Dear Dr. Roach: My 22-year-old granddaughter had her first seizure less than a year ago. She had a few tests done, which showed that everything looked normal. She did an MRI, a CT scan and two electroencephalograms . She was told that the seizures she had are non-epileptic ones and are much safer than epileptic ones.
What are your thoughts on these drugs? She talks about discontinuing the medication. Can you suggest a different drug without as many side effects that could help her? Is there a different solution to her issue?An epileptic seizure is caused by uncontrolled electrical activity in the cerebral cortex. Seizures are common, with 8% to 10% of people having one in their lifetime. Not all seizures need to be treated, and the decision on whom to treat is sometimes complicated.
If the diagnosis on PNES is certain , then seizure medicines are slowly withdrawn, as they are unhelpful for PNES. The most effective treatments for PNES include eye movement desensitization as well as reprocessing therapy and cognitive behavioral therapy. Medication is not a standard way to treat PNES.
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