Hi,
Thank you for posting your query.
I appreciate the detailed description provided by you regarding the patient's illness.
It is clear that patient has two types of seizures- epileptic and
non epileptic seizures. Non epileptic seizures are also called as
psychogenic seizures.
As you have mentioned, the epileptic seizures have been well controlled on sodium valproate. However, psychogenic seizures are not. For this he needs to
consult a psychiatrist and counselling may be required.
MRI brain report does not show any significant abnormality in this patient.
Best wishes,
Dr Sudhir Kumar Md DM (Neurology)
Senior Consultant
Neurologist