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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have A Seizure Disorder. MRI Showed Small Calcified Lesion Abutting The Right Frontal Lobe. Explain?

hello doctor i have some seizure disorder in the month of november, ia m unconsious for sometime afterthat ih ave done my mri brain and eeg . in eeg report, that is normal, and in mri brain report, a small calcified lession is seen just inferior and abutting the right frontal lobe i have been prescribed eptoin 300er then tab oxetol 300mg twice a day for 2 years may i know what treatment i have to taken
Tue, 26 Feb 2013
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Neurologist 's  Response
Hello,

Thanks for the query,

I have noted your problem.

You have seizures related to a lesion in the right frontal lobe

With respect to your physician, i beg to differ in the management of your case. You may opt either Oxetol and Eptoin NOT BOTH. These two medications given together may not benefit much to a patient. In fact, the side effects will be more. Your dose of one of the medicine should be optimized as per the body weight. If Eptoin is opted, better get a serum eptoin level done and then increase the dose.
I urge you to see a local Epileptologist (specialist in Epilepsy) who will guide you better.

Best wishes

Dr Gopal K Dash, MD, DM (Neurology), Post-doctoral fellowship (epilepsy)
Consultant Epileptologist and Neurologist
Narayana Hrudayalaya Hospital, Bommbesandra,
Bangalore, India
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Have A Seizure Disorder. MRI Showed Small Calcified Lesion Abutting The Right Frontal Lobe. Explain?

Hello, Thanks for the query, I have noted your problem. You have seizures related to a lesion in the right frontal lobe With respect to your physician, i beg to differ in the management of your case. You may opt either Oxetol and Eptoin NOT BOTH. These two medications given together may not benefit much to a patient. In fact, the side effects will be more. Your dose of one of the medicine should be optimized as per the body weight. If Eptoin is opted, better get a serum eptoin level done and then increase the dose. I urge you to see a local Epileptologist (specialist in Epilepsy) who will guide you better. Best wishes Dr Gopal K Dash, MD, DM (Neurology), Post-doctoral fellowship (epilepsy) Consultant Epileptologist and Neurologist Narayana Hrudayalaya Hospital, Bommbesandra, Bangalore, India