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> 13 yo boy with behavioral symptoms and seizures
waelkh
post Feb 23 2002, 11:29 AM
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The boy 13 years old. Often paroxysms at partial preservation of consciousness. Episodes of agressive behaviour. These symptoms become more often with current of time. Disturbances of intelligence and contacts to the mother also amplify. No ophtalmological signs. There are symptoms of epileptical activity at EEG. The CT data from May, 2000 and MRI from June, 2001 are submitted.

How to interpret the data of neuroimaging?

What medical tactics concerning this patient?

Bregma
St. Petersburg, Russia


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dr_avinash
post Oct 4 2004, 07:53 PM
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Dear Dr.,



Patient: Known Case of Epilepcy since childhood

2 months earlier....

KNOWN G.T.C patient ( General Tonic Clonic) was on Epton 400 mg, Gardinal 120 mg and Calmpose( valium) 15 mg.

The problem was with this regimen the epileptic control was not suffecient & the patient felt that calmpose ( valium) to be increased whereas the physician is of the view that valium needs to be withdrawn and lamotrigine shold be added to the regimen and the future progrm. is that valium as well as Gardinal should go and the patient should be stabilized on Lamotrigine and Eption alone. The problem in this is if patient decrease valium then he will have to increase Gardenal.

Current treatment:
Lamotrigine 200mg
Gardinal 240mg
Eption 400mg
Calmpose 5 mg.

Please suggest
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