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Male | 15

Has my 15-year-old's EEG shown epilepsy improvement?

Dear Dr. My 15 year old has been diagnosed with generalized tonic clonic epilepsy. He has done 2 eegs. 1st eeg (done November 23) said it posterior dominant rhythm was 12 hz. The 2nd one (done November 24) said it's posterior dominant rhythm is 9 hz. 1st eeg: bilateral synchronous anterior predominant spikewave epiltiform recorded occuring isolated or 400-600 ms. 2nd eeg: bilateral synchronous anterior predominant spikewave epiltiform recorded at maximal @ FP@,F4,F8,FP1,F3,F7 in 600 ms. Stage II was obtained. Is there improvement between the 2 or has it worsened slightly? The Conclusiofor the 2nd was This was an abnormal awake, drowsy and stage II sleep electroencephalogram. Bilateral synchronous anteriorly predominant spike-wave epileptiform discharges were recorded as described above. In the correct clinical setting, these findings are suggestive of a genetic generalized epilepsy with the differential diagnosis of a frontal focus with rapid secondary bilateral synchrony. Is the conclusion serious?

1 Answer

Answered on 14th Dec '24

Dear Parent, Thank you for your inquiry. The EEG results show some epileptiform activity that is ongoing, which can be of great concern. The change from a 12 Hz to a 9 Hz rhythm and being assured of the findings suggests that although there is some activity, it does not necessarily represent a change of the situation; rather, it may just indicate differences in the EEG readings. The summary implies that the patient may have a genetically generalized epilepsy that is treatable with continuous medical care. Please, I advise you to analyze the mentioned details with your doctor in order to have the necessary treatment and your child's support get quality. Best wishes, [Your Name]

2 people found this helpful

Questions & Answers on "Neurology" (790)

I have a head pain past 1 year what can i do

Male | 18

Creative tension, lack of rest, or even strained eyes could cause headaches. You should visit a doctor who will check to see if there is something serious and give you ways to reduce the pain.

