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Neurology (Expert Forum)
epilepsy siezure info ?
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epilepsy siezure info ?
by Jay, Oct 23, 2000 12:00AM
Diagnosed Left temporal lobe Epileptic , resulting from car accident 8 years previous . I at one time thought person would be unconcious during siezure, I am not. Lose all defined motor control. Question . Occasionly monthly ( approx. ) I get a rainbow colored , jagged , pulsating light, which is off sight center , has this to do with epilepsy . Would you explain difference . Siezure under control. siezure not out of control . Noticed reading your sight that different scales used for tests differ Stateside . My dilatin level is Good ( 40 - 80 } Yours seem to be somewhere in { 20' S }. Is this correct ? Is there a name for a Concious Siezure And discription. I have no warning, Water fall feeling through head and gone . Lasts 35 Secs. To 90 Secs Or longer . THX > MUCH >
Doctor's Answer
by CCF Neuro[P] MD, RPS, Oct 23, 2000 12:00AM
Dear Jay:
Sorry to hear about your epilepsy. Yes, one can have only auras without subsequent motor seizures or loss of awareness. One can also have simple motor or sensory seizures where the seizure activity occurs without loss of awareness. The International League Against Epilepsy classification calls these types of seizures simple (there is no loss or change in awareness). We think that aura are the beginning of seizure activity. In the cases where there is an aura and no overt seizure activity, the likely explanation is that there are a group of neurons in an area that are activiated that produce the aura. However, they do not spread to other areas that produce motor or loss of awareness.
Therapeutic levels are usually given by the lab that does the testing. By our lab a level of 10-20 of dilantin is in the therapeutic range. However, these values are only relative in that whatever the dose of medication that stops seizure activity without side effects (causing medication withdrawal) is the therapeutic value for that particular patient.
I hope that I have helped some.
Sincerely,
CCF Neuro MD
Sorry to hear about your epilepsy. Yes, one can have only auras without subsequent motor seizures or loss of awareness. One can also have simple motor or sensory seizures where the seizure activity occurs without loss of awareness. The International League Against Epilepsy classification calls these types of seizures simple (there is no loss or change in awareness). We think that aura are the beginning of seizure activity. In the cases where there is an aura and no overt seizure activity, the likely explanation is that there are a group of neurons in an area that are activiated that produce the aura. However, they do not spread to other areas that produce motor or loss of awareness.
Therapeutic levels are usually given by the lab that does the testing. By our lab a level of 10-20 of dilantin is in the therapeutic range. However, these values are only relative in that whatever the dose of medication that stops seizure activity without side effects (causing medication withdrawal) is the therapeutic value for that particular patient.
I hope that I have helped some.
Sincerely,
CCF Neuro MD
