New here - still no definative diagnosis, but likely seizures

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Althea

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Hi, I wanted to introduce myself. I've been lurking for a couple months now as I've gone through the process of getting a neurologist and doing tests, and I've really appreciated this forum as a source of information.

I started having what I thought of as "dizzy spells" almost ten years ago. I would have brief (a minute or less) episodes of intense deja vu, along with a sense that I was dreaming (or remembering a previous dream) and sometimes a sense of impending doom. I was in my first year of law school, under lots and lots of stress, and my general practitioner dismissed them as anxiety and essentially told me to get over it. At the time I was having a hard time explaining what was happening. More recently I started having them a lot more often (every two weeks). My own internet research (which was immeasurably helped by forums like this) convinced me that it was time to see a neurologist.

I don't have any definitive diagnosis, but my neurologist now thinks that I'm most likely having simple partial seizures. My eeg was almost normal, and the MRI didn't turn up anything that would explain my symptoms, so she put me on antiseizure meds to see if it helps. My understanding of her thinking is that if the meds stop the symptoms, then they are seizures. If it doesn't, then we look at other explanations.

I spent a couple weeks on lamictal, my face and lymph nodes swelled up, and she pulled me off of that. Now I'm on Keppra (just today moved to 500 mg/ twice a day). The Keppra is going ok. I feel pretty high at the moment, but I think that's a result of the recent dosage increase.

I'm really concerned about the idea that I probably have to stay on meds long term, and about the possibility of mood or personality changes from the meds. It's especially hard to wrap my poor brain around the idea that I need to be on medication that actually makes me feel worse than the original symptoms. But what I've read about kindling effects makes me think medication is the way to go.
 
I don't have any definitive diagnosis, but my neurologist now thinks that I'm most likely having simple partial seizures. My eeg was almost normal, and the MRI didn't turn up anything that would explain my symptoms, so she put me on antiseizure meds to see if it helps. My understanding of her thinking is that if the meds stop the symptoms, then they are seizures. If it doesn't, then we look at other explanations.

I spent a couple weeks on lamictal, my face and lymph nodes swelled up, and she pulled me off of that. Now I'm on Keppra (just today moved to 500 mg/ twice a day). The Keppra is going ok. I feel pretty high at the moment, but I think that's a result of the recent dosage increase.

I'm really concerned about the idea that I probably have to stay on meds long term, and about the possibility of mood or personality changes from the meds. It's especially hard to wrap my poor brain around the idea that I need to be on medication that actually makes me feel worse than the original symptoms. But what I've read about kindling effects makes me think medication is the way to go.

Hi. Welcome. I lurked a while, too. Wish I thought of joining earlier, but I was spending all my time on the motorsports forums.

I used bold to highlight subjects.

1) My MRI was completely normal, and my simple-partials don't show up on an EEG. I stopped dreaming for a while and once I started taking Vimpat, I started again. Little things like this help you notice small differences.

2) Define high. Maybe you're just feeling the effects. Dizzy? Floaty? Tired? I'm on Keppra, too. 2000mg.

3) Don't worry about Keppra long term. Pay attention to any rage issues, but even with them, Keppra shouldn't be too hard to manage. I live a pretty normal life. I do need extra sleep, but most people don't now I'm epileptic. I think the side effects are much more tame than any seizures.

Best of luck to you.
 
Hi Althea, welcome to CWE!

There is the risk that seizures can escalate; since that was what seemed to be happening with yours, I think you made the right decision to try and get them under control. That said, it's always important to make sure the side effects of any treatment don't outweigh the benefits. For some folks the mood-related side effects of Keppra can be dramatic and debilitating. If you start noticing Kepprage/mood swings, try taking a B6 supplement (which can to help with that side effect). If the mood stuff becomes problematic or intolerable, ask your neuro about trying something else.

Best,
Nakamova
 
I know the feeling aabout not being sure if you want to be on meds due to side effects! After my first tonic-clonic seizure I was put in meds for a short time then taken off since I didn't have anything seizure lime before or shortly after. Unfortunately, I started getting exactly what you are describing, and they did happen more and more frequently and got more intense until I had my last tonic -clonic seizure. Unfortunately I think from being off meds for so long that my epilepsy is way less manageable... I'm on two meds and I still have more partial seizures than I did two years ago before I was on anything at all. Anyway - I do think it is worth it to start controlling your seizures as much as possible. As for keppra I could hardly walk straight at first, but that all went away in time; though, I did struggle with my moods when I was on it, but it wasnt debilitating, just not great. Unfortunately, we had to add lamictal, and when THAT combo wasn't working, I switched to Vimpat and Lamictal, so it may take some time. In my experience the side effects mostly go away in time - not completely, but enough that they are manageable. I hope it works out for you!

Sent from my GT-N5110 using Tapatalk 2
 
Thanks all. It's reassuring to hear that the side effects of medication tend to lessen with time. I'm definitely trying to be patient with the whole process and trust that at some point I'll end up on a medication that works for me.
 
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