Answered on 5th July '24

Dr. Gurneet Sawhney

Dr. Gurneet Sawhney

Answered on 23rd May '24

Dr. Gurneet Sawhney

Dr. Gurneet Sawhney

MY QUESTION IS ON BEHALF OF MY MOTHER MY MOTHER HAS SEVERE FIBROMYALGIA SO MY QUESTION IS IT STILL IMPORTANT FOR A PERSON WITH SEVERE FIBROMYALGIA TO GO TO BED TO TRY TO GET TO SLEEP FROM BEFORE 12:00 AM . AND ALSO. IMPORTANT. FOR. THEM. TO START THEIR SLEEP ROUTINE 3 OR 4 HOURS BEFORE 12 AM . SO THAT. THEY CAN HAVE ENOUGH TIME TO TRY TO FALL ASLEEP BEFORE 12 AM. INCASE THEY HAVE ANY TROUBLE STRUGGLING TO TRY TO FALL A SLEEP TO BEGIN WITH AND BY DOING SO BY STARTING . A SLEEP . ROUTINE . THAT WAY .TO BE ABLE TO GET AS MANY HOURS OF SLEEP BEFORE MIDNIGHT 12:00 AM. ALSO BY DOING A SLEEP ROUTINE THAT. WAY FALLING ASLEEP BEFORE 12 AM TO MAKE IT EASIER TO STAY A SLEEP. THROUGH. THE ENTIRE AMOUNT OF HOURS THAT ANY PERSON NEEDS SLEEP FOR , EIGHT HOURS THE AVERAGE AMOUNT OF SLEEP AND. 9 HOURS OR 10 HOURS. OF. SLEEP. DEPENDING ON WHAT THE INDIVIDUAL PERSON NEEDS. FOR SLEEP IS ALSO IMPORTANT. FOR A PERSON WHO HAS. SEVERE FIBROMYALGIA TO START A SLEEP ROUTINE. 3 OR 4 HOURS BEFORE 12 AM . FOR ALL THE REASONS THAT. I HAVE SAID BEFORE BUT ALSO TO HELP WITH DECREASING THE AMOUNT OF PAIN THEY COULD HAVE TO GO THROUGH DURING THROUGHOUT THE ENTIRE DAY OF. AWAKE HOURS AND TO HELP TO DECREASE THE AMOUNT OF FATIGUE THAT THEY COULD HAVE TO GO THROUGH DURING THE ENTIRE DAY OF AWAKE HOURS. AND TO HELP TO PREVENT FLARE-UPS. THE REASONS I ASKED THIS IS BECAUSE MY MOTHER'S SLEEP ROUTINE HAS BEEN HER GOING TO BED AT 4AM OR 5AM IN THE MORNING FOR YEARS AND GETTING. UP AT 2 PM AND 3PM IN THE. AFTERNOON . SHE STRUGGLES TERRIBLE FOR SLEEP BECAUSE OF THIS , SHE. STRUGGLES. TO. GET TO SLEEP TO BEGIN WITH AND WHEN SHE DOES GET TO SLEEP SHE CAN END UP WAKENING UP. 2 OR 3 THROUGH THE HOURS SHE TRIES TO SLEEP FOR AND IS. UP AND DOWN TO THE TOILET 2 OR. 3 TIMES THROUGHOUT THOSE HOURS. ALSO BECAUSE OF THIS SHE GETS ALMOST SIX HOURS OF SLEEP ON A DAILY EVERY WEEKLY BASIS. AND. WHEN I TRY TO ENCOURAGE HER TO START A SLEEP ROUTINE 3 OR FOUR HOURS BEFORE 12:00 AM . SHE WOULD ALWAYS COME UP WITH AN EXCUSE WHEN I SAY IT'S ALSO IMPORTANT FOR REM SLEEP AND THE RECOVERY. PERIOD AND HER SAYING THERE'S IS NO. POINT PEOPLE WITH SEVERE FIBROMYALGIA. NEVER GO INTO A DEEP SLEEP TO BE ABLE TO GET. REM SLEEP. AND THE RECOVERY PERIOD BY. HER. SAYING. THAT. MAKING IT. SEEM. AS. IF. THERE. NO IMPORTANCE. OF. HER. EVEN TRYING. TO. GET. TO. SLEEP BEFORE. 12AM. AND. START. A. START ROUTINE. 3 OR 4 HOURS. 12AM. FOR ANY. REASONS. AT. ALL. FOR. HERSELF DOCTOR. IF. YOU COULD. GIVE. ME. YOUR THOUGHTS. ON. EACH. PART OF. MY. ENTIRE QUESTION. WRITTEN. ABOVE. ABOUT IS THERE. STILL. ANY IMPORTANCE. FOR ALL. REASONS THAT. HAVE. WRITTEN ABOVE. ON. A IMPORTANCE FOR A. PERSON. WITH. SEVERE FIBROMYALGIA. STARTING. A. SLEEP ROUNTINE. 3. OR. 4. HOURS BEFORE. 12AM. TO. TRY. TO GET. TO. FOR BEFORE. 12AM. PLEASE. INCUSE. THE TYPING. MISTAKES. MY. KEYBOARD. IN BETWEEN WORDS. MISTAKINGLY PUTS. OUT. FULL STOPS DOTS PLEASE. IGNORE. THOSE IF. YOU ARE HAVING. TROUBLE. GETTING BACK. TO. ME. IN. RESPONSE MY PHONE NUMBER ON WHATSAPP IS 07955535740 AND. EMAIL ADDRESS IS jasminepatterson1091@gmail.com

Female | 61

A daytime sleep schedule not only helps a patient with fibromyalgia to get better but is also of paramount importance to them to avoid sleeping after midnight. Sleep can aggravate or diminish pain, tiredness, and even exacerbations. Adjusting the sleep schedule 3-4 hours before midnight might be a good way to augment sleep quality. Convince your mother to give sleep a priority so that she can not only reduce what she is experiencing but also have better overall health.

Answered on 3rd Sept '24

Dr. Gurneet Sawhney

Dr. Gurneet Sawhney

Brain problem sir no smell and no tatye

Male | 31

Loss of smell and taste might be a signal of different brain problems. It is important to consult a neurologist who performs the necessary studies and suggests a treatment plan. Please do not take these symptoms lightly, and consult a doctor as soon as possible.

Answered on 23rd May '24

Dr. Gurneet Sawhney

Dr. Gurneet Sawhney

I am a 23 year old female who has been having headaches since I've given birth but still no changes of it going away even If I use painkillers. I'm alsohaving chest pain and throat pain for two weeks now, what should I do?

Female | 23

It is quite normal to experience headaches due to hormonal changes and lack of sleep after childbirth. However, headache shooting coupled with chest and throat pain should not be ignored. It is essential to eliminate the fear of serious conditions, such as postpartum preeclampsia or infections. You should go for a medical evaluation as soon as possible to find out the cause and the right treatment.

