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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Idiopathic Generalized Epilepsy

Patient’s Name     : Parimalah d/o Seeta Ramaiah
Age          : 36 years old

     The above mentioned patient is suffering from idiopathic generalised epilepsy for the past 16 years. She had a first episode of seizure when she was 19 years old. Prioir to the event she always experienced cramps on her left hand. All the seizures episode occurs nocturnally. The duration of fits will last about 10 to 12 mins with post ictal vomiting and tounge bite. She will experience transient memory loss after each episode and will take few hours for her to regain back the memory. Upon seeking medical treatment, she was advised to take Epilim 400mg x2, Propranolol 40mg X bd with Clonazepam 2mg x on. She has been taking the medication for past 12 years with some improvement in terms of seizure control, however since Jan 2009, her condition worsened with the development of left hand dystonia. On further review by her neurologist, she was started with Dilantin 300 mg x 2, Mecobalamin 300 mcg x 2. Advanced medical diagnostic techniques such as EEG, MRI and CT Scan has been done but no significant finding. Recently her condition worsening with severe headache, pain on both arms from scapula radiating to elbows and legs from hip till ankle. She is also experiencing irritable joint paint, bowel syndrome, back pain, and mild episodes of memory loss.
Doctor report
Recently I went for ayurvedic medicine in one of centre in malaysia. It was six days program. I’m taking “Aravindth herbal” “ vitoherb capsule, rhumatigo capsule, vallarai powder, (im not very sure which legiyam in between these two, aswaganthi legiyam or kaya kalpam legiyam). I’m on this medication since 2 months. Here i have some problem with doctor because she cannot give a very clear picture about the treatment.
I taking english medicine too but i reduce it. I only taking Epilim 400mg x2 with Clonazepam 2mg. I cannot stop this two medicine because my fits came again last week.
I need more advice. I try to stop english medicine and continue natural medicine. In point of view my fits, nervous weakness and joint paint can be cure or not?? If possible i want to know more about your treatment and the days.

Pls help me.
Thank you.
Thu, 24 Jul 2014
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  User's Response
HI
Thank for asking to HCM
I really appreciate your concern and from the history given here I could say that this may not be idiopathic epilepsy, but more it looks like schizophrenic attack and something need to be done keeping in mind this etiology, nothing to loose to have opinion from the psychiatrist, take care and have a nice day.
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Suggest Treatment For Idiopathic Generalized Epilepsy

HI Thank for asking to HCM I really appreciate your concern and from the history given here I could say that this may not be idiopathic epilepsy, but more it looks like schizophrenic attack and something need to be done keeping in mind this etiology, nothing to loose to have opinion from the psychiatrist, take care and have a nice day.