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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Are The Potential Issues With Respect To Seizures?

i am a 39 year old female who has been experiencing syncopal episodes, three in the past couple of months. I have a history of a seizure disorder, but in the past have only experience grand map seizures. I am currently following up with my primary MD, neurologist and have been referred to a cardiologist. Is there any other potential issues you can think of that may need to be investigated?
Mon, 8 Dec 2014
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Neurologist 's  Response
I read your query carefully and I am sorry about these new health issue you are having.
Regarding the undertaken steps I think that are following the correct procedure. I assume metabolic causes have been excluded by a routine metabolic panel. If your neurologist doesn't think these syncopal episodes are compatible with your seizure disorder or disease of blood vessels taking blood to the brain then the next step is the cardiologist consultation to investigate for a cardiac origin (arrhythmias, valvular or other structural heart disease, orthostatic hypotension etc). If a syncope, cardiac causes are usually the most probable culprit.

I hope everything works out for the best.
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What Are The Potential Issues With Respect To Seizures?

I read your query carefully and I am sorry about these new health issue you are having. Regarding the undertaken steps I think that are following the correct procedure. I assume metabolic causes have been excluded by a routine metabolic panel. If your neurologist doesn t think these syncopal episodes are compatible with your seizure disorder or disease of blood vessels taking blood to the brain then the next step is the cardiologist consultation to investigate for a cardiac origin (arrhythmias, valvular or other structural heart disease, orthostatic hypotension etc). If a syncope, cardiac causes are usually the most probable culprit. I hope everything works out for the best.