Answered on 3rd Sept '24

Dr. Gurneet Sawhney

Dr. Gurneet Sawhney

Dear Drs, I hope this message finds you well. My name is Kamilia Ghoul, and I am reaching out to you on behalf of my father, who is currently suffering from advanced Parkinson's disease. He is 79 years old and has reached stage 5 of the condition. We are located in Tunis, and the need for specialized medical care has become imperative. In light of his situation, we are urgently seeking a hospital that can provide the comprehensive treatment he requires. It is critical that the facility we choose has the expertise and resources necessary to address his mobility issues and to improve his quality of life as much as possible. I am requesting your professional guidance to identify the best hospital that offers advanced care for Parkinson's patients at this stage of the disease. Your expertise in the field would be immensely helpful in ensuring that my father receives the best possible treatment. I would greatly appreciate any recommendations you may have or assistance in facilitating a referral, if possible. Please let me know if there are any specific procedures or information required to proceed. I am ready to provide any relevant medical records or documentation needed for evaluation. Thank you for your help and consideration in this urgent matter. I look forward to your prompt response. Sincerely, Kamilia Ghoul 00974 50705591

Male | 79

When Parkinson's is this far along, it's a good idea to ge­t care at a special hospital. The hospital can help manage­ your dad's symptoms. He might benefit from physical the­rapy to stay as active as possible. The doctors may change­ his medications or consider surgery to he­lp him feel bette­r. Before going to the hospital, gather all your dad's medical records. Write­ down notes about how he's bee­n doing lately. This information will help the doctors unde­rstand his situation and make a good treatment plan just for him. 

Answered on 23rd May '24

Dr. Gurneet Sawhney

Dr. Gurneet Sawhney

Hello, my relative is 30 years old. He started getting tremors in his hand. He is also facing the following memory-related problem: 1. Getting confused very easily. 2. Not able to recall recently happened discussion/talk completely. 3. Facing problem in thinking because of low visualization. 4. Facing problem in speaking because keep forgetting words 5. Difficulty in learning new things. Can you please suggest a good neurologist in Bangalore based on his above-mentioned problem?

Please check his thyroid profile. And consult a good physician. There is also very good medicines in Homoeopathic for same conditions. There is no need to worry about.

Answered on 23rd May '24

Dr. Pranjal Ninave

Dr. Pranjal Ninave

I'm 16 years old female with an headache ever since I can remember and I have some questions regarding this

Female | 16

Headaches can hurt a lot. There are many different kinds of headaches. If you have been experiencing headaches for a long time, it is important to determine what is causing them. Pressure, not enough sleep, dehydration or specific dishes may all be triggers for some people. Visit a doctor to get solution for this problem.

Answered on 23rd May '24

Dr. Gurneet Sawhney

Dr. Gurneet Sawhney

My left hand is numb and sometimes have a tingling feeling, before it was from finger tips to wrists but it extended till elbows. I consulted a doc and he said that there is no sign of nerve injury as there is sweat in my hand. He said that if there is a nerve problem my hand will not sweat. He also said that it maybe because i may have it some bone or nerve unknowingly, and did not prescribe any medication. However the numbness is still there for nearly 2 days and it has extended till my shoulder joint. I have no feeling in my left hand. No pain no sense no feeling.

Male | 17

You’re having a health issue in your left hand, as notice of the deadness is still staying up to your shoulder. This might result from a compressed nerve or issues in your neck or shoulder. It is essential to make a doctor’s condition, request these tests, and do imaging tests such as MRI. Do not put off these symptoms.

Answered on 18th June '24

Dr. Gurneet Sawhney

Dr. Gurneet Sawhney

Dear Dr. My 15 year old has been diagnosed with generalized tonic clonic epilepsy. He has done 2 eegs. 1st eeg (done November 23) said it posterior dominant rhythm was 12 hz. The 2nd one (done November 24) said it's posterior dominant rhythm is 9 hz. 1st eeg: bilateral synchronous anterior predominant spikewave epiltiform recorded occuring isolated or 400-600 ms. 2nd eeg: bilateral synchronous anterior predominant spikewave epiltiform recorded at maximal @ FP@,F4,F8,FP1,F3,F7 in 600 ms. Stage II was obtained. Is there improvement between the 2 or has it worsened slightly? The Conclusiofor the 2nd was This was an abnormal awake, drowsy and stage II sleep electroencephalogram. Bilateral synchronous anteriorly predominant spike-wave epileptiform discharges were recorded as described above. In the correct clinical setting, these findings are suggestive of a genetic generalized epilepsy with the differential diagnosis of a frontal focus with rapid secondary bilateral synchrony. Is the conclusion serious?

Male | 15

Dear Parent, Thank you for your inquiry. The EEG results show some epileptiform activity that is ongoing, which can be of great concern. The change from a 12 Hz to a 9 Hz rhythm and being assured of the findings suggests that although there is some activity, it does not necessarily represent a change of the situation; rather, it may just indicate differences in the EEG readings. The summary implies that the patient may have a genetically generalized epilepsy that is treatable with continuous medical care. Please, I advise you to analyze the mentioned details with your doctor in order to have the necessary treatment and your child's support get quality. Best wishes, [Your Name]

Answered on 14th Dec '24

Dr. Gurneet Sawhney

Dr. Gurneet Sawhney

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