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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Change In Behaviour After Suffering From A Seizure?

My daughter is 29 and has a few medical problem. She has asthma, a rupture disc, she suffers migraine, she was also dickered to have a rapid heart rate. 2 months ago she suffered a grand maul seizure, never had seizures before. Because she was eating at the time she also choked and lost heartbeat and turned blue. My son in law did heimlech cleared her airway and chest compressions to get her breathing. By the time emts got there she was coming out of a 5 minute seizure. She has been married 10 years to all appearances even to her husband and our very close family happily. She has a 5 yr old daughter and has tried for 3 years to get pregnant. She was on all the fertililty drugs, thrown initial menopause twice to try to help. She finally gave up 2 months before seizure. She was put on topamax for the seizures and hopefully it would help migraines combined, this med made her short term memory horrible, she would have problems even finding the bathroom or recognizing people for a few minutes apron wakening, they switched her to keppra. Very shortly after that we noticed a change to the point that she asked her husband to leave, flames she hasn t loved him for 2 years, in the same night she had a male family friend move in as her new lover, she has very easily adapted to splitting time with her daughter, and this woman was totally involved before with this child. She has yet to shed a tear over her child or husband of 10 years and the family who cries over the total change in her. She has become callous to a point, and she used to cry easily to the telling of a sad story or in empathy of someones problem. We called her neurologist, she claims medicine did not cause change and just blows it off that she just is fine. She never knew her before the seizure. Is it the seizure or maybe medicine that has caused this complete change in our daughter? She feels nothing is different with her, so working with this is very difficult. Do you see any hope in this situation?
Tue, 14 Oct 2014
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Psychiatrist 's  Response
Hello,
Topamax can be given for both migraine and seizures. But in some cases it can cause behavioural agitation or even flare up psychosis.
I think divalproex would be a better option as its a broad spectrum anti-epileptic and is also useful for migraine prophylaxis.
Thanks.
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What Causes Change In Behaviour After Suffering From A Seizure?

Hello, Topamax can be given for both migraine and seizures. But in some cases it can cause behavioural agitation or even flare up psychosis. I think divalproex would be a better option as its a broad spectrum anti-epileptic and is also useful for migraine prophylaxis. Thanks.