Partial seizures have returned

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Kornfuzed

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Hello there. I'm 39 years old and this is my first post on this site. Like my headline says, my partial seizures returned a few years ago after a 12+ year absence. I just thought I would post this and see if anyone had any feedback. I apologize for the length but here’s a Cliff Notes version of me and my neuro history:

Way back in 1982 when I was 11, I started having typical partial seizures. I would have a flashback/déjà vu feeling immediately followed by the partial seizure where I would stare into space, mumble, tremble, drool, etc. That would usually be followed by a headache and/or drowsiness and I would not always remember the seizure. Doctors weren’t sure what was going on and tests (EEG’s) came back normal. In late 1983, I had a complete seizure, was taken to the hospital and doctors discovered a brain tumor (Grade 2 glioma, left temporal lobe) through a CT scan. That was taken care of with surgery and radiation and then my doctor put me on Dilantin after allergic reactions to Phenobarb and Tegretol. The partial seizures immediately decreased to 1-2 a year, then one every 1-2 years and then my last partial seizure in 1992. I had annual MRI’s through 1993 which were all normal and I quit taking Dilantin in 1995.

Jump ahead to 2005 or 2006 and the partial seizures returned. They’re a little different now. They used to come out of nowhere with no warning. Now, the whole “situation” lasts anywhere from 1 day to 2 weeks. By situation I mean it starts where I have 1-7 days where off and on I feel anxious, panicky, nervous, depressed and/or everything is déjà-vu like. Then, about 50%-60% of the time, that will be followed by 1-3 partial seizures over 1-2 days. I know they’re coming 100% of the time and when they happen, I generally just space out or sometimes yell or mumble. My memory is sometimes a little shady immediately afterward but I feel fine in a few minutes (i.e., no drowsiness or headaches). After the seizure, I’ll have another 0-7 days of anxiety, panic, etc. but no seizures and then I’ll feel fine for 1-6 months.

I did see a neurologist in 2007. He was recommended by my physician but he was horrible. He was a migraine specialist. His assistant asked me 40 questions off a piece of paper and then he basically said “You’re having seizures. Take Depakote.” I asked why I couldn’t go back on Dilantin. I don’t remember his reason but he wouldn’t do that so I didn’t do anything medicine-wise. The only good out of that appointment was I had another MRI and EEG and both came back normal. Oh, and based on the MRI, he said he was impressed with the work the surgeon did to remove my tumor. I haven’t seen another neurologist since.

So, in a nutshell, that’s my situation. I was just wondering if anyone else has experienced anything similar and, if so, what was done to resolve it. Meds? Diet? Other treatment? Or, if anyone could simply recommend a doctor in the Atlanta area, that would be a start too. Any feedback or advice would be greatly appreciated. Thanks for listening.
 
Hi Kornfuzed, welcome!

It's great that you were able to be drug-free for awhile. I'm sorry that the seizures returned. Keep looking for a neurologist that will listen to your concerns and help with treatment. Here's one place to start: http://www.healthgrades.com/neurology-directory/ga-georgia/atlanta

Aside from meds, some people have found that special diets can help with seizure control. Another approach uses neurofeedback to re-train the brain. I don't know if either of those are options for you, but there is plenty of info on both to be found in the archives here. (You can search for info on specific topics using the "search" tab at the top.) A good overview can be found here: http://www.coping-with-epilepsy.com/forums/f22/proactive-prescription-epilepsy-1254/

Best,
Nakamova
 
Hi, Kornfused,

Welcome to the forum! I'm glad you are here.

IMHO, you need a new doc. Because of your past brain tumor and your seizure history, your case is more complex than normal. So you may want an epi (seizure specialist). A good place to find one is at a regional epilepsy center. I don't know where you live, but there may be one near you. Look here:

http://www.naec-epilepsy.org/find.htm

You'll probably need a referral by a neurologist. Would your current neuro be willing to make that referral? If you put it in terms of a second opinion, it's harder for him to say no.

An epi may order more tests, like an epilepsy protocol MRI, which takes much thinner slices, using a higher power MRI machine. They can see tinier abnormalities. Also a longer EEG, which will help catch your seizures.

I understand those feelings of dread lasting for days with seizures peppered in with it. Mine comes from a differerent source, though. I have IIH (idiopathic intracranial hypertension), which is cerebral spinal fluid pressure that is too high and it causes some very strange symptoms. Yours could be extended auras or something else. Auras are seizures themselves, so it's important to get them stopped.

Will you let us know how you are doing?
 
I feel for you mate (i'm an aussie, you'll get used to my language lol) and its reassuring to hear someone else is dealing with these auras. I hope you find a second opinion, arrogant doctors are just awful!
 
Thanks

Thanks for the replies everybody. I'll check some of the links and try to find a local doctor that can answer my questions. I'm working on my diet too, especially soda. I'll keep you posted!
 
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