Partial Seizure ?

[manii]

Hi, I have been getting this strange feeling since last 2 months. Suddenly I feel a flickering sensation above my right eyelid and my both eyes would start rapidly flickering, the neck becomes stiff & i am not able to speak. This sensation remains for 5-7 seconds and then i am normal again. During this whole process i am conscious & able to walk, move my limbs & able to hear & respond with bodily gestures to ppl around. I am even able to drive my car if this attack hits me for that 5-7second period. These attacks started with just one attack every 4-5 days to now  that 2 attacks daily. The flickering of the eyes had increased to the extent that i wasnt able to even open my eye lids & see. I am at times able to sense the attack coming with high heart beat rate strange sensation. I have been showing to a Neurologist for a month now and have been given torleva 500 twice daily. The attack has become milder but still persists once or twice a day. Somebody please help me understand whats wrong with me.

At times I also feel a little dizzy if i look at the extreme right from my eyes without turning the head. I feel I will get stuck in that position & just continue looking right. I think i flicker my eyes abnormally more at times though this is not noticeable. I almost always feel a little heavyness in my eyes . I do feel that I may turn into a MAD MAN any time ( It makes me laugh at myself & makes me extremely scared also as  I have a lovely wife & a 3 old son to take care of ) These attacks are making me more anxious as a person.

I am 32 year old man, a professional in the Construction Indusrty.  I would be obliged if some one can tell me what is it that i am going through & how to come out of this PHASE in my life.

[manii]

My neurologist says he is not sure what my problem is as EEG & MRI are normal .  I am showing to a psychiatrist as well who says some psychiatric problems do depict seizures which could be non-epileptic. One neurologist had earlier advised me to go for video EEG should I do that to get to the exact cause of my seizures.......

[manii]

I continue to have partial seizures : ( Head turning towards the right side smaking of lips and eyes shut, i am conscious of the seizure when it happens and can comprehend as to what is happening to me) I have 2000 mg Torleva, Frisium 10 mg, Deanxit 1 1/2 tablets daily. I continue to have these partial seizures at the interval of 2 weeks, the pattern has changes now as i get these seizures only in my sleep which was not the case earlier. My Neurologist & Psychiatrist are both not sure whats wrong with me becasue both the MRI & EEG show no abnormality. Its more than a year now i am on suffering from the seizures and have changed my job twice to reduce my stress levels and i am still not sure whats wrong with me and if I am on the right treatment.

[Bhupinder Kaur, MD]

Hello,

All these symptoms look like paralysis of the right side of the face.Bell’s palsy can be a reason for this.Bell’s palsy is paralysis of the facial nerve or VII nerve.It is a weakness or paralysis of the muscles that control expression on one side of your face. The disorder results from damage to one of a pair of facial nerves that runs beneath each ear to the muscles in your face.

The severity of Bell's palsy can range from mild weakness to total paralysis on one side of your face. The onset of the problem is fairly abrupt, generally becoming apparent within several hours to a day or two.

I feel that an evaluation by a neurologist to confirm it and differentiate it from other causes like herpes zoster,ramsay hunt syndrome and tumors of brain causing such symptoms by pressing on the nerves.

Pls consult a neurologist as soon as possible.Hope it helps.Take care and regards.

[manii]

Thank for the feedback kindd,
Kindd I have got an MRI & 2 EEG scans done in the last month. All the reports say that there is no abnormal activity in either of the reports, they are perfectly fine.
The neurologist doctor i have been showing to has increased my dosage to 1500 mg Torleva, 10 mg Frisium, Met Neurobion, Melzap MD.

I am a worried man as I have shown the MRI & EEG & medicines to another consultant he says I should stop all medicines as I have no disease & its only stress & tention I am going through.

Last week one & today afternoon I had the attack again ( seizure !! i guess ) in which its nature has changed.......  My eyes moved to the right ....my right side started sinking, face & lips tilted to the right & i started to shake & salaiva drips in this period. This lasted for one minute.

Some one please explain if I am getting the right medicines ?? Is that I am going through is Epilepsy, (my doctor is denying it ) ?? why are my MRI & EEG normal if I am getting these Seizures ??
Should I Drive my car ?? What should I tell my Boss ?? What should my tell friends & colleagues ?? Will I get normal ?? Are these medicines are having any side effects ??.

I have consulted 3 Neurologists & all 3 say since MRI & EEG normal so no epilepsy only tension & stress. !!! Some one please help

[Bhupinder Kaur, MD]

Hi,

I sincerely feel that the symptoms which you’ve described are suggestive of partial seizures and levetiracetam(torleva) is the right drug for the same but I feel that you may not be getting adequate dosage of the same and hence there’s incomplete cure of the symptoms. I think you should discuss with your neurologist regarding increasing the dosage of Torleva which may result in an improvement of your symptoms.

Treatment should be initiated with a daily dose of 1000 mg/day, given as twice-daily dosing (500 mg BID). Additional dosing increments may be given (1000 mg/day additional every 2 weeks) to a maximum recommended daily dose of 3000 mg.

http://www.rxlist.com/cgi/generic/keppra_ids.htm

I hope that helps. Pl do keep me posted.

Kind Regards