Thanks for posting this question in HCM
I am a neurologist
and epilepsy specialist responding to you
First of all let me tell you that treatment of epilepsy largely depends upon the exact type of epilepsy (it may be a focal epilepsy
due to brain tumor
, scar related to head injury
or other cause or it can be genetically mediated generalized epilepsy). For a proper diagnosis of epilepsy, a neurologist will need EEG test and MRI scan of brain; both of these data are not available to me in your case.
Let us see your case.
I understand that you had a head injury. This might have resulted in a focal scar in the brain which can cause epilepsy. I am not sure the exact severity of head injury and if there is a scar or not. One interesting thing which you have to note that some types of epilepsy namely primary generalized epilepsy can become worse after treatment with Oxcarbazepine
. However this possibility is low in your case but cannot be excluded without a long term EEG and MRI scan of brain.
Once, a long term EEG and MRI can identify he exact type of epilepsy. We will have the following options
1. If focal: Encorate
chrono will not be a good option. You can continue higher doses of Oxcarbazepine upto 30mg/kg (i donot know your body weight). If this fails, you may try adding Clobazam
. If MRI shows scar the other options (if these medicines fail) you have to undergo a detailed presurgical evaluation in an epilepsy centre.
2. If your diagnosis turns out to be primary generalized epilepsy, you have to withdraw oxcarbazepine. You will only benefit with Encorate chrono
I advise you to meet one epilepsy expert in your place who will deal the way i have described
Hope this will help you