Patient with apparently idiopathic focal seizures, Ideas? - focal epilepsy
The patient is a 45-year-old man shows focal epilepsy (left upper limb, however), no significant changes in the brain or spinal cord MRI, CSF is clean and the intracranial pressure is normal, without signs of infection. There is no family history of epilepsy or Parkinson's disease. ideas?
Friday, February 5, 2010
Focal Epilepsy Patient With Apparently Idiopathic Focal Seizures, Ideas?
3 comments:
Family history of PD is not necessary, even 45 years. The history of the extended family may or may not be useful to look back a few generations.
You did not mention the specific patient's medical history. History of a stroke? TIA? Migraines? Can leave heavy craniocerebral trauma, scars or neck injuries, that other points of the spine, which can not be clear with chronic fatigue syndrome to leave, but could create orthostatic hypotension.
Perhaps a scan of the head and the brain is not necessary. MRI of the head? I accept the cervical spine is very good.
Other considerations: The content of sodium? Syncope? What is TA? Blood sugar levels? The history of sports? Medication history? Recent illness? Kidneys? History of celiac disease is it?
Is your history of migraines in the family? with aura? Furthermore, disruption.deprivation as the physical stress and sleep disorders /.
EEG has been done? I guess you have blood, urine and feces?
There are so many things that can help / lead crisis. I think the patientComplete medical history is important. Often people do not know that sports are played in the school with a vengeance.
At least not to worry about drugs and alcohol. But it is discarded medicines and dietary supplements, especially the latter.
Alcohol or drug withdrawal
Alcohol or drug withdrawal
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