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Lightheadness, unconsciousness, signs of epilepsy, vertigo. Had EEG and brain scan. Help?

I felt lightheadeness and fainted--and was, infact, unconscious for about a minute or so while doing exercise over three weeks ago. I did all the necessary tests, including my blood pressure , sugar, and heart. I was told all tests were fine--so I don t have to worry. I decided to see a neurologist just to be certain. He told me I have no neurolgical problem, but should take an EEG test and Brain scan, which I did. My brain scan was normal; but was told that my EEG shows some signs of epilepsy . I was then advised to take the medication for epilepsy if I get similar symptoms in the future. By the way, I also went to an ENT especialist--eventhough he didn t think I have an apparnt vertigo symptoms--he still prescribed medication for vertigo. I have been taken the medication for the past ten days. What should I do next? Should I wait for few weeks and take an EEG test again? Or do something now. By the way, this is the first time I felt these symptoms. And I am in my late fifities.
Asked On : Thu, 14 Mar 2013
Answers:  1 Views:  46
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Psychiatrist 's  Response
Dec 2014
Welcome to HCM

Sudden onset lightheadedness, fainting attack, loss of consciousness etc. should not be ignored. This may happen because of Epilepsy, Syncope attack or some vertigo. But as every blood investigation is normal, BP, ENT and heart is also normal so possibility of epilepsy is high.
Even neurologist has confirmed epileptiform discharges on EEG so this episode was definitely due to Epilepsy.
Repeating EEG may or may not detect epilepsy as it is most useful during episode only. I advise you to visit your neurologist for opinion. As he has asked you to wait for next episode then you can wait. But you have to take precautions as-
- Try to avoid bright lights, loud sounds.
- Fix your time to sleep, never remain awake late night.
- Avoid taking alcohol for now.
- Visit your neurologist if problem occurs again

Dr. Seikhoo Bishnoi
Answered: Thu, 14 Mar 2013
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