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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Therapy For Seizures

hi, my father was detected with anaplastic meningioma on may 2009. He was immediately operated and the entire tumor was removed in R&R (new delhi). He also had 5 day course of cheotheraphy and 30 sittings of radiotheraphy He had weakness in his right hand, means he could not do much of movements from his right hand, even eating was difficult using his right hand. he even had probelms with his speech which recovered ov er period of time. Asper doctors prescription he wads taking anti seizure tablets (eptoin) 1-0-1. On july 2010 he had cunvulsion and fell in the both room. he could not move his right hand and right leg. He was immediatley admitted to the hospital and was there for 10 days. All MRI was done and found that there is no growth of the tumor but post radiotheraphy edima is there due to which he had consulsion. Now my father is not able to walk since his right leg movement is very limited. He take take few steps but is not able to balance himself. his hand is also still, level 1,2 of power and speech has also slowed down. He is taking 2 anti seizure tablets now....eptoin and levipil 500 , 1-0-2. he on regular physiotheraphy. Docs say that it will take time for recovery. Iam very worried about him. I want to know if there are any tests to examine him again or to find out if there are any other medicines which will make his alright. can somebody help him.
Thu, 22 Jan 2015
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Neurologist 's  Response
I read your question and I understand your concern.

Your father seems to have undergone all the treatment alternatives for anaplastic meningeoma. Since his brain has undergone some degree of impairment both from meningeoma as well as procedural complications it is to be expected to have some degree of neurological deficit. Some improvement is expected though it can't be exactly predicted how much (especially since I don't know the extent of damage to the brain on imaging), but it takes time and physiotherapy, takes several months so you have to be patient.
Also seizures are a common complications of brain tumor, especially meningeoma. The drugs he's taking are widely used and efficient drugs, of course they lower the risk of seizure do not completely remove it, time will tell whether he will have more seizures and treatment must be changed, or if he is seizure free for a long time going to one drug might be possible.
As for tests to be done, they are not necessary rightaway, but periodic imaging will be needed in the future to check for meningeoma recurrence.
Also in evaluating epilepsy therapy changes in the future, EEG evaluation for epileptiform activity might help decision making on therapy.

I hope to have been of help.
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Suggest Therapy For Seizures

I read your question and I understand your concern. Your father seems to have undergone all the treatment alternatives for anaplastic meningeoma. Since his brain has undergone some degree of impairment both from meningeoma as well as procedural complications it is to be expected to have some degree of neurological deficit. Some improvement is expected though it can t be exactly predicted how much (especially since I don t know the extent of damage to the brain on imaging), but it takes time and physiotherapy, takes several months so you have to be patient. Also seizures are a common complications of brain tumor, especially meningeoma. The drugs he s taking are widely used and efficient drugs, of course they lower the risk of seizure do not completely remove it, time will tell whether he will have more seizures and treatment must be changed, or if he is seizure free for a long time going to one drug might be possible. As for tests to be done, they are not necessary rightaway, but periodic imaging will be needed in the future to check for meningeoma recurrence. Also in evaluating epilepsy therapy changes in the future, EEG evaluation for epileptiform activity might help decision making on therapy. I hope to have been of help.