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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Could The Seizures Be Due To Diffused Theta?

My wife aged 76,WT. 62 Kg. Height 5ft 3 in. had 3 attacks of seizures since 25 th Dec. 2013. MRA revealed some abnormality.Mildly abnormal record showing diffuse theta. Executive director -Neurology recommended EPTOIN A .Did not suit her caused acute weakness. Since that DR. was not easily available for 10 days. Another Neurologist HEAD OF THE DEPT. in a MEDICAL College was consulted ,As per his advice She was put on VALPROL -Cr 300 1 BD on 9.04.14 also besides on Deplatt 75 mg since 26.5.14. DEPLATT 75 mg was also suggested o9. 04 14 AND she was continuing. Duplex B mode ULTRASOUND and DOPPLER on 29.03 14 hads revealed B/L show mixed plaques causing 35-40 % stenosis c normal flows. Dr had advised medicines to be taken for 6 weeks. Now it is more than 8 weeks, and we are unable to contact the Dr. again. There is so for no attack. 1]Should we cntinue and for how long? 2] Should we reduce the dose? 3} should we reduce by tapering ?
Mon, 22 Dec 2014
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General & Family Physician,  's  Response
MEDICINES FOR SEIZURES/EPILEPSY R TO B CONTINUED FOR AT LEAST 3 YRS-PAST LAST EPISODE-HENCE NO Q OF STOPPING MEDICINE.
AFTER 6 MONTHS BLOOD LEVELS OF DRUGS TO B DONE-TO KNOW SAFETY/REDUCE DOSE IF TOXIC LELELS PRESENT.
35-40 STENOSIS AT 76 AGE IS NORMAL-NOT TO WORRY.
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Could The Seizures Be Due To Diffused Theta?

MEDICINES FOR SEIZURES/EPILEPSY R TO B CONTINUED FOR AT LEAST 3 YRS-PAST LAST EPISODE-HENCE NO Q OF STOPPING MEDICINE. AFTER 6 MONTHS BLOOD LEVELS OF DRUGS TO B DONE-TO KNOW SAFETY/REDUCE DOSE IF TOXIC LELELS PRESENT. 35-40 STENOSIS AT 76 AGE IS NORMAL-NOT TO WORRY.