The condition appears to be organic
Thanks for the follow-up information.
The symptoms do not appear to be due to any neurotic illness or functional origin. It seems to be organic. He basically needs to get a MRI brain done and an EEG (electro encephalography) done.
I have seen a couple of such patients and they did respond to the treatment with anti-epileptics. Valproate
was the drug that they responded to. many times it is a seizure activity, a complex partial seizure
, which can lead to such manifestations. EEG can be diagnostic as well.
An MRI scan will show if there is any other stroke
like lesion which can also present with such a finding.
I cannot think of any further causes as this presentation is not a very common presentation.
You may discuss this option of MRI scan of the brain and EEG with your treating psychiatrist/neurologist
Xanax, minuo, naltrexone
are not the drugs on which he should respond.
Dr. Srikanth Reddy MD