges from the left brain (this may get picked up on EEG or PET scan), however, it is not required to do, as clinical picture is enough to initiate the treatment in epilepsy. However, in research studies, one would have to prove the origin of jerks.

Best wishes,
Dr Sudhir Kumar MD DM (Neurology)
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions
Lab Tests ,   ,  
Medical Topics ,  

Recent questions on  Electroencephalography

doctor1 MD

I have a relative aged 15 years. yob 1995. Premature delivery. Lacks the intelligence of a 15 years old in studies , movements , speech etc. Suffered an Epeleptic fit / siesure at the age of 2-3. Similar fit / Siesure attack has occured recently with eye rolling backward, body going stiff etc. Lasted for a few minutes. Medically tested for EEG. Results not known.Parents want to consult in Mumbai. Pl advise what type of medicine is the best suited in such a case. Who is the best doctor in Mumbai. Which is the best hospital to treat this case. Can this child have a normal life ? What are the treatments available for children with learning impairments due to premature birth. How late is too late for right treatment. What is the correct way forward.

doctor1 MD

My 4 year old daughter is due to have an MRI in a week. Neurologist says she wants brain and spine due to her not being potty trained yet or even able to realize she has had a bowel movement....she has been to several docs and clinics and no firm diagnosis,... could the neurologist be thinking tethered cord??? She does have Sensory Processing Dissorder, Anxiety with panic attacks, major sleep disruption issues and hallucinations. They are doing a sleep deprived EEG to see if some of her myoclonis is seizure related. She is on meds: Risperidone and clonidine, with 3 mg. of melatonin as well. She has O.T. and P.T. once per week, with alot of motor control issues, gait , balance and ataxia. I feel she may have most definitely a chromosome deletion problem, genetic...somthing in that area. At one point they mentioned DiGeorge Syndrome, then didn t want to test. I had a Fragile X test started, and it came up negative. (my daughter also has alot of tantrums and inconsolable crying where she cannot stop. Where should I go if MRI and EEG come up with no answers...What next??? Her current psychiatrist suggests I stop looking for answers and work with what I have... I dont think that s a good idea...this is my daughter ...Please give me your opinion.... Thank You So Much, Michelle

doctor1 MD

i have a almost 17 year old daughter for the past year she has been having weird heart rates weakness followed by random muscle shaking she has had am MRI EKG EEG and had had a heart monitor blood tests and so far nothing. for the past 3 - 4 months she didn't have any symtoms and i thought they were over with, just today she had an episode and i had to pick her up from school... what could be going on?

doctor1 MD

My 6 yrs old child on 19 Aug 10 fallen down from swimming pool ramp and left side of his head struck at my knee. after 40 min he got vomited and seized, as reached hospital, a fracture left side of head above the ear and struck spot was press down abt 2 cm inside in CT Scan report.He admitted for two days and given eption medicine for next six month after three month dr. adv EEG test to change in above mentioned medicine bcoz of its side-effect now Dr.given valproate 200mg & oppineuron You pls suggest what ur views

doctor1 MD

my husband will bend his head over and his eyes are closed. He does this a lot during the day.

doctor1 MD

Hi again! During a 24 hr ecg, they found what they said was a AV block II Two pauses during 72 hrs monitoring The cardiologist discussed this finding with the people that put pacemakers in, and they reported back no PM needed for this, as I had no...

doctor1 MD

my son is 33 years old has bad choking cough doctors think it may be whooping cough he has black outs 6 in 2 days he shakes while he is passed out currently admitted in hospital for observation releasing him today with they suspect whooping cough