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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What causes seizure after binge drinking?

hello, my brother is 22 years old. he's healthy not on any medication. he had a seizure 1 day ago for the first time in his life he woke up in the ambulance vomiting. he did not lose control of his bowel and urine. CT and MRI was negative. ER put him on keppra 500mg BID .Past# the day before the seizure he was binge drinking. he had truma by car accident when he was 8 years old. whats his differential diagnosis ?
Thu, 13 Feb 2014
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Psychiatrist 's  Response
Welcome to HCM!

From my clinical experince I can say that your brother had either -
1. withdrawal of alcohol related seizure ( as both scan are normal, he had binge drinking a night back) OR
2. a de novo seizure, which is quite commonly seen in clinical practice ( when no reason is found).

He might get an EEG also to see of there is any seizure activity present. ( this should have been done prior to starting keepra as this might normalize the seizure waves).
The medicine is right and should be continued as adviced, daily without skipping.

Hope the reply is useful
feel free to ask more questions

Dr. Manisha Gopal
MD psychiatry
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What causes seizure after binge drinking?

Welcome to HCM! From my clinical experince I can say that your brother had either - 1. withdrawal of alcohol related seizure ( as both scan are normal, he had binge drinking a night back) OR 2. a de novo seizure, which is quite commonly seen in clinical practice ( when no reason is found). He might get an EEG also to see of there is any seizure activity present. ( this should have been done prior to starting keepra as this might normalize the seizure waves). The medicine is right and should be continued as adviced, daily without skipping. Hope the reply is useful feel free to ask more questions Dr. Manisha Gopal MD psychiatry