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Female | 3

Is my child's seizure treatment on track with toxic valproic acid levels?

Hi Doctor ,my child 3.5 yrs weight 11.7kg is a known case of seizure of unknown cause since 5 months of age.Now she is on Soval chrono 350 mg per day..... seizure is under control......all investigation are normal like eeg,MRI and other blood test......is the treatment going on in right track? She has leg pain at night time.Her latest serum valproic acid level is 115 which is slightly in toxic level.what to do now please suggest.

1 Answer

Answered on 2nd July '24

It's good your child's seizures remain controlle­d, although the night leg pains and higher valproic acid le­vels need discussion. Night le­g pains might signal low magnesium or calcium, so checking those could he­lp explain it. To address the highe­r valproic acid level, adjusting that medication dose­ may resolve it. Follow up with your child's doctor about these­ symptoms and potential treatment change­s. If any othe­r concerns arise, don't hesitate­ to reach out to a neurologist for guidance. 

84 people found this helpful

Questions & Answers on "Neurology" (746)

My uncle met with an accident few days ago . He had a head injury. After few days he had lost his memory and also behaving aggressively

Male | 65

Your uncle may suffer from a disorder known as Post-Traumatic Amnesia (PTA) after an injury to the head. Memory loss and aggressive behavior are pervasive symptoms. It is because the main point gets violated, hence, it can be the cause of behavioral changes. Rest, avoiding stress, and patience are necessary for your uncle's recovery. 

Answered on 11th Nov '24

Dr. Gurneet Sawhney

Dr. Gurneet Sawhney

Hello guys, I am a male 24 years old. So in early 201 9 i started to get weird symptoms than at the end develop constant feeling of them.lt all started with just sinus pressure and dizzines,but it develop in to constant unsteadiness like i am walking on a boat 24/7.It does never stop not even for a single second. It does not matter if i am laying,sitting or walking the sensation is there always.This sensation is accompanied with sort of like bouncy vision which is constant same as the unsteadiness.lts hard for me to focus on objects because i have a sensation that they are moving or bouncing.This dual sensation varies in intensity depending on the day. Those both sensation are going on for 5 years.l have developed anxiety with it and often find myself panicking over this symptoms I did an MRI scan that showed no malignat changes on the brain and a C6-C7 discus hernia and relative spinal stenosis. I also went to few ENT doctors,that recommended me to do a deviated septum surgery which i got. They said it could be to air pressure in my ears and oxygen deficiency which ultimately did not prove to be right. I went to a few neurologist that all said the same,that there is nothing wrong according to them I also went to an eye doctor who said i do not have anything wrong with my eyes despite my bouncy vision.Even when i explained my symptoms she said that she had never heard of something like this On the recommendation of my ENT doctor i did caloric test that show the next parametars: Right ear showed 2.20 and left ear showed 2.50 (keep in mind i do not know what this means) I also have checked my blood vessels on my neck to check for circulation and it came out fine I am literally out of options and i do not know what to do next. Anyone out there with simillar kind of symptoms? Can anybody give me some advice for what to do next?

Male | 24

Answered on 30th July '24

Dr. Gurneet Sawhney

Dr. Gurneet Sawhney

My grandfather age is 69 and he has second stroke in last 2 month and he unable to move and speak but in progress and today his bp is high what is the reason for high bp please doctor give me your suggestion

Male | 69

It is common for people who have had strokes to experience high blood pressure, especially after a stroke. The stroke might have altered the brain areas that regulate blood pressure. As a result, the body may struggle to control it. Hypertension can also exacerbate the severity of strokes. Thus, advise him to eat foods that are low in salt content, take the medications he has been given strictly, and get enough sleep to regulate the levels of this condition.

Answered on 29th May '24

Dr. Gurneet Sawhney

Dr. Gurneet Sawhney

I am suffering the following: - Post Polio Residual Paralysis cerebral vascular accident Is it coming under Multiple disability or Locomotor Disability

Male | 64

Your conditions, Polio Residual Paralysis and cerebral vascular accident (stroke) would generally be categorized as "Multiple Disabilities" rather than "Locomotor Disability." Multiple Disabilities involve coexisting impairments in different body systems, while Locomotor Disability typically refers to issues related to mobility. It's important to consult a medical professional for accurate classification.

Answered on 23rd May '24

Dr. Gurneet Sawhney

Dr. Gurneet Sawhney

I end up being very tired during the day and trouble focusing from staying up for hours at night. Is this insomnia at all?

Female | 18

You may have trouble­ sleeping. Not slee­ping well means finding it hard to doze off or stay re­sted through the night. Daytime tire­dness and lack of focus could signify this problem. Common culprits – anxiety, stre­ss, and poor sleep patterns. To re­st better, wind down before­ bed with calming activities. Avoid scree­ns late at night. Most importantly, keep your sle­ep schedule consiste­nt.

Answered on 25th Sept '24

Dr. Gurneet Sawhney

Dr. Gurneet Sawhney

bacpan se problam hai lekin kal M.R.I karwaya tab pata chala hume beti ko brain tumar hai kya iska ilaj ho sakta hai

Female | 21

You should immediately consult a neurologist or neurosurgeon to know the brain tumor size and type. The treatment options will vary based on the location, size, and type of tumor, among others. Only the best doctor can design the most suitable treatment plan.

Answered on 23rd May '24

Dr. Gurneet Sawhney

Dr. Gurneet Sawhney

Pressure headache mostly around eyes behind nose and cheekbones. Generally feeling like I have a band around my head. Gets worse when I am bending over.

Female | 35

You might have a sinus headache. Sinuses are spaces in your face that can get swollen and cause pain. Pressure can be made worse by bending over. Other symptoms can include a runny or stuffy nose. To feel better, you can try using a warm compress on your face, staying hydrated, and using over-the-counter pain relievers. If you feel this way all the time, it is best to go to a doctor to be sure.

Answered on 14th Oct '24

Dr. Gurneet Sawhney

Dr. Gurneet Sawhney

Headache in brain and negative feelings

Male | 26

You may get headache from many factors: stress and dehydration among them. Intense feelings may lead to other headaches, for example, anxiety and depressions. Talking to experts is important to help you identify the cause and get the proper treatment.
 

Answered on 23rd May '24

Dr. Gurneet Sawhney

Dr. Gurneet Sawhney

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