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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Episodes Of Seizures?

Hi I m Sarah I m 20 years old and I ve been experiencing seizure like activity and I went to the Er multiple times and they called the neurologist down to consult with me and see what s going on So he order a CT Scan Of My Head. The CT Scan of my head Came Back Normal And He said that I wasn t having true seizures and that my brain was just stressed out and I need to go get help from my psychiatrist and sent me home. Three days later I came back to the same er for the same thing again but this time they wouldn t stop and didn t recover from them. So the same neurologist saw me and he did another CT scan of my head and it came back normal and be told me that I need to stop coming to the er because I m not having true seizures and sent me home so I just stop coming to the er for my SEIZURES unless hurt my head or substain any other injuries to any other parts of my body. So a month later on 08-3-17 I had a seizure and I was out and about with my grandpa so be called 911 and met them their at the Hospital. So I had two SEIZURES in the back of the ambulance before I arrived at the er they gave me versed to stop my seizures and it for about 3hours. I got to the er they checked me in and took my vitals and everything bout 3mintues after my intake I had 6 SEIZURES they gave me Ativan to stop my SEIZURES it worked bout for 2 hours then I started having more Seizures so they admitted to the neuro unit for further evaluation and testing. My 3rd day their they did an 1hour V-EEG Test and it came back negative so they ruled out epilepsy. So they looked back at my history and saw that I have a Psychiatric history so they based my diagnosis off of that so they Diagnosed Me With Psychogenic NonEpileptic Seizures. But the thing is I continue to have SEIZURES where I m very confused post itcal foam at the mouth and loose BLADDER CONTROL and every time I go to the er they say my SEIZURES are fake and not real SEIZURES and I need to stop FAKING and grow up But I m not FAKING so I stopped coming to the er again. So i recently just started my JR. Year of high school and i continue to have SEIZURES at school. My school sent me to the er 4 times and I told them u didn t need to go but they sent me anyway so the hospital doctors are getting tired and mad at me for coming to the er for my SEIZURES. So my school says I can t come back to school until i am medically cleared by my neurologist to come back to school. I don t know what to do because I m still having seizures.
Thu, 20 Sep 2018
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Neurologist 's  Response
Hi,

I can't blame your school, either the ER doctors since they have a written neurological opinion that yours aren't seizures. If you are convinced that you have seizures then you should seek a second neurological opinion. Another EEG must be obtained. A single EEG may miss on epileptic activity, but it is unlikely that repeat EEGs miss epileptiform activity. If repeat EEGs turn out normal (or even more conclusively if the EEG is obtained during the seizure and it shows no epileptic discharges) then I am afraid that psychogenic origin must be accepted and you should consult a psychiatrist for management.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Olsi Taka,
Neurologist
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What Causes Episodes Of Seizures?

Hi, I can t blame your school, either the ER doctors since they have a written neurological opinion that yours aren t seizures. If you are convinced that you have seizures then you should seek a second neurological opinion. Another EEG must be obtained. A single EEG may miss on epileptic activity, but it is unlikely that repeat EEGs miss epileptiform activity. If repeat EEGs turn out normal (or even more conclusively if the EEG is obtained during the seizure and it shows no epileptic discharges) then I am afraid that psychogenic origin must be accepted and you should consult a psychiatrist for management. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Olsi Taka, Neurologist