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Dr. Andrew Rynne
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Dr. Andrew Rynne

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Have Brain Shrinking And Dried. MRI Scan And EEG Done. Diagnosed As Epileptic Seizures. What Is The Best Medicine.

My Father, age 74, is suffering from neurological disorder. He Lost all his interest, Lost his social behaviours and some time get violent. MRI report shows whole brain is shrinking and getting dried, but there so no such particular damage to frontal lobe. MRI Report does not say its Dementia, but symptoms are like dementia. And one more point, He get violent and restless ina particular cycle. like after 2/3 days, and in betweena cycle he is as normal as any one. Expert says he is suffering from epiliptic seizures (By reviewing the EEG. What is the best medicine and best dose?
Fri, 26 Apr 2013
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Psychiatrist,  's  Response
Hello
Welcome to HCM

He is 74 and is showing symptoms of dementia. MR scan is showing the decreased volume of brain. He symptoms are loss of interest, loss of social behavior, violent behavior etc. Even his frontal lobe is normal. His violent behavior occurs in episodic pattern.
As your doctor is suspecting any epileptic discharge on basis of EEG, it may be any epilepsy. Impulsive violent behavior is common in certain epilepsies.
Other possibility is some mood disorder. Loss of interest, poor social interaction, violent behavior may be due to depressive episode.
Third possibility is dementia. In dementia the changes on brain are non specific. In last stages decreased volume of brian may be observed.
Many medicines like Donepezil, Memantin can control his dementia features. Other medicines like sodium valoporate, resperidone can be given to control his aggressive behavior.
I would recommend you to visit a Psychiatrist for proper evaluation.

Thanks
Dr. Seikhoo Bishnoi, MD
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Cardiologist,  Dr. Anantharamakrishnan's  Response
Hi friend,
Welcome to Health Care Magic

Dementia is a clinical diagnosis...MRI is done to exclude some causes...

If episodic, MRA (MRI Angiography) of the carotid and vertebral system of blood vessels may be useful... Continued neurological observation is essential - especially with EEG supporting seizures

Violent behaviour demands Psychiatric assessment and assistance.

There can not be a single medicine / several will be in need
Their doses will need frequent titration.

Take care
Wishing speedy recovery
God bless
Good luck
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Have Brain Shrinking And Dried. MRI Scan And EEG Done. Diagnosed As Epileptic Seizures. What Is The Best Medicine.

Hello Welcome to HCM He is 74 and is showing symptoms of dementia. MR scan is showing the decreased volume of brain. He symptoms are loss of interest, loss of social behavior, violent behavior etc. Even his frontal lobe is normal. His violent behavior occurs in episodic pattern. As your doctor is suspecting any epileptic discharge on basis of EEG, it may be any epilepsy. Impulsive violent behavior is common in certain epilepsies. Other possibility is some mood disorder. Loss of interest, poor social interaction, violent behavior may be due to depressive episode. Third possibility is dementia. In dementia the changes on brain are non specific. In last stages decreased volume of brian may be observed. Many medicines like Donepezil, Memantin can control his dementia features. Other medicines like sodium valoporate, resperidone can be given to control his aggressive behavior. I would recommend you to visit a Psychiatrist for proper evaluation. Thanks Dr. Seikhoo Bishnoi, MD