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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Autism

My 19 year daughter with autism had a sort of epileptic bout recently for the first time. EEG and MRI done on the same day revealed no abnormalities. Incidentally her periods were also due and started same day evening. She has been prescribed 2 tablets per day of Encorate Chrono 300. I would like to know if this medication is required since reports were normal. What are side effects considering her autism?
Wed, 6 Aug 2014
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Psychiatrist 's  Response
Hello, thanks for the query. I presume that your daughter is a diagnosed case of autism & if yes; is she going for any of social reintegration, speech, behavior therapy? These therapies are administered by Psychologists & are available at apex institutions like PGIMER Chandigarh, NIMHANS Bangalore etc. Coming to second query, can you describe her exact symptoms during epileptic fir? Was there tongue bite, blood from mouth, drooling of saliva, up-rolling of eyeballs, spontaneous urination in pants, falls or injuries during this epileptic fit? If any of these were present, we can say with certainty that it was a REAL EPILEPTIC FIT. As epilepsy & some brain lesions commonly occur in patients of autism; hence MRI & EEG were done. Both normal MRI & EEG do NOT RULE OUT A DIAGNOSIS OF SEIZURES!! Lastly there is a condition called as catamenial epilepsy which includes women of whom their seizure exacerbation is aligned with their menstrual cycle. The medication encorate chrono seems a good choice; but may require dose hike depending upon your daughter response. Do revert back if you need any further help. Good Luck
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Suggest Treatment For Autism

Hello, thanks for the query. I presume that your daughter is a diagnosed case of autism & if yes; is she going for any of social reintegration, speech, behavior therapy? These therapies are administered by Psychologists & are available at apex institutions like PGIMER Chandigarh, NIMHANS Bangalore etc. Coming to second query, can you describe her exact symptoms during epileptic fir? Was there tongue bite, blood from mouth, drooling of saliva, up-rolling of eyeballs, spontaneous urination in pants, falls or injuries during this epileptic fit? If any of these were present, we can say with certainty that it was a REAL EPILEPTIC FIT. As epilepsy & some brain lesions commonly occur in patients of autism; hence MRI & EEG were done. Both normal MRI & EEG do NOT RULE OUT A DIAGNOSIS OF SEIZURES!! Lastly there is a condition called as catamenial epilepsy which includes women of whom their seizure exacerbation is aligned with their menstrual cycle. The medication encorate chrono seems a good choice; but may require dose hike depending upon your daughter response. Do revert back if you need any further help. Good Luck