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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Could Cause Voilent Seizures While Being On Lamitical And Lyrica?

My daughter in law started having seizures 4 years ago. She is 30 years old . She has a fracture skull when she was 3 from a fall in the playground.They feel it is from scar tissues on the right side ofher brain. She seems so have a seizure about every 4-6 months. her last two have been lasting longer and also she stated states they are more violent in the way that she is aware of them but terrorfied and feels like someone or something is attacking her, she bite my son during her last one and spit out the Ativan which she usally take with no problem. I am concerned of the voilentness of these seizures.She is on lamitical and lyrica.
Fri, 7 Oct 2016
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Neurologist 's  Response
Hello!

Thank you for asking on HCM!

Regarding your concern, I would explain that her symptoms are related to the brain damage caused by the trauma.

The aggressive behavior may be explained by the damaged brain area (usually it occurs in frontal or temporal brain lesions) or from the aura before seizure.

I would recommend discussing with her attending physician on the possibility of switching from lyrica to carbamazepine or valproic acid, which would help stabilize also her aggressive behavior.

Consulting with a psychiatrist may be necessary, especially if she is aggressive even in every day life.

Hope to have been helpful!

Best wishes,

Dr. Aida
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What Could Cause Voilent Seizures While Being On Lamitical And Lyrica?

Hello! Thank you for asking on HCM! Regarding your concern, I would explain that her symptoms are related to the brain damage caused by the trauma. The aggressive behavior may be explained by the damaged brain area (usually it occurs in frontal or temporal brain lesions) or from the aura before seizure. I would recommend discussing with her attending physician on the possibility of switching from lyrica to carbamazepine or valproic acid, which would help stabilize also her aggressive behavior. Consulting with a psychiatrist may be necessary, especially if she is aggressive even in every day life. Hope to have been helpful! Best wishes, Dr. Aida