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How To Treat Corneliia Delange Syndrome Andhas Epilepsy With Very Unsettled Behavior?
My daughter has corneliia delange syndrome andhas epilepsy which she has been medicated for since 6 years, she is now 23. Recently a amonia test was done due to very unsettled behaviour which has been going on for at least 18months. I have been backwards and forwards to doctors often during this timre. Hannah becomes very unsettled or very sleepy, refuses food and often fluids I make sure she drinks. When levels were done they were 85 her Epilum was reduced from 1000mg to 500mg morning and 1000mg evenings, tested again and levels had risen more to 93 evening epilum was then reduced to 500mg, howerver she continues to be the same, hand tremmors, loss of appetite, sleepy and or agitated, Im not sur what I should now do, what would you advice
Mon, 30 Jun 2014
Hi,
Thank you for posting your query.
I have noted your daughter's symptoms. At present, her main symptoms seem to be behavioural changes and aggression. Seizures seem to be under good control.
Since she seems to be having side effects from epilim (sodium valproate), we can stop it altogether. Tremors are also side effects of epilim.
She can be started on oxcarbazepine instead of epilim. This would take care of seizures as well as mood disorder.
I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information.
Wishing you good health,
Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)
Senior Consultant Neurologist
Apollo Hospitals, Hyderabad, India
Click on this link to ask me a DIRECT QUERY: http://bit.ly/Dr-Sudhir-kumar
My BLOG: http://bestneurodoctor.blogspot.in
Thank you for posting your query.
I have noted your daughter's symptoms. At present, her main symptoms seem to be behavioural changes and aggression. Seizures seem to be under good control.
Since she seems to be having side effects from epilim (sodium valproate), we can stop it altogether. Tremors are also side effects of epilim.
She can be started on oxcarbazepine instead of epilim. This would take care of seizures as well as mood disorder.
I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information.
Wishing you good health,
Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)
Senior Consultant Neurologist
Apollo Hospitals, Hyderabad, India
Click on this link to ask me a DIRECT QUERY: http://bit.ly/Dr-Sudhir-kumar
My BLOG: http://bestneurodoctor.blogspot.in
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