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Neurology (Expert Forum)
Epilepsy for 10 years. Recent EEG showed slowing of brain.
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Epilepsy for 10 years. Recent EEG showed slowing of brain.
by cbillenste, May 15, 2006 12:00AM
I have been diaganosed with Epilepsy for 10 yrs. After seizure episode that left me in hospital for 3 days, EEG shwoed slowing of the brain. When I question my neurologist he said that this was typical for my seizure condition. Since this is 1st I have heard of this I am somewhat concerned.
I am a 47 yr old female. On 800mg Neurontin 3x day, 100mg Topamax 2x day. Also have VNS implant in 2002. Have both grand mal and absence seizures 3-4 times a month. Also have constant headaches that are sometimes debiliatating. I have vision problems, syncope and low blood sugar (36). They also put a pacemaker in 2000 because during my seizures my heart rate would drop below 40 also causing me to pass out.
No one can say why i deveoped the seizures late in life. I think it was due to a surgery when my blood pressure and heart rate dropped so low ( this was during a mascetomy for breast cancer). The seizures developed after the surgery.
My question is, should I be concerned about the slowing in the brain or is this a typical part of seizure disorders? I am very fustrated with my doctor that this is the first I am hearing about it.
thank you.
I am a 47 yr old female. On 800mg Neurontin 3x day, 100mg Topamax 2x day. Also have VNS implant in 2002. Have both grand mal and absence seizures 3-4 times a month. Also have constant headaches that are sometimes debiliatating. I have vision problems, syncope and low blood sugar (36). They also put a pacemaker in 2000 because during my seizures my heart rate would drop below 40 also causing me to pass out.
No one can say why i deveoped the seizures late in life. I think it was due to a surgery when my blood pressure and heart rate dropped so low ( this was during a mascetomy for breast cancer). The seizures developed after the surgery.
My question is, should I be concerned about the slowing in the brain or is this a typical part of seizure disorders? I am very fustrated with my doctor that this is the first I am hearing about it.
thank you.
Doctor's Answer
by CCF-Neuro-M.D.-PW, May 23, 2006 12:00AM
Slowing on the EEG is quite common after a seizure and is called "post-ictal slowing". This occurs because after a seizure the brain is somewhat 'exhausted', and the brainwaves in teh are of the seizure will appear to be slower for a transient time. Usually this lasts for up to a few hours, but depending on the severity of the seizure up to a day or more. It does not mean that the brain is slow in between seizures. To obtain a proper look at the brianwaves in between seizures it should be done not around the time of a seizure.
In patients who have had a stroke or brain tumor etc there may be persistent slowing even in between seizures, usually only in one part of the brain.
Good luck
In patients who have had a stroke or brain tumor etc there may be persistent slowing even in between seizures, usually only in one part of the brain.
Good luck
Have you ever had a TTT (tilt table test)? To see if you had convulsive syncope? Or a Reveal ILR?
I had been thoroughly tested for this as I do have neurocardiogenic syncope (heart rate and bp drops) and I seem to have developed seizures too. So, they wanted to be sure it wasn't all from the syncope (convulsive syncope).
Here is a link about the Reveal and sorting the diagnosis:
http://www.medtronic.com/reveal/seizures/index.html
Yes, I have taken & failed several tilt table tests. Also a MRI has shown 1 lesion.
I had a concussion when I was in my early 20's. I am experiencing memory loss and general personality change.
Any help would be appreciated.