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Taking Dilantin for seizures, slipping into coma at night. What medication to take?

Hi I m Akilah I have Epilepsy was diaggnosed 2002 in emergency room with partial seizures.I was giving a EEG done with extrememly fine needles and die also MRI it delt with hyperventalation (ictal EEG) troughout EEG I believe with my own study I was misdiagnoised as complex focal but have Ideopathic Generalized Absence Epilepsy with new Doctor ask for change in medicine it somewhat works I still take Dilantin which helps tonic clonic but I requested to also take topmax which helps partial generalize tonic clonic it helps because I m not seeing my absence seizures very little to no action myoclonic jerks no atonic seizures but my problem is at night nothing in many years has ever stop me from slipping into acomma at night are in the evening I m thinking of getting an nuerologist out of town don t no what med is going to stop that I do this 2 3 4 times a day
Asked On : Wed, 9 May 2012
Answers:  1 Views:  39
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Neurologist 's  Response
Nov 2013

Thank you for posting your query.

I have noted your symptoms. I agree that you need detailed evaluation by a good neurologist.

You would require MRI brain-epilepsy protocol and video EEG (especially at night while asleep) to determine the nature of your episodes of "coma" at nights.

You would get better with change of medications/adjustment of dose after these studies.

I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information.

Wishing you good health,

Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)
Senior Consultant Neurologist
Apollo Hospitals, Hyderabad, India
Click on this link to ask me a DIRECT QUERY:

Answered: Mon, 7 Apr 2014
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