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To Mocdoc and Mitch re epilepsy

Posted by medlib on July 8, 2001, at 1:26:11

In reply to Re: Mary Hartman: Mary Hartman: )), posted by mocdoc on July 7, 2001, at 21:36:48

Hi guys--

I just wanted to encourage each of you to see an epileptologist, a neurologist who specializes in epilepsy. Other ndocs simply don't have the depth of diagnostic or pharmacological expertise needed.

I don't know how comfortable either of you is with medspeak, but Medscape has a new CME review article out on epilepsy at:

http://pharmacotherapy.medscape.com/CMECircle/neurology/2001/CME02/public/epilepsy-index.html

I'd like to make a couple of other points:
--A clearcut, confirmatory test (such as EEG, MRI) is not necessary to establish a dx of epilepsy, altho such tests, if abnormal, can provide info on type or location of brain insult involved. For example, my son has had partial seizures, secondarily generalized (the newer way of describing grand mal, tonic-clonic seizures preceded by an aura) for 15+ years. Yet, he has never had an abnormal EEG, one cannot be evoked by challenge testing, and MRIs show no focal lesions or other brain abnormalities.

--Most people with epilepsy lead perfectly normal lives once on appropriate medication. My son has been seizure-free for 10+ years on Tegretol, during which time he's earned 2 degrees with 4.0s, held and progressed in a job he likes, has married and begun a family. His chronic illness has proven to be far easier to treat and to live with than mine (treatment-resistant double dysthmia).

Good luck to you both---medlib


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poster:medlib thread:69052
URL: http://www.dr-bob.org/babble/20010701/msgs/69388